Premature loss of maxillary primary anterior teeth may result in esthetic interference, difficulty in chewing, tongue thrusting habits, open bite, and deleterious effects on speech. It is necessary to restore patient’s desirable esthetic appearance, reestablish masticatory function, and prevent from abnormal speech and tongue habits. Modern composite resin materials are durable and esthetic and can function effectively when used to fabricate prosthodontic teeth. In this report, we use strip crown and color-matched composite resin to fabricate artificial teeth for a fixed appliance to reconstruct prematurely lost maxillary primary anterior teeth. The result is esthetically pleasing. However, further studies on this type of artificial teeth are needed.