The enduring resilience of Roman infrastructure, exemplified by the Tiberius Bridge in Rimini—completed in the 1st century CE and remaining structurally sound after over two millennia—has long drawn scholarly attention. This study re-evaluates Roman construction methodologies with a particular focus on opus caementicium (Roman concrete) encased within durable permanent facings such as opus quadratum, opus incertum, and opus latericium. Central to this longevity was the use of pozzolanic binders, which underwent prolonged hydration reactions, enabling continued strength development over extended timescales—markedly contrasting with contemporary hydraulic cements engineered for rapid early-age strength gain. A comparative analysis is conducted between ancient Roman materials and modern high-performance cementitious composites, including High-Performance Concrete (HPC), Ultra-High Performance Concrete (UHPC), and Engineered Cementitious Composites (ECC). Contemporary practices are frequently guided by design codes such as Eurocode, which, while structurally robust, tend to prioritize short-term performance metrics. To bridge this gap, a hybrid construction strategy is proposed wherein additive manufacturing is employed to produce permanent structural formworks that mimic the load-bearing and protective functions of Roman facings. This approach enables the use of modern slow-maturing binders within digitally fabricated enclosures, thus integrating ancient durability principles into automated, scalable workflows. By reconciling historical construction insights with advances in modern materials science and digital fabrication, a new paradigm is introduced for designing infrastructure with service lives far exceeding the conventional 50–100 year design horizon. The implications of such an approach extend to both sustainability and resilience, offering a technically viable and historically informed route toward ultra-durable infrastructure in the face of evolving environmental and operational challenges.