PMC5727553_01
Gingival inflammation, dental abrasion, and psychological aspects that made it difficult to start treatment.
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fig1
Multiple sources of oral infection were observed, such as dentoalveolar abscess, generalized enamel demineralization, presence of biofilm, atypical unobtrusive swallowing, hypotonic tongue, and predominantly oral breathing (Figure 1).
The removal of decayed tissue with ART.
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fig2
For the removal of decayed tissue with ART (Figure 2), the restorer kit (Cyann ART Duflex ; SS White) was used, removing the necrotic dentin until the exposure of the secondary dentin.
The cavity restored with the glass ionomer restorer.
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fig3
The cavity was restored with the glass ionomer restorer (Ketac Molar  ESPE-3M) and the excess material was firmly pressed into the cavity and enamel adjacent fissures with a lubricated glove finger and sealed with fluoride varnish (Fluorniz ; SS White) (Figure 3).