This policy statement, authored by several doctors and indigenous health committees, describes the health disparities between Native American and First Nations communities and the broader populations of the United States and Canada in terms of early childhood caries (ECC). The statement includes an overview of the epidemiology of ECC, oral health in indigenous children, and recommendations for indigenous communities. More specifically, the report recommends several community-based promotion initiatives dedicated to emphasizing oral health and the availability of orally-healthy foods.