Cavities in children at an early age are an alarming sign for parents to be get prepared for their dental treatment. The appearance of cavities in milk teeth are usually starts at 2, 3, or 4 years of age. For many years it has been recognized that when milk teeth begins to come out in child’s mouth , at that time, more frequent bottle feedings and bottle or breast feedings for longer time is often associated cavities. A discussion with the parents often reveals an inappropriate feeding pattern: the child has been put to bed at afternoon naptime and/or at night with nursing bottle holding milk or sugar-containing liquids. The child falls asleep and the liquid becomes pooled around the teeth for a longer time and cause damage to teeth. This is the one reason, additional factors known to cause cavities are – saliva, hereditary factors, arrangement of the teeth in the arch, presence of dental appliances and fillings and socioeconomic status. Cavities at an early age may be prevented by early counseling of the parents. This is prime reason for suggesting that children receive their first dental examination between 6 and 12 months of age, when cavities are not developed. When cavities have occurred, the first step is to initiate treatment of all cavities to stop or at least slow the progression of the disease and to identify the most important causes of the existing condition. Next, and even simultaneously, if possible, the Pedodontist begins working with the parents and/or the patient to achieve the appropriate behavioral modifications in child, required to prevent recurrence of disease. The success of cavities control in younger children depends to a great extent on the interest and cooperation of the patient and/or the patient’s caretakers.