I have a bridge (#7 to #9 teeth) that has some papilary recession between #8 and #9 and, thus, subsequently a black triangle exists. I am wondering if there is a certain technique for fixing this problem area while not removing the bridge? How successful are papilary reconstruction methods?
How to Approach Papillary Gingival Recession Around a Bridge?
Doctor Answers 2
Papillary Gingival Recession Around a Bridge is Determined by the Bone
This is an interesting situation. The gum tissue follows the bone - thus you must have some bone loss between those teeth. Just adding some "gum tissue" over the bone will eventually resorb back. There are, however, a couple ways to improve this - you can remove the bridge and make a new one where you make the contact between the teeth closer to you gum line so you can replace the black triangle with porcelain. A simpler option is to bond composite to the bridge to bring the contact closer to the gum line. This is a less long term and possibly a little less esthetic, but it may serve the purpose for your particular situation and is definitely minimally invasive.