The restoration of endodontically treated teeth (ETT) remains a significant challenge in modern dentistry. These teeth often suffer from substantial structural damage due to both the original pathology and the invasive nature of endodontic procedures. Consequently, ETT are more susceptible to fractures compared to vital teeth, necessitating restorative strategies that can effectively restore both function and aesthetics while minimizing the risk of failure. In recent years, advances in adhesive dentistry and the development of high-strength ceramics have further expanded the restorative options for ETT. Bonded restorations have gained popularity as they preserve more tooth structure and enhance the overall strenght of the tooth-restoration complex. The choice of restorative material and technique is influenced by numerous factors, including the amount of remaining tooth structure, the functional requirements of the tooth, and the aesthetic demands of the patient. Despite the plethora of available materials and techniques, the optimal approach to restoring ETT remains a topic of ongoing research and debate. In this comprehensive review, the current state of and recent advances in restoring damaged endodontically treated teeth are explored. Numerous therapeutic options exist, involving a wide range of materials. This article aims to present the biomaterial advancements of the past decade and their applications, offering alternative approaches to treating damaged ETT with the goal of prolonging their retention on the dental arch and serving as a valuable resource for dental practitioners who face this issue daily.

The adhesive–resin composite pair has been the cornerstone of direct restorations in dentistry for many years. Resin composites are traditionally classified in three ways based on their inorganic structure, their organic composition and their viscosity. While these classifications have long been associated with the optical, mechanical, and clinical properties of resin composites, recent studies indicate that this classification is not always valid. In recent years, a significant expansion of the range of clinical resin composite families has occurred, each with varying degrees of validation through in vitro and clinical studies. As a result, new resin composites with distinct structures, viscosities, and clinical indications have emerged. Despite this progress, a formal classification of the clinical features of all resin composites is still lacking, leading to terminological inconsistencies in research and potential confusion among clinicians. This brief review, supported by an exhaustive search of the dental literature, proposes a new clinical classification system for resin composites based on their key clinical features to help clinicians and researchers easily identify the key clinical characteristics of formulations. This modular classification, encompassing eight main families and 14 characteristics, is particularly suited to future developments, as current trends aim to simplify procedures by integrating multiple formulations into single products.