Restoration of endodontically treated teeth continues to be a challenge in restorative dentistry. A common protocol for restoring such teeth has been to use a post and core to aid the retention of an overlying crown. However, many clinical and laboratory studies have reported that placing a post will contribute to the retention of the core portion of the restoration but may have a weakening effect on the root. Failure of post & core/crown systems is a common problem that may be due to different material mechanical behaviors relative to tooth structure in response to intra-oral cyclic stresses. With the increasing popularity of adhesive dentistry, a shift in treatment decisions towards more conservative modalities has been observed. With the current advances in adhesive dentistry and the development of dental computer-aided design/computer-aided manufacturing, custom-made fiber post and core, ceramic inlays, onlays, and endocrowns became better alternatives. This presentation discusses these approaches, its advantages and limitations when compared to conventional treatment options.