Introduction: Esthetic rehabilitation of a young child with early childhood caries or dental trauma is one of the most important treatment modalities in pediatric dentistry. Parental motivation is a vital factor for the placement of an anterior esthetic appliance. Case Report: The present article discusses about a case report that highlights the fabrication of a modified Groper’s appliance in a 3-year-old child with severe early childhood caries (S-ECC). Its design included the placement of stainless-steel bands on primary second molars attached to a wire containing an acrylic flange bearing trimmed acrylic teeth anteriorly and a distal stop on the canine in order to prevent distal migration. Conclusion: The appliance was functional and fulfilled the esthetic demands.