Early childhood dental caries usually refers to baby bottle cavity that is associate degree communicable disease that area unit caused by some sorts of microorganism that area unit gift in our mouth. The microorganism is affixed to the plaque and it feeds on sugar and starchy foods. After consuming the food the microorganism tends to synthesize acids because it completes the method of digestion. The acids have the tendency to interrupt down the outer surface of the tooth and dissolve sensible minerals that lead to the tooth cavity. The treatment of decay depends upon the age of the kid and condition of caries. The preventive management of ECC includes sensible oral health observe, sterilize the kid bottle, begin the observance of brushing because the kid gets the 1st tooth, Regular Visit of the medical practitioner from the age of one.