Background: Restoration of severely damaged primary molars with very short clinical crowns is a big challenge and often extracted due to the lack of restorative options.Total crown replacement (TCR) is a novel vacuum pro vst treatment alternative for the restoration of such teeth through bonding of the biological restorations which are the sterile decoronated crowns of the extracted human teeth, obtained from a tooth bank.Case Report: Presented here is a report of two cases restored lockheed l-188 electra for sale with the TCR technique.A 9-month follow-up showed satisfactory results in terms of function, esthetics, gingival health, and morphology including occlusal wear.TCR can be a viable and economical alternative for restoration of severely decayed/damaged primary teeth, otherwise indicated for extraction.