Background: Early Childhood Caries (ECC) remains a significant public health concern. Parental knowledge and awareness are critical determinants of preventive behaviour and treatment acceptance.

Objective: To assess parental awareness of ECC aetiology, fluoride-based preventive interventions, and restorative treatment options including dental crowns.

Methods: A cross-sectional questionnaire survey was administered to 100 participants. Twenty structured questions spanning four domains were evaluated: General ECC Awareness, Fluoride Knowledge, Preventive Procedures, and Crown-related Knowledge. Chi-square tests (df = 1) were applied to each item to test the null hypothesis of equal Yes/No distribution (50:50). Statistical significance was set at p < 0.05.

Results: Awareness was highest for crown-related knowledge (mean 79.5%) and lowest for advanced fluoride therapies such as SDF (34%) and intraoral fluoride-releasing devices (30%). Chi-square analysis revealed statistically significant knowledge gaps across multiple items.