Cusp reduction can be considered in all of the following situations except:
The most important aspect in the evaluation of a suspicious cusp is the judgment of the amount of remaining dentin support. Cusp reduction should be considered when the outline form has extended half the distance from a primary groove to a cusp tip. Cusp reduction is strongly recommended when the outline form has extended two third the distance from an adjacent primary groove to the cusp tip.
The exception to reducing a cusp, where an extension has been two third from a primary groove toward the cusp tip, is when the operator judges that adequate cuspal strength (adequate dentin support) remains. Reduction of cusps occurs as early as possible in the preparation process so as to improve access and visibility for the operator.
When the outline form has extended one third the distance from a primary groove to a cusp tip
When the outline form has extended two third the distance from an adjacent primary groove to the cusp tip
When the operator judges that adequate cuspal strength (adequate dentin support) remains
If the reduction of cusp improves the accessibility and visibility for operator