Introduction: Despite the advances in modern dentistry, dental fear continues to be an important, if not the major component of distress, to both patients and clinicians alike. Dental fear has been shown to be one of the strongest predictors of irregular dental attendance, thus contributing to poor oral health. Objectives: The aim of this study was to assess the relationship between dental fear and caries experience amongst antenatal mothers and also to identify specific fear provoking situations. Methods: A cross-sectional study was conducted on a sample of 407 antenatal mothers from 4 Maternal and Child Health clinics in the district of Seremban. It consisted of a face to face interview survey utilizing the Kleinknecht's Dental Fear Survey Questionnaire and an oral examination. Results:The overall prevalence of dental fear was 94.1% of which 67.6% of the subjects reported low fear levels, 26.5% were moderately fearful and none were highly fearful. Only 5.9% of the subjects reported no fear. The caries prevalence was 85.7% with a mean DMFT score of 4.59. Subjects who were moderately fearful were 2.7 times more likely to have decayed teeth compared to those in the ‘no fear' group (OR = 2.722; 95% CI =1.011-7.332). The drill and anaesthetic needle were identified as the most fear provoking objects. Conclusions: This study highlighted that dental fear is a common problem among antenatal mothers resulting in higher number of decayed teeth. Recognising such fears and instituting appropriate management strategies will ultimately improve oral health and utilization of oral health services.