The purpose of this descriptive study was to identify village people’s explanatory model regarding early childhood caries by Klienman’s explanatory model conceptual framework. Different qualitative data collection techniques were used including records, a participant observation, informal interviews, in-depth interviews and pile sorting that collected from 36 key informants, and oral examination of 38 children. The results show that some of the village people’s explanatory pattern agrees with professional knowledge, while some do not, due to different reality backgrounds. The village people’s conceptions are based upon accepted natural phenomena. Most oral health practices aim for emergent pain relief. The understanding from the present study should help health care providers administer appropriate dental interventions that are culturally suitable to popular thoughts, beliefs, and lifestyles to improve public child oral health goals.