The bottle syndrome represents one of most common cause of caries in childhood. This syndrome is usually due to child’s dietary habits and type of feeding. It is characterized by premature onset involving several dental elements at the same time as well as by severe lesions of the dental tissue. To efficaciously prevent the bottle syndrome is crucial to give a correct information to parents. Pediatrician plays a key role in precocious diagnosis of dental lesions also suggesting a dentistry examination.