Primary maxillary anterior teeth dominate the physical appearance and their structural loss affects not only esthetics but also leads to compromised mastication, poor phonetics, development of aberrant oral habits, neuromuscular imbalance, and difficulty in social and psychological adjustment of the child. 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. Present review highlights the various recent advances in the field of pediatric esthetic dentistry along with their indications, advantages, and disadvantages.