This study examined the prevalence of dental caries in rural school children ages 7-12 in the district of Sirsa, India. A total of 890 children were examined using WHO criteria. Results showed a high caries prevalence of 73.1% overall, with boys at 66.9% and girls higher at 79.9%. The high prevalence reflects poor oral hygiene and lack of awareness about oral health. Caries increased with age from 10-12 likely due to increased exposure to poor oral hygiene conditions over time. The study concludes immediate steps are needed to decrease caries in both primary and permanent teeth.