Black Triangle – triangular gaps between teeth
Black triangular gaps between teeth occur due to gingival recession, which is the result of bone and soft tissue loss. This is a significant aesthetic concern, especially in the visible region of the smile. A beautiful smile is unimaginable with the presence of black triangular spaces at the gum level. Additionally, these gaps tend to trap food, making oral hygiene maintenance difficult. Consequently, this can lead to further complications in the mouth, meaning the problem is not only aesthetic but also functional and health-related. Therefore, these spaces between teeth should be addressed.
How to Eliminate Black Triangular Gaps Between Teeth?
Black triangular gaps are an aesthetic issue for patients, but they can be resolved through various methods. The choice of treatment depends primarily on the therapist’s assessment following a thorough clinical examination:
- Conventional surgical method for closing triangular gaps
This involves the transplantation of soft tissue from the palate to the site of the recession or the application of a mucograft. This surgical approach requires sutures and involves all the discomforts associated with a surgical procedure, including the presence of two surgical wounds in the mouth. - PINHOLE surgical technique
A minimally invasive procedure without sutures. This method involves creating a small entry point in the gingiva, then repositioning the gum tissue towards the crown and inserting collagen. The PINHOLE technique is increasingly popular due to its advantages, such as reduced recovery time, the absence of sutures, and rapid aesthetic improvement. - Ceramic or composite veneers (facets)
This approach allows the contact surface of the teeth to be extended down to the gum line, reducing the triangular gap and achieving a highly aesthetic result. Veneers are thin covers placed over the front surface of teeth to reshape, lengthen, or modify their color. They are used for cosmetic enhancements, as well as for covering discolorations, closing diastemas (gaps between teeth), restoring enamel loss, or repairing fractures. - Dental crowns
If the teeth are already weakened by large fillings or are devitalized, crowns can be an effective way to reduce triangular gaps. Biocompatible materials like zirconia are preferred for their superior aesthetic and functional properties. - Application of hyaluronic acid fillers
Injecting hyaluronic acid into the papilla (soft tissue between the teeth) can provide excellent results. Research has shown that hyaluronic acid does not fully resorb, meaning that with repeated applications, stable outcomes can be achieved. Since hyaluronic acid retains water, it causes tissue swelling, effectively closing the triangular gaps.
Ultrasonic and Laser Teeth Cleaning
Before initiating treatment, a professional cleaning of the teeth is necessary. This includes not only the standard removal of tartar using an ultrasonic device but also laser treatment. Laser therapy for bacterial decontamination or, if necessary, soft tissue pocket curettage, provides a significant advantage over manual instruments. The laser spectrum effectively eliminates pathogenic bacteria, allowing the treated tissue to respond better to therapy, leading to improved outcomes. Additionally, teeth affected by gum recession often become highly sensitive, which can also be alleviated using laser treatment.
In most cases, a combination of two or more methods is used. Modern dentistry offers a wide range of solutions for effectively addressing black triangular gaps between teeth.