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Primary teeth often get destructed either due to caries or traumatic injuries. Teeth need to be rehabilitate due to loss of crown structure following caries or traumatic injury. Maintenance of the primary dentition in a nonpathologic and healthy condition is important for the overall well being of the child. Treatment of the severely destructed teeth poses a challenge for the pediatric dentist as three important considerations have to be kept in mind, patient’s behavioral management, preservation of the tooth structure and parental satisfaction. Present review highlights the various recent advances in crowns the field of pediatric dentistry.