Determination of when to remove a peripheral rim enamel fracture hinges on whether the crack penetrates the DEJ, at which stage the risk:benefit ratio points to its removal. Caries is only detectable when it has reached 1/3rd the buccolingual thickness of the tooth, and it is not prudent to assume that it will express its breath first before deciding to penetrate deeper. Such superhighways for bacterial ingress should be removed.
Restorative: Kerr #Simplishade Medium | Kuraray #Clearfil Majesty Flow
Matrix system: #Garrison Compositight
Substrate adhesive optimization: #Aquacare
