Pavement health monitoring and assessment using sensor technology provides valuable insights into the condition of roads and helps in effective maintenance and management. This paper presents an advanced fiber Bragg grating (FBG) sensor-based pavement monitoring system that leverages multi-sensor data fusion techniques and an unsupervised learning approach for enhanced structural health assessment. The study commences with the fusion of data from various FBG sensors based on specific considerations and employing a novel function to improve the accuracy of pavement condition assessment. A dedicated data management system is introduced to address the challenges associated with continuous monitoring. This system automates data organization, pre-processing, and storage, facilitating historical trend analysis and post-processing. Then, the research introduces a novel unsupervised learning approach utilizing the density-based spatial clustering of applications with noise (DBSCAN) algorithm. This algorithm identifies abnormal patterns in the FBG sensor data, which may indicate structural anomalies or unexpected events, aiding the operator by automatically flagging abnormal data. By incorporating principle component analysis (PCA)-based feature fusion, the system reduces the dimensionality of the data, which enhances the efficiency of the clustering process. Various anomalies were detected in the data collected for four months from the test track. The cause and relevance of these anomalies were assessed to facilitate informed decision-making. This approach enables the operator to achieve early detection of potential structural issues and distinguish abnormal damage data from other anomalous data, thereby contributing to the overall success of the pavement monitoring system. In conclusion, the integration of advanced FBG sensor technology with multi-sensor data fusion and unsupervised learning techniques results in a sophisticated and robust pavement monitoring system. The presented approach enhances accuracy by detecting anomalies at any strain level, computational time using multi-sensor data fusion, and reliability of structural health assessment through anomaly evaluation. It also provides a framework for proactive decision-making, ultimately improving the longevity and structural integrity of critical infrastructure.