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The smiles of children shape their lives beyond expectations. Anterior teeth defects (ATDs), such as dental caries, traumatic injuries, or tooth loss can have profound social and psychological effects in children in addition to their functional problems. These problems may be unnoticed or underestimated by the parents/caregivers in children due to the shorter lifespan of primary anterior teeth. However, pediatric dentists are in a unique position to rebuild those lost smiles and restore the spirits of these little ones. Thus, this paper aims to highlight the different modalities of aesthetic rehabilitation of premature loss of primary anterior teeth in children.

In the first case, comprehensive management of severe early childhood caries (S-ECC) was done, followed by aesthetic and functional rehabilitation using the Groper’s appliance. The second case shows the aesthetic rehabilitation of pulpally involved maxillary incisors using the omega post and strip crowns after completing the endodontic treatment. In the third case, traumatized maxillary incisors were extracted and rehabilitated using a removable aesthetic space maintainer. This case series thus emphasizes the tailored treatment strategies for aesthetic rehabilitation of anterior teeth in preschoolers, effectively restoring the function and aesthetics, using appropriate modalities.

Aesthetics; anterior teeth defects; children; psychological.