Anticipatory Guidance is defined as proactive counselling of parents and patients about developmental changes that will occur in the interval between health supervision visits that includes information about daily caretaking specific to that upcoming interval. Anticipatory guidance is the process of providing practical developmentally appropriate information on children’s health to prepare parents for significant physical, emotional and psychological milestones. It provides a framework for prevention that goes beyond caries to address all aspects of children’s oral health. It forces interaction by requiring the clinician to seek information about child’s development from the parent and by directing the clinician to develop individualised plans or strategies. Individualised discussion and counselling are an integral part of each visit and parents are generally counselled on topics such as oral hygiene maintenance and its importance, dietary habits, development of oral tissues, fluoride needs, non – nutritive habits, use of antimicrobials and medications on oral health, speech and language development, injury prevention, tobacco abuse, substance abuse, and intraoral and perioral piercing all of these which have the potential not only to affect the physical health but can also affect the emotional health and psychological well-being of the individual and so Anticipatory Guidance needs to start from the prenatal period itself as the health status of the mother significantly affects the child. Emphasis is to be placed on importance of primary teeth for chewing, speaking, jaw growth and craniofacial development and self-esteem.