It is clear that teeth often require significant reconstruction following root canal treatment. It is also evident that there is an enormous variety of ways that can be used to achieve this. Although there is some debate about the relative contributions of the root filling and coronal restoration to endodontic success, it is agreed that the best results are gained with a good root filling and a well-sealed coronal restoration. Posts, pins and/or bonding are all possible solutions to retain the coronal restoration but it is often difficult to decide, on the basis of evidence rather than fashion or anecdote, which is preferable.