The early childhood caries is a disease of dental structure affecting teeth in children aged between birth and 71 months of age. The childhood caries is very common disease and is diagnosed by the presence of 1 or more decayed (non-cavitated/cavitated lesions), missing (due to caries), or filled tooth surfaces in any primary tooth. This transmissible bacterial infection is caused by Streptococcus mutans and usually passed from the primary caregiver to the child. The management includes a professional targeted preventive programme encompassing oral hygiene guidelines, fluoride and diet counseling for both parents and caregivers. The disease in usually complicated by inappropriate feeding practices and socio-economic factors. The early childhood caries is an endemic disease and preventive strategies are not adequate for high risk children. The corrective treatment measures in high risk children often require extensive restorative procedures and untimely extraction of primary teeth. The author presents full mouth rehabilitation of a child patient of early childhood caries.