Zirconia preformed crowns have become an excellent choice for the restoration of decayed primary anterior teeth. This presentation will review when zirconia crowns will be a good choice for restoring primary anterior teeth. It will review how to prepare the teeth to best fit the preformed crown and when pulp therapy should be considered. Management of gingival soft tissues will be discussed. A presentation of some available manufacturer crowns will be provided along with their features. Selection of crown size will be reviewed. Cementation materials will be reviewed as well as cementation protocol.