Background: Oral diseases have a significant impact on people's appearance, quality of life, and self-esteem, despite the fact that frequent dental visits aid in early identification, and prevention. In the rural areas, people find it difficult to visit dental care for a variety of reasons, and most times access to dental care is blamed for non-use. Aim: The aim of this study was to determine the level of dental service utilization in the University of Nigeria Teaching Hospital (UNTH) by inhabitants of the two host communities while highlighting the predisposing factors and barriers to the use of the services. Methodology: This descriptive cross-sectional study was conducted in the villages of Ituku and Ozalla hosting the University of Nigeria Teaching Hospital (UNTH) in Enugu State. A minimum sample size of 138 was calculated for each community yielding a total of 276. Information obtained from 69 households (2 per household) using a 21-question semistructured questionnaire include demographic characteristics, oral health awareness, dental service utilization, and barriers to service utilization. Data analysis was done with SPSS software version 20, and the Chi-square test identif
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