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Children with autistic disorder may lead to more severe tooth caries worse than normal people. Tooth caries is a chronic regressive process which begins with the dissolve of email minerals, destruction, and then emergence of cavitation. Autistic people experience a complex brain development disorders, therefore how old age of people with autism spectrum disorder, not guarantee the ability to keep oral and tooth hygiene will increase. The aim of this research is to find out the correlation between tooth health care with number of tooth caries case in autistic students at elementary and junior high school for disabled students Bhakti Luhur Malang. This reseach uses observational analysis design with cross sectional method. Collection of data is carried out using Total Sampling technique upon 24 students who fulfill inclusion requirements. The result shows that all autistic students suffering tooth caries. Students with bad tooth health care relatively have mild caries as shown by 7 students (29,17%). Students with usual tooth health care have mild caries as shown by 6 students (25%) and light caries as shown by 12 students (50%). Students with good tooth health care relatively have light caries as shown by 5 students (20,83%). Based on Spearman Correlation test, there is a significant correlation between tooth health care with number of caries in autistic students at elementary and junior high school for disabled student Bhakti Luhur Malang. It is suggested to improve tooth care in caries prevention with involvement of parents, teacher, and health care providers.