Esthetic management of severely decayed primary maxillary anterior teeth is a great challenge to pediatric dentists especially in very young children. Over the years, Many esthetic treatment options have been tried each having its own advantages, and technical, functional or esthetic limitations. Zirconia crowns have provided an excellent treatment option to resolve the esthetic issues and the ease of placement of full coverage restorations on primary anterior teeth.Thiscase series presents two cases where grossly decayed and discolored maxillary primary incisors were restored with zirconia crowns. After the endodontic treatment, the teeth were restored with zirconia crowns. Over a 6 months period, the crowns have shown good retention and esthetic results. Dealing with the esthetic and functional requirements of the children affected with early childhood caries, zirconia crowns presents a promising and successful alternative for esthetic rehabilitation of decayed primary teeth.
Key words: Early childhood caries, children, zirconia, Esthetic rehabilitation.