Early childhood caries is a common problem among children under the age of five. It is also frequently referred to as “baby bottle tooth decay” as it is most often caused by the frequent and prolonged bottle or breast feeding especially at night. The decay may affect any of the teeth but is most prevalent

The condition may be congenital, developmental, or acquired through disease, trauma, or environmental cause and may impose limitations in performing daily self-maintenance activities or substantial limitations in a major life activity.” Children with special needs exhibit higher rates of decay and gum disease due to a number of factors such as high carbohydrate diets or