Black Triangles Orthodontics

[Optimistic]

I know there have been threads on this before. However I have them a little bit on the front 2-3 teeth on my lower set.

The orthodontist mentioned it and mentioned how he wanted to do some intra-something-a-rather which I think is just where they sand down the sides of the teeth and move them closer together. I'm going to find out for sure next time I see him.

Has anyone got experience with this? What is the best solution?

Given mine is so minor I don't see why I wouldn't just do gum grafting for the absolutely tiny amount and degree to which I have them. I'm not a fan of sanding teeth.

[Ben]

If you move them closer together by sanding your just going to get a gap somewhere else + probably compromise root stability.

[Optimistic]

If you move them closer together by sanding your just going to get a gap somewhere else + probably compromise root stability.

Is gum grafting an alternative? My doctor said the problem was not even really orthodontics, gum recession or anything. Rather that because I have long teeth that in the centre there is a very slight gap which could cause build-up and that it would be a good idea to fix this.

[Ben]

I'm not sure man, I don't know that much, I just had the same situation with my Orthodontist. Is it really that bad that it needs attention?

[Cmonster]

Interproximal reduction right ? Yeah I've been proposed that too not for triangles but for something else


Found this not too long ago might be of some use to a member here
http://www.slu.edu/Documents/cade/thesis/Rambo_thesis.pdf

[Optimistic]

Interproximal reduction right ? Yeah I've been proposed that too not for triangles but for something else


Found this not too long ago might be of some use to a member here
http://www.slu.edu/Documents/cade/thesis/Rambo_thesis.pdf

Thanks that's it!

Not sure how I feel about it.... hopefully other members can tell me a bit more about it

[Lazlo]

Black triangles are caused by four factors. 1) The height of the alveolar bone (bone beneath the gum tissues) and it's distance from the interproximal contact point of the teeth (where the teeth meet). 2) The morphology (i.e. shape ) of your tooth and 3) the actual health and amount of gum tissue you have between the teeth.  4) the distance between your roots.

So there you go, all four need to be in concordance for this to work. Your black triangles were no doubt CAUSED by the orthodontist's movements. And would be even worse if you had extractions cause now the roots are spaced too far apart. We need to wait for tooth cloning/biological solution for the problem.

[LoveofScotch]

Besides potential for plaque build up, what's wrong with a little bonding for black triangles? I feel like some properly placed composite could go a long way. Yes/No? 

[PloskoPlus]

Tooth cloning is almost here.

[Gregor Samsa]

Tooth cloning is almost here.

Do you have a source for that? I'd be surprised if that will be available to the average person within the next 10 years.

[Optimistic]

Besides potential for plaque build up, what's wrong with a little bonding for black triangles? I feel like some properly placed composite could go a long way. Yes/No?

Yes there are people who do a type of grafting for them. I read a study on it plus a doctor's website stating he did that.

To me, my preferred option would strongly be one of either gum grafting or using an onlay. I'll need to research it further.