The challenge of restoring endodontically-treated teeth has spawned a considerable diversity in foundation restorations and a plethora of publications in the dental literature. Moreover, it seems that an inverse relationship has developed between the escalating complexity in selecting a post-core system and the volume of reliable scientific data upon which clinicians base their treatment decisions. In the quest to restore aesthetics, function, and reduce the risk of treatment failure there is now a much greater emphasis on the preservation of sound tooth structure, tooth isolation for intracanal procedures, sealing the root canal and adapting the advantages and limitations of dental materials to the presenting clinical situation. The relatively recent introduction of metal-free posts into mainstream prosthodontics has added an aesthetic dimension to treatment planning. New adhesive systems and resin-based luting agents have the potential to create a genuine adhesive continuum between the tooth and post-core complex. While these developments may have significant ramifications with respect to treatment prognosis, the long-term clinical performance of contemporary post-core systems is unclear.