The purpose of this review was to examine the periodontal and restorative factors related to restoring teeth with short clinical crowns. Modes of therapy are usually combined to meet the biologic, restorative, and esthetic requirements imposed by short clinical crowns. The complications presented by teeth with short clinical crowns demand a comprehensive treatment plan and proper sequencing of therapy to ensure a satisfactory result. Visualization of the desired result is a prerequisite of successful therapy. Short clinical crowns present many problems to the restorative dentist. Restorations should have proper form, function, and esthetics while promoting the maintenance of tissue health in the surrounding areas. However, adequate tooth structure for achieving these goals may not always be available. While it is difficult to precisely define minimum crown length, this study offers guidelines for defining a short clinical corwn and suggests procedures for achieving a predictable result without compromising the periodontium. The consequences of placing a restoration on a tooth with insufficient crown length are discussed and various treatment methods are reviewed.