Inclusion Criteria:  Preschool children, 2-5 year of age with Early childhood caries (ECC) or severe Early childhood caries (S-ECC) scheduled for restorations and extractions under general anesthesia or any form of sedation The obligate requirement is that the child should be fully treated and managed with aspect to caries within a period of not more than two months.  Exclusion Criteria:  medically comprised children children with severe cognitive problems or dysfunctional families families planning to relocate within the next year