What is the most effective way to detect a cusp fracture adjacent to a Class II inlay?

Detecting a cusp fracture adjacent to a Class II inlay can be quite challenging, and one of the most effective methods is by palpating or touching the tip of the cusp. When the cusp is physically examined by touch, it allows the practitioner to feel for any irregularities, mobility, or discomfort, indicating a potential fracture that may not be visible or detectable through visual inspection or radiographs.

Palpation can reveal subtle signs of structural failure that are not evident through direct visual assessment, as minor fractures might not create visible alterations in the appearance of the tooth. This tactile approach provides a direct indication of the status of the tooth structure and helps in determining the integrity of the cusp in relation to the inlay.

Visual inspection may overlook small fractures, especially in areas that are difficult to see. Radiographs can help in assessing the structure of the tooth but may not always capture minor cusp fractures adjacent to restorations due to their limited capability to reveal surface-level issues. The patient's history can provide context about symptoms or discomfort but does not give direct information about the physical state of the dental structure itself.

Therefore, touching the tip of the cusp stands out as the most effective method for detecting such fractures, allowing for a hands-on assessment that effectively informs clinical