Is It Possible to Do a Bone Graft in Order to Close Black Triangle Between the Teeth?

asked 8 months ago by A10 in NJ
Latest answer by George Koutsoukos, DDS
Question viewed 1,026 times
Tags: black triangles, bone graft, options

I was told that I have a bone loss between two front teeth and therefore a gum graft can't work to close a black triangle between two front teeth. I had a minor gum recession prior the braces treatment but it got worse during the treatment. I went to consult two periodontists and both said that a gum graft in that area is not going to work. My periodontist said that moving teeth closer will only worsen the gum recession and he won't do that. What else can be done besides veneers or bonding?

7 answers to Is It Possible to Do a Bone Graft in Order to Close Black Triangle Between the Teeth?

Closing the Black Triangle Between Top Front Teeth

Black triangles can be permanently and comfortably eliminated by correcting the shape of the front teeth, This can be done with bonding, veneers or crowns with excellent results A black triangle is simply a space where two teeth contact one another. Therefore, two teeth require treatment to eliminate one black triangle. This is accomplished by making the teeth slighly wider in the triangle area. Closing black triangles can dramatically improve your smile. I think veeners or crowns would be a... more

George Koutsoukos, DDS
Valencia Cosmetic Dentist

Bone graft anf black triangles between teeth

This is actually a very tough question and answer. As you ahve seen, there are a few ways to proceed and the results vary with each. With the amount of visual bone and gum tissue loss, it will be difficult to get the results you may be looking for. Can the results be good - YES; can they be great- Well, not sure. The surgical route of placing some bone or gum tissue may be the best start and then when healing is complete, if some length has been gained, then veneers is the... more

Keith Blankenship, DDS
Jacksonville Cosmetic Dentist

Can bone graft close black triagle

Please have in mind that my advice just like any other dentist on the panel is not written in stone, and we do not have enough information such as xrays, gum measurements, and clinical exam. Obviously, all we say is general knowledge and may not pertain or be best for your particular case. Having disclosed all this: For what can see from the photo , you need to see how much bone loss you have in the inter-proximal ( between your middle teeth) area. I believe even if you... more

Soheyla Marzvaan, DDS
Orange County Cosmetic Dentist

Fixing black Triangle

Hey Anka, Thanks for posting the picture, it makes it much easier to answer your question. I would strongly recommend gum grafting to improve the appearance of the black triangle. I work with a very competent periodontist in the city who performs these procedures rourtinely. You may want to look him up; Dr. Baruch Tetri. After the gums heal then you need a competent dentist using a very good lab to hide the defects and make things look their best. Good Luck! more

Peter Mann, DDS
Manhattan Cosmetic Dentist

Bone Grafting For Black Triangle

I believe I recall your case from a previous question a few days ago. As mentioned previously, a gum graft would not close this space completely, but if a surgeon could even close it by 50 percent we could close the rest with veneers. It would be challenging, but should be able to be accomplished. I think that the orthodontist has accomplished everything possible, and your only choice would be what I mentioned. Good luck.

Scott Young, DDS
Houston Cosmetic Dentist

www.woodlandsdentistry.com

Fixing black triangle/ Gum Loss

It is possible to take a tissue graft from the maxillary tuberosity that is very dense and grafting it under a coronally repositioned flap. A bone graft would be my last choice of treatment unless bone pockets were present. It is also possible to super-erupt 8 and 9 to grow more bone and esthetically reshape the crowns. From the picture it looks like you are a candidate to remove mesial tooth and move the teeth closer but a radiograph is needed to evaluate the bone, how... more

Ira Shapira, DDS
Lake Forest Cosmetic Dentist

Black triangle between teeth, what to do?

This is really hard to address without seeing the xrays and a full assessment. Having said that I wish to summarize the solutions to this problem, there may be something in this that may help find the best solution to your condition. Black triangles between teeth are formed because the bone level is too low to support the gum or the space between the teeth is too large and the gum can't fill that in. 1) We can move the teeth closer together and this may force... more

Dan Hagi, DDS
Toronto Cosmetic Dentist

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