The present study assessed the prevalence of and risk factors for Early Childhood Caries in children 3 to 5 years old. The target population included 3 to 5 year old and their mothers from the 14 zones of Bhopal city. Each mother was first given the structured questionnaire, and then the child s clinical dental examination was carried out. The prevalence of early childhood caries in preschool children aged three to five years in Bhopal was 43.2%, with a mean dmft of 3.02. Caries prevalence, however, showed statistically significant association and a negative correlation with socioeconomic status, with lower socioeconomic status children showing higher caries.