The authors describe a clinical case of oral rehabilitation, in a 4-year-old patient, using indirect composite onlay
restorations. Eight severely decayed primary molars were restored. The clinical findings after 4 years demonstrated the efficiency of the technique as well as its indication in extensive restorations in Pediatric Dentistry, reestablishing func-tion and aesthetics of these primary teeth. The indirect composite onlay restorations seem to wear at rate compatible with primary tooth wear and maintain a smooth, continuous anatomic form.