Black triangles can trap food at each meal or simply look bad, so finding a solution is a common goal. Dr Lance Timmerman has several options for his patients that want a better smile, and it usually depends on goals, budget, and time commitment.
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Periodontal disease is another common reason for black triangles. The bacteria destroys bone and the result is longer looking teeth. Even if periodontal disease gets controlled, the bone will not return.
How do you close black triangles between teeth? from Lance Timmerman DMD on Vimeo.
The most common and with most patient satisfaction is the Bioclear method. With this method, there is usually no reduction in tooth structure, material is adhered and contoured between the teeth to fill the space. This is done in a single visit so it makes it convenient for our out of state guests.
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If the spaces are small, braces are an option. The teeth can be polished and thinned, and then moved closer to each other. This is limited to very small gaps, as removing more than 1/2 mm can create sensitivity. Porcelain veneers are an option, as the restoration can be contoured in such a way as to fill this space. It is important that the margin (edge) of the veneer is below the gumline so it can emerge in a natural way to fill the space, so it can be cleaned easily with a toothbrush and floss. Another option is dermal fillers, such as Juvederm, where the tissue can be plumped up. This method can be unpredictable, so multiple visits may be required to get the dosage correct. This treatment may be temporary, but could last a year or two.
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Teeth are NOT straight. Front teeth contour outward, like a tulip or a straw broom.
There exists spaces between the roots of the teeth, but this is only seen on xrays of younger people since gum tissues fill in these gaps. When there is bone loss (for whatever reason), the gums follow. It is very common what orthodontics (braces) in adult patients is complete that the black spaces are evident. When teeth overlap, the bone adapts. When braces make them straight, there may not be adequate bone between the teeth, so the pointed area of gums (the papilla) will remain flat. Braces with children rarely results in this situation since their jaws are still developing.
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