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Tips for occlusal restorations and the avoidance of white line fever

Small occlusal restorations are hard to technically layer, but depending on their position relative to a cusp tip, may require different degrees of cavosurface beveling.

*The rule of thumb is that you can bond to the ends of enamel rods better than to the siders of enamel rods.

*The rod orientation becomes more and more upright as you near a cusp tip, hence as your isthmus increases or if you are restoring a cusp tip erosive lesion, you will need to bevel more aggressively across the cavosurface to provide a better substrate for bonding, lest the dreaded white line fever appears.

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