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Background: Preventive dental care benefits people of all ages and genders' oral health. Among many conceptual implications, autonomy suggests the power to alter one's fate and environment, among other things. Little is known about women's autonomy and factors influencing dental health-care utilization in India. This study was designed to assess knowledge, attitude, and oral hygiene practices and its association with women's autonomy and dental care utilization. Materials and Methods: A cross-sectional study was conducted among 400 women aged 18 years or older in Bengaluru Urban District. Questionnaires were employed to assess women's autonomy, knowledge, attitude, oral hygiene practices, and dental care service utilization. Descriptive statistics and bivariate and regression analyses were carried out. The P < 0.05 was considered statistically significant. Results: More than half of the women (61.3%) had a high level of autonomy. Women with a high level of autonomy had more knowledge, a more positive attitude, and better dental hygiene habits. Autonomy, knowledge, and attitude were all significant independent predictors of women's use of dental care services. Conclusions: Women's autonomy was found to influence knowledge, attitude, and oral hygiene practices which in turn are associated with dental health-care service utilization.