PMC5149684_01
(a) The initial clinical appearance demonstrating carious lesions on buccal regions; (b) radiographic examination showing the fixed lingual orthodontic appliance for treatment contention and carious lesions.
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During the intraoral exam (Figure 1(a)), extensive caries, gingival inflammation, accumulation of biofilm, poor hygiene, and deficient tooth brushing were observed. The presence of a fixed lingual orthodontic appliance between elements 33 and 43 (Figure 1(b)) was noted. It was possible to observe caries lesions in both clinical (Figure 1(a)) and radiographic (Figure 1(b)) images.
Tray for artificial saliva.
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We prepared a tray identical to those used in tooth whitening to be filled with artificial saliva (Figure 2) overnight.
The clinical aspect after the restorative treatment (a). (b) and (c) are right and left sides, respectively.
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This procedure provided better hydration of the tissues of the oral cavity, in particular the oral mucosa, as shown in Figure 3.