Premature loss or severely destruction of upper primary anterior teeth by early childhood caries (ECC) is a challenge for the pediatric dentist. ECC can be a particularly virulent form of caries, beginning soon after dental eruption, developing on smooth surfaces, progressing rapidly, and having a lasting detrimental impact on the dentition. In the anterior region, aesthetics is an important concern along with function and space management. Tooth rehabilitation in this region becomes fundamental. The intention of this case report was to present a case of a4-year-old boy came with a chief complaint of decay on the upper front teeth in the last 2 year. Radiographic examination reveals pulpal involvement wrt 51,61,52,62 and shows good length root. Based on the clinical findings we came to the diagnosis of early childhoods caries type III and stage IV. Hence the patient was planned for pulpectomy followed by half omega post and strip crown. The child was very happy and satisfied regarding all functions of teeth, like mastication, speech, and esthetic