We live in an era where over 65 million Americans are part of the Baby Boomer generation. Their caries disease was treated with large amalgams in their youth - and these restorations are still lurking 20, 30 and 40 years on! This patient population has a disproportionate number of cracked teeth and failing amalgams that have traditionally been treated with crowns. This course will describe ideal case selection to create long-lasting composite restorations that rival strength and contours of lab-fabricated restorations. We will discuss how to bill these restorations appropriately, so they can be a viable treatment option for patients and doctors alike.