The patient is an aging Chinese national here with her very high tech and amazing daughter/professor at UW Computer Science. Not a lot of English gets spoken but she understands enough and her daughter helps her out. This started with big decay and fracture at #2. Because of all the cultural issues and the difficulty of treatment, this tooth will never get a crown.
We all know that "all posterior endo'd teeth need crowns", but it can't always happen. This style of restoration, because the techniques and the products are so good, has the potential to last a long long time.