case_images: PMC5727553_01
case_images: Gingival inflammation, dental abrasion, and psychological aspects that made it difficult to start treatment.
case_images: CRID2017-7075328.001.jpg
case_images: PMC5727553_01_CRID2017-7075328.001.jpg
case_images: fig1
case_images: 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).
case_images: The removal of decayed tissue with ART.
case_images: CRID2017-7075328.002.jpg
case_images: PMC5727553_01_CRID2017-7075328.002.jpg
case_images: fig2
case_images: 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.
case_images: The cavity restored with the glass ionomer restorer.
case_images: CRID2017-7075328.003.jpg
case_images: PMC5727553_01_CRID2017-7075328.003.jpg
case_images: fig3
case_images: 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).