Large direct composite restorations can induce shrinkage related postoperative sensitivity. Indirect resin-bonded (tooth colored) restorations may perhaps prevent these complaints. Indirect bonded ceramics are especially attractive because of their biocompatibility and esthetic performance. Several procedures and techniques are currently available for the fabrication of ceramic restorations: firing, casting, heat-pressing and milling. In this article the different systems are described. Advantages, disadvantages and clinical performance of ceramic inlays are compared and discussed.