Inclusion Criteria:  Age range 2 to 5 years . Children with untreated early childhood caries . Children who will undergo dental treatment under general anesthesia.  Exclusion Criteria:  Participation in any other concurrent clinical trials. The presence of serious medical conditions or a transmissible disease such as malignant disease, hepatitis, AIDS etc. Children with special healthcare needs. Children whose parents had no home or mobile phone to enable postoperative contact. Parent that will not sign the consent.