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case_images: Initial intraoral view in 2002. (a) Upper arch and (b) lower arch.
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case_images: fig1
case_images: Teeth 16, 26, 36, and 46 exhibited extensive carious lesions (involving more than three tooth faces), an International Caries Detection and Assessment System (ICDAS) score of 6, absence of spontaneous pain, and sensitivity to percussion (Figure 1). Restorative treatment with composite resin was performed with the total conditioning technique, using a conventional two-step adhesive system under absolute isolation from the operative field (Figure 8 and Table 1).
case_images: Tooth 16 in 2002: (a) before SRCT treatment, (b) after SRCT treatment, and (c) after GIC restoration. Tooth 16 in 2016: (d) with inactive carious lesion, (e) after composite resin restoration, and (f) at the 21-year follow-up examination.
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case_images: fig2
case_images: Paul, MN, USA) (Figures 2(d) and 2(e) and 7 and Table 1).
case_images: Intraoral view from 2016 with active carious lesions in (a) tooth 17 and (b) tooth 27 and inactive carious lesions in (a) tooth 16 and (b) tooth 26.
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case_images: fig3
case_images: No traces of the previously used restorative or liner materials were noted (Figure 3), and there were no radiographic changes (Figure 4).
case_images: Periapical radiographs of tooth 16 in (a) 2016 and (b) 2023.
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case_images: fig4
case_images: No traces of the previously used restorative or liner materials were noted (Figure 3), and there were no radiographic changes (Figure 4).
case_images: Tooth 17 in 2016 (a) before SRCT treatment, (b) after SRCT treatment, (c) with CHC as a liner material, (d) after restoration with GIC, (e) with partial loss of GIC after 1 year, (f) after removal of residual GIC and preparation of the cavity, (g) after application of the adhesive system, and (h) after restoration with composite resin.
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case_images: fig5
case_images: The teeth were then restored with GIC using CHC as a liner material (Figures 5(a), 5(b), 5(c), and 5(d) and 6). An adhesive technique with total acid etching and a conventional two-step adhesive system was used (Ambar, FGM, Joinville, SC, Brazil) (Figures 5(e), 5(f), 5(g), and 5(h) and 6 and Table 1).
case_images: Tooth 36 (a-d) and tooth 46 (e-h) in 2002 (a, e), in 2004 (b, f), in 2021 with inactive lesions (c, g), and after resin restoration (d, h).
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case_images: fig8
case_images: The lesions were inactive and had a vitreous appearance (Figures 8(b) and 8(f)). Restorative treatment with composite resin was performed with the total conditioning technique, using a conventional two-step adhesive system under absolute isolation from the operative field (Figure 8 and Table 1).
case_images: Periapical radiographs of (a) teeth 16 and 17, (b) teeth 26 and 27, (c) tooth 36, and (d) tooth 46 at 21-year SRCT follow-up examination.
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case_images: fig9
case_images: Intraoral view from 2023 with 21-year SRCT follow-up of (a) tooth 16, (b) tooth 26, (c) tooth 36, and (d) tooth 46, as well as 7-year SRCT follow-up of (a) tooth 17 and (b) tooth 27.
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case_images: fig10