Tooth decayis an irreversible microbial infectious disease among most of the children. It is due to closeinteraction of bacteria S mutans and sticky high sucrose content food and enamel the outer surface of thetooth. Streptococcus. mutans transferred from mother to her baby during birth. S mutanss also inoculateand survive pre-dentate babies. Early childhood caries starts in the early phase of life, it spread rapidly inhigh-risk population those who remain untreated progresses rapidly in those who are at high risk, and oftengoes untreated. ECC outcomes hurt OHRQoL and their family economical status. The tooth decay patternin toddlers is different from others. It can be recognized easily. There are various types of synonyms usedfor tooth decay in infants and children. Tooth decay cannot start without any sugary substances like sucroselactose. Therefore, every dentist and each researcher person gave a prime focus on infant feeding or dietarypatterns and feeding practice of children by giving them proper education. Not only the professional butevery parent and caregiver has the key role to maintain the oral hygiene to control the disease. There arevarious types of treatment options for early childhood caries with different types of interventions. It dependson the degree of disease progression tooth decay, child age factor, and mainly with social factors.