Introduction: Early childhood caries (ECC) is a common childhood disease causing early involvement and gross destruction of the maxillary anterior teeth, thereby leading to difficulty in speech, mastication, development of abnormal tongue habits, malocclusion and psychological problems. The management of carious primary incisors presents a special challenge to pediatric dentists. Aim: The study was conducted with the aim of evaluating and comparing the clinical performance of Figaro crowns and Zirconia crowns in Primary anterior teeth. Method: The study design was a randomized split-mouth, conducted in 15 patients. The primary maxillary central incisors on one side were restored with zirconia crown and the primary maxillary central incisors on the other side were restored with figaro crown. Crowns were examined for retention, gingival health, colour match, and opposing tooth wear at follow up period of 6months and 12 months. Results: Thirty crowns were evaluated in 15 patients. After examining crowns at 6 months and 12 months, the loss of retention was observed in 13.3% of Zirconia Crowns and 33.3% of Figaro crowns at 12 months which was statistically insignificant. For Gingival health, no statistically significant difference was observed between the groups at baselines, 6 months, and 12 months.Colour change was observed in 6.7 % of Zirconia Crowns and 33.3% of Figaro Crowns at 12 months which was statistically insignificant. Wear was observed in 20% of Zirconia Crowns at 12 months. Conclusion:Preformed Zirconia crowns and Figaro crowns in pediatric dentistry are a better esthetic and highly acceptable, restorative option for primary anterior teeth with the results being better for zirconia crowns.