Introduction: Children with cleft lip and palate are at high risk of developing dental caries which outranks other oral diseases in occurrence. Complete cleft lip and palate pose various feeding difficulties and could result in lack of weight gain, failure to thrive condition and choking etc. Aim: To assess the influence of feeding practices on dental caries in children with cleft lip and palate. Method: A total of 100 mothers of non - syndromic children with complete cleft lip and palate within age group 0 to 6 years were randomly selected and to whom, a well-structured questionnaire was given in English and regional language (Telugu) to evaluate the awareness among mothers on feeding practices and ECC in children with cleft lip and palate. Results: Dental caries was observed in 57% of children and 47% of children were found to be caries free. Among children with caries, a greater percentage (39.6%) of children was bottle fed with regular bottle. But 75% of children who used spoon and cup for feeding were under high caries risk. Children who were only breast fed were under low risk. Conclusion: Feeding practices can be considered as potential caries risk factor in children with cleft lip and palate. Use of modified bottle showed decline in dental caries so parents should be counseled regarding use of modified bottle in children with cleft lip and palate.