The so called Modernization has a telling effect on incidence of caries.The settling down of populations in the urban areas coupled availability ofrefined carbohydrate that made caries more prevalent. In fact, it is interesting to note that Nearchos, Alexander the great admiral found in Indus valley a rare and costly Indian salt' that taste like honey. Thus sugar spread from India to Persia and Arabia, known as Dental arch criminal.ECC is a syndrome with both disease and behavioral components.In 1985, the term Baby Bottle Tooth Caries was proposed by Healthy Mother s Healthy Babies Coalition as an alternative that would be more appropriate for patient's acceptance and would focus on the potential damage of using a nursing bottle.