Dental caries is one of the most common and enduring (chronic) diseases seen among children across the world, but particularly in India, where prevalence is high. Poor dietary habits, limited oral hygiene behaviors, and limited access to preventative dental services are strongly correlated with dental caries in children (particularly from socioeconomically poor region).  In this narrative review, we focused on the relation between increasing prevalence of dental caries in Indian children and the excessive consumption of sugary foods.  A systematic search of PubMed, Medline, and Science Direct identified ten peer-reviewed studies published within the last five years (2019-2023) on the consumption of sugary food and dental decay prevalence in various states in India.  All articles indicated that consumption of sugary foods (especially solid, sticky sweets) before bed and during their meals increases the likelihood of dental decay. additional contributing factors such as cultural practices that normalized high frequencies of sweet intake, a lack of health literacy, and reporting on a lack of oral hygiene education.  A social determinant of health was also identified as a significant risk modulator, such as poverty and limited access to dental care.   These results indicate the urgency in implementing appropriate, affordable, and culturally-specific interventions. These suggestions included the following potential interventions: school-based health education, sugar taxes, subsidized dental care for low-resourced communities, and culturally-relevant public awareness campaigns.  The article concluded that for tackling the ongoing childhood oral health crisis in India, and improving developmental outcomes, it requires a collaborative approach that engages multiple stakeholders.