Objective: The restoration of the root canal treated tooth is a critical step in the daily practice. There are different therapeutic options, and many factors have to be taken into account in order to provide the teeth with a good mechanical behaviour, aesthetics, and long term durability. The aim of the present work was to present a clinical report regarding the use of a fiber post and a direct resin composite reconstruction for the restoration of root canal treated teeth. Methods: 80 root canal treated teeth were included in this study (32 anterior teeth and 48 posterior teeth). After the endodontic treatment, a translucent fiber post has been placed (DT post, RTD, France). A ‘one bottle' adhesive system (One-Step, Bisco, USA) and a dual curing resin cement (DuoLink, Bisco, USA) were used for post luting. The direct resin restoration was performed using a micro hybrid resin composite (Gradia, GC Company, Japan) and a layering technique including opaque, dentin and enamel ‘shades' was used in order to improve the aesthetic results of the restoration. Results: Patients were recalled after 6, 12 and 24 months: a clinical and x-ray evaluation confirmed the good clinical performances of these restorations. Conclusions: After 24 months of clinical service, the root canal treated teeth restored with a fiber post and a direct resin restoration showed an acceptable clinical behaviour, although a longer clinical study is needed to confirm the results of this study.

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