Native American population has the poorest oral health status of any ethnic or economic group in the US. The adult population has the highest edentulous rate, the highest use of tobacco and the highest incidence of Periodontal Disease. The prevalence and severity of dental caries in Native American children are substantially higher than any non-Indian children group with their mean dmfs scores (diseased, missing and filled surfaces) over 200% higher than non-Native American population. They have the world’s highest prevalence of Early Childhood Caries (ECC). Prevalence of 50 to 80% of the children 5 years of age and younger whereas the national average for ECC is less than 10%.