Citation ABSTRACTFixed prosthodontic failures are varied and complex. Complications associated with conventional fixed prostheses are dental caries, need for endodontic treatment, periodontal disease. Poor esthetic is one of the most frequent reasons for replacing failed restorations. Knowledge regarding the clinical complications enhances clinicians to complete a thorough clinical examination and diagnosis, and to develop an esthetic-driven treatment plan including the selection of bleaching agent, the reconstruction type, and the ceramic material. This article illustrates several clinical complications of full coverage restorations, and discusses different therapeutic modalities which have to be combined and synchronized to enhance the esthetic outcome of the final fixed prostheses.