What Causes Black Triangles

145 Black Triangles – What Causes Black Triangles? (2 of 5)

When a patient has small gaps at the base of their teeth near the gumline, it can result in visible black triangles. Another term used to describe these black triangles is open gingival embrasures. In many cases, these gaps are present between the front teeth due to damaged or receding gum tissue. Teeth typically taper in near the root of the tooth, which results in gaps that are often triangular in shape. Gums which recede are often the cause of gaps between the teeth. It is quite common for the gums to recede over time as the result of the natural aging process. Various issues including gum disease, infections, or aggressive brushing force can make the spaces more obvious.

Black triangles are indeed a cosmetic concern, but they can actually cause serious oral health issues as well. The spaces can allow for food and plaque to accumulate, which puts the patient at higher risk for gum disease and decay. In cases of minor spaces between the teeth, the dentist may start by suggesting the use of gentle force and proper technique when patients brush and floss. This improved technique can often help restore otherwise healthy gums. Minor gingival embrasures often suggest that simply using improved oral hygiene techniques can resolve the issue without the need for other forms of treatment.

It can be challenging for some patients to avoid black triangles between their teeth. Patients may be more likely to develop the issue simply based on the natural shape of their teeth. In other cases, the patient might have damaged gums which are receding. It is helpful for patients to practice good oral hygiene and the proper technique for brushing and flossing in order to minimize their risk for receding gums. Good oral hygiene practices aid in preventing gum disease and infections which can cause black triangles. This includes brushing the teeth at least twice each day and flossing daily. Patients should also make regular visits to the dentist for an examination and professional cleaning. Routine dental visits also aid in the early detection and prompt treatment of any issues.

When black triangles remain untreated, they typically become larger and more visible. The following treatments are often used to reduce the appearance of black triangles or eliminate them entirely:
* Improved oral hygiene practices can help resolve mild cases of gum recession and minor black triangles
* When patients have advanced gum disease, the dental professional will often complete a deep cleaning to remove plaque and tartar
* Black triangles caused by the natural shape of the patient’s tooth can often be minimized through the application of a tooth-colored resin. This can help adjust the shape of the tooth
* Dental veneers aid in concealing gaps between the teeth, in addition to other types of cosmetic issues such as chips and discoloration
* Gum rejuvenation can be used to reverse the effects of receding gums
* IPR or Interproximal reduction can be used along with orthodontic treatments to move the teeth into the correct position

It is also possible for black triangles to appear following the completion of braces or other orthodontic treatments. When the teeth are crowded or overlapped, they are more likely to have visible spaces. The dentist may opt to include IPR or other treatments to reduce the appearance of any visible gaps.

Patients who are concerned with their visible black triangles should follow up with a dentist to discuss their treatment options. Black triangles can cause serious issues and should not be left untreated.