The adhesive root canal filling was introduced as an alternative to gutta-percha and conventional sealers aiming to improve the long lasting success of the endodontic treatments. However, after more than one decade of clinical use the results are controversial. Taking into account the much higher cost and for the time being clinical parameters in debate of the adhesive root canal filling, it seems reasonable to still consider gutta-percha and conventional sealers as preferential materials for the root canal filling.