Objective To investigate the effect of transparent crown restoration on the caries of children's maxillary deciduous anterior teeth and its influence on the incidence of secondary caries.Methods From December 2020 to December 2021,88 children with caries of maxillary primary anterior teeth were selected and divided into control group(44 cases,108 teeth)and study group(44 cases,112 teeth)according to the repair methods.The control group was treated with direct filling of traditional anterior teeth with composite resin,while the study group was treated with transparent crown combined with composite resin.The periodontal indicators,restorative effects,adverse events,and family satisfaction were compared between the two groups before and 1 year after restoration.Results One year after restoration,the plaque index(PLI),gingival bleeding index(BI)and gingival sulcus fluid tumor necrosis factor α(TNF-α)and interleukin 8(IL-8)levels in both groups were lower than before restoration.The levels of PLI,BI and gingival sulcus fluid TNF-α and IL-8 in the study group were lower than in the control group(P<0.05).The repair success rate of the study group was higher than that of the control group(P<0.05).One year after restoration,the incidence of secondary caries,the incidence of marginal staining and the incidence of filling loss in the study group were lower than in the control group(P<0.05).The score of family satisfaction in the study group was higher than that in the control group(P<0.05).Conclusion Transparent crown restoration can effectively improve the periodontal condition of children with caries of maxillary deciduous primary anterior teeth,with good restorative effects.In addition,transparent crown restoration can also reduce the incidence of secondary caries and reduce the incidence of complications.And the family members of the children are more satisfied.