Introduction. Early caries in children is as aggressive as it is preventive. In the present study, the risk factors of early caries in children and strategies to prevent early caries in children at the community level will be elucidated. Material and methods. 42 literary sources were analyzed with reference to the oral health policies and strategies proposed by the recognized international authorities and the level of their realization in the Republic of Moldova. Results. The importance of public health strategies for the prevention of early caries in children was highlighted: 1. Oral health screening, especially in vulnerable communities; 2. Development of a National register of evidence of early caries in children; 3. Analysis of drinking water sources in the RM localities to detect the level of fluoride; 4. Administration of fluoride preparations or fluoridation of water or some foods in localities with low concentration of fluoride in drinking water; 5. Promotion of oral health at group and population level. Conclusions. This study provides evidence that community-based oral health promotion interventions that combine all public health strategies associated with oral health are most effective in reducing dental caries in children. Interventions implemented separately, sporadically and that do not take into account the specifics of the community have a limited impact.