Anterior pediatric restorations exhibit a unique treatment challenge. Factors to consider include the child's medical history, level of cooperation, dental age, caries risk, parental preferences and cultural norms regarding esthetics. The goal is to retain the anterior teeth with an esthetic result and allow natural exfoliation without the need to retreat. Anterior restorations are discussed. Rebonding traumatized fractured teeth, pediatric partial dentures, microabrasion, vital bleaching and enamel hypoplasia are also discussed.