The aim: to study the clinical and radiographic evaluation of Aloe Vera gel in the treatment of badly decayed primary anterior teeth. Methodology: Forty teeth have early childhood caries were selected from pedodontic Outpatients Clinic, Faculty of Dental Medicine, Boys,Cairo, Al-Azhar University, during period of 2014-2016. The teeth were classified into two equal groups (A&B) each group formed of 20 teeth. Group (A) was received mixture of Aloe Vera gel with zinc oxide powder during pulpectomy procedure, while group (B) was received zinc oxide eugenol past during pulpectomy procedure. Results: clinical and radiographic examination revealed in group (A), the success rate of Aloe Vera mix was (95%), after 6 successive months with no statistical significance difference (P=0. 00). In group (B) success rate of zinc oxide eugenol past was(90%)after 6 successive months with no statistical significance difference(P=0.00).