The ideal restoration of endodontically treated teeth (ETT) has been extensively debated in the literature and controversially. Prevention of healthy dental structure is essential to help mechanical stabilization of tooth-restoration integrity, increase the amount of suitable surfaces for adhesion and thus positively affect the long-term success. The risk of biomechanical failure of ETTs is greater than that of vital teeth. The need for post-core restorations is decreased with the advancement of adhesive systems. Endocrowns have been used as an alternative to traditional post-core and fixed partial dentures, especially for the restoration of excessively damaged ETT. Endocrowns are a reliable alternative to molar restorations that are post-retained and seem promising for premolars. It is important to respect a certain preparation design and a rigorous adhesion protocol. Glass-ceramic lithium disilicate and nanofilled composite resin stand out among the available materials.