Crown fractures, if treated correctly and in a timely manner, have a high treatment success rate. Upon the patient's first visit to the dental office, it is essential to rule out associated injuries to the supporting tissue of the tooth and surrounding bone, as the risk of later complications is significantly higher in such cases. Direct composite build-ups of fractured crowns will most often meet the aesthetic requirements of aesthetics, biological aspects, and abrasion resistance in most cases, but only in cases of small or medium-sized crown fractures in the anterior segment. Especially in the case of a young permanent tooth, this should be the first therapeutic choice. Composite materials allow the conservative restoration of crown fractures with minimal risk of pulpal and/or periodontal complications in children and adults. Additionally, restoration can be performed immediately after the injury (assuming associated injuries are excluded), and in that case, it does not require multiple visits. Today's hybrid composite materials and amphiphilic adhesive systems ensure adequate aesthetic and mechanical properties of the material. In the case of larger crown fractures, endodontically treated teeth, and elderly patients, the treatment of choice would be a ceramic crown. Patient preferences, economic aspects, and the skills of the dentist are always are taken into account. If there are doubts and uncertainties, the recommendation is to always to start off with a minimally invasive procedure, in this case, crown build-up with composite material. This is due to the fact if the patient's or dentist's expectations are not met, a more invasive procedure can be opted for, whereas the reverse is not possible.