This review examines the evolution of dental crowns in pediatric dentistry, highlighting the transition from traditional materials such as stainless steel to aesthetic and biocompatible alternatives like zirconia, resin-based composites, and Bioflex crowns. It focuses on their importance in repairing decayed or damaged teeth and improving children's oral health and psychological well-being. The methodology involved a comprehensive literature search over the past two decades, utilizing databases including PubMed, Google Scholar, and Chat.Consensus.App, with keywords related to pediatric dental crowns. The findings indicate that stainless steel crowns (SSCs) are valued for durability and cost-effectiveness, but they may cause hypersensitivity. Zirconia crowns are favored for biocompatibility, resistance, and aesthetics, although they are costlier and require more tooth reduction. Resin-based composite strip crowns offer a balance of aesthetics and function but have challenges in long-term stability. The review also touches on Bioflex crowns, noting their flexibility, but the limited research on their effectiveness. In summary, the review underscores the vital role of various dental crown materials in pediatric dentistry, stressing the importance of ongoing research to enhance clinical outcomes and pediatric patient quality of life. The selection of crown materials should consider efficacy, aesthetics, and the psychosocial effects on young patients.