The Syrian crisis has had a severe impact on the oral health of refugees, yet data on their oral health remains scarce. A cross-sectional study of 484 Syrian refugee children revealed a caries prevalence of 96.1%, with mean dmft/DMFT scores of 3.65/1.15. Most common complaint was pain (98.3%), and 88% did not brush regularly. Strong correlation between dental caries and age was observed (P ≤ 0.01). This population exhibited poor oral health, high caries rates, unmet dental needs, and inadequate oral hygiene practices, highlighting a lack of dental care services and emphasizing the urgent need for preventive measures to alleviate oral health burdens among Syrian refugees.