Posterior tooth-coloured restorations have transformed restorative dentistry by emphasizing minimally invasive treatment, preservation of tooth structure, and superior esthetics. Advances in adhesive materials, ceramic systems, and digital CAD/CAM technology have significantly improved the strength, precision, and longevity of direct and indirect restorations, including inlays, onlays, overlays, veneerlays, and endocrowns. Their long-term clinical success depends on appropriate case selection, conservative preparation design, meticulous adhesive cementation, accurate occlusal management, and regular maintenance. When evidence-based principles are followed, these restorations provide predictable, functional, durable, and esthetic outcomes, making them the preferred approach in contemporary posterior restorative dentistry.
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