Direct restorations have been largely employed to restore posterior teeth due to their low cost when compared to indirect restorations, along with acceptable clinical performance. Resin composite restorations in the high stress-bearing area led to some common failures that are secondary caries, marginal leakage, and post-operative sensitivity. To overcome the weakness of the resin composites manufacturers developed short fiber-reinforced composites (SFRC). They are dentine replacing material in posterior high stress-bearing restorations, especially molars. The material also revealed control in polymerization shrinkage stress by fiber orientation reducing the microleakage compared with that of the composites. The resin matrix contains inorganic particulate fillers and short glass fibers that provide three-directional reinforcement. Since most of the studies have focused on evaluating SFRC in permanent teeth, there are very few studies done on primary teeth. Thus, this study aims to evaluate the clinical performance (marginal adaptation, postoperative sensitivity, development of secondary caries, and surface texture) of composite restorations restored by short fiber-reinforced composite and bulk-fill resin composite.