Dental Caries is one of main global burden on oral health. Almost one-third of the world’s population, are affected by dental caries, one of the most common and ubiquitous pathological illnesses. Dental Caries in primary teeth can cause discomfort, affect speech and loss of confidence.¹ Since primary teeth are necessary for chewing, speaking, and maintaining natural space in the dental arch, it is essential that they receive proper care.²

Selecting an appropriate restoration technique is a crucial step in achieving best treatment outcomes. The most common restoration material is glass ionomers, composite resin, compomer, amalgam, or prefabricated crowns.³

Preformed Stainless steel crowns/ zirconia crowns are the most commonly used treatment modality for extensive carious lesions.

The superiority and durability of stainless-steel crowns over multi-surface amalgam and other restorations in the primary dentition have made preformed SSC crown an invaluable restorative technique for the treatment of grossly decayed primary teeth.⁴ The major disadvantage of stainless steel crown was its aesthetics.

Zirconia crown which is introduced as a newer material as a result of technological advancements is highly acceptable to parents and children due to excellent esthetics, resistance to fracture, biocompatibility, reduced plaque accumulation, colour stability, and potentially less technique sensitivity.⁵ But due to extensive tooth reduction because of their inflexibility and thickness, it is time consuming and can cause discomfort to the children.

Titanium-nitride coated crown (TiNC) is a recently introduced full coverage crown with a titanium-nitride (TiN) coating on its surface,the titanium-nitride (TiN) coating makes the crown look yellow or gold in colour and also strengthens the hardness of the surface.⁶

Recently another titanium-nitride coated crown, Rose Gold crowns is being introduced, which looks more elegant and can be acceptable to the children.

There are no studies comparing the parental satisfaction, child acceptance and clinical durability between Stainless steel crowns, Gold crowns and Rose gold crowns.

Hence this study is conducted to comparative evaluation of parental satisfaction, patient acceptance and clinical success of stainless steel crown and titanium coated preformed primary crowns.