Context: Aims:The aim of this study is to compare clinical performance of EQUIA Forte Fill. G-Aenial Posterior, Cention N in class II cavity in primary teeth- An In vivo study Setting and design:The study was conducted at Himachal Institute of dental sciences, Department of Pediatrics and Preventive dentistry, Paonta Sahib, Himachal Pradesh Subject and methods:In total 45 class II restorations were performed in patients aged 4-9 years using three different restorative materials: EQUIA Forte Fill [EF], GAenial Posterior [GP], Cention N [CN]. The restorations were evaluated using method USPHS criteria in terms of anatomic form, secondary caries, color match, retention, marginal adaptation, polishability, surface staining, pre and post operative sensitivity, soft tissue health, proximal contact point. The data was analized using chi-square test, McNemars test, marginal homogeneity test. Statistical analysis used: The statistical analysis was done using Statistical Package for Social Sciences (SPSS for Windows, Version 19.0). Descriptive statistics were calculated as frequency and percentage. The comparison of study parameters at various time periods among the three study groups was done using chi-square test. Comparison of change in study parameters at various time periods was assessed using McNemars test and marginal homogeneity test. The level of significance for the present study was fixed at a p-value of less than 0.05. Result:The clinical performance of GAenial Posterior was superior to EQUIA Forte Fill and Cention N Conclusion:GAenial Posterior is a promising user-friendly restorative material that can be used to restore carious primary teeth. It offers a better restorative properties like aesthetics, improved radiopacities and can be manipulated with ease by the clinicians.