Background: Early Childhood Caries (ECC) is defined as the presence of caries lesion in an primary tooth in children below the age of 71 months. It is a significant public health problem with consequences for the growth and development of affected children. The objective of this study was to determine the prevalence and ECC risk indicators in a suburban population in Nigeria. Methods: The data of 497 children aged 6 months to 71 months who were recruited through a household survey conducted in Ile-Ife, Nigeria was analysed for prevalence of ECC and risk indicators. Information on childrenâ€™s ages, sex, socioeconomic status, tooth brushing habits, sugary snacks consumption, use of fluoridated toothpaste, birth rank, infant-feeding practices, breastfeeding practices, maternal age at childbirth, and maternal knowledge of oral health was obtained. Childrenâ€™s oral hygiene and caries status was also determined. Risk factors associated with ECC were determined using logistic regression analysis. Results: Thirty-three (6.6 %) children had ECC. Four (0.8 %) had severe ECC. The four risk indicators for ECC were the childâ€™s gender, mothersâ€™ knowledge of oral health, consumption of sugary snacks in between meals more than three times a day, and the childâ€™s oral hygiene status. Females (PR: âˆ’0.06; 95 % CI: âˆ’0.01â€“ -0.01; p = 0.02), and children with mothers who had good knowledge of oral health (PR: âˆ’0.06; 95 % CI: âˆ’0.11â€“â€“0.008; p = 0.02) were less likely to have ECC. Children who consumed sugary snacks in between meals three times a day or more (PR: 0.05; CI: 0.003 â€“ 0.01; P = 0.04) and children with fair oral hygiene (PR: 0.05; 95 % CI: 0.005â€“0.10; p = 0.03) were more likely to have ECC. Conclusions: The prevalence of ECC in the study population was low. Promoting good oral hygiene practices and enhancingmothersâ€™ knowledge of oral health may help reduce further, the risk for ECC in the study population.