145 Black Triangles – Will Black Triangles Go Away? (3 of 5)
A gorgeous smile that contains beautiful, pearly white teeth can boost a patient’s self-esteem and confidence. Various types of cosmetic issues can negatively impact the teeth. It is relatively common for patients to have black triangles between their teeth near the gums. While these black triangles may seem unattractive, they are actually a problem as they can increase a patient’s risk for decay, gum disease, and other problems.
Another term used to describe black triangles is open gingival embrasures. The gaps are in the shape of a triangle and located at the top of the tooth at the gum line. Gaps are often most obvious when they are located within the front teeth, as they are visible when patients smile. The spaces can occur from the natural aging process, due to firm pressure when brushing, or can be caused by other types of oral health issues.
When there are large gaps between the teeth, they can collect food and debris, resulting in the accumulation of plaque. In some cases, this can also result in staining and discoloration. When food and plaque remain on the teeth, patients can develop decay and gum disease. In severe cases, the patient’s speech can even be impacted. Below are some of the common causes of black triangles:
* Bone Loss – Patients who experience bone loss at the base of the tooth may have osteoporosis, gum disease, or another issue. Bone loss can also impact gum tissue, resulting in receding gums and the formation of black triangles.
* Gum Tissue Damage – The gum tissue helps bind the teeth together. It also fills in the small spaces between the teeth. A patient’s age, smoking, and gum disease can result in damage to the gums. Over time, these issues can cause the gums to shrink and pull away from the teeth. When there is loss of gum tissue, it can expose the tooth’s roots and make them susceptible to bacteria, plaque, and cavities.
* Oral Hygiene – Because gum tissue is quite sensitive, it is critical to practice good oral hygiene. If a patient uses a firm toothbrush or brush with too much force, it can damage the gums. Over time, black triangles can form and the gums may begin to recede.
Treatment Options
Various treatments can be used in minimizing the appearance of black triangles or eliminating them completely. The ideal treatment can vary depending on the location, severity, and underlying cause associated with the spaces. Common treatment options are summarized below.
Braces
When the teeth overlap or are misaligned, black triangles can appear. Braces and other types of orthodontic treatments can shift the teeth into the desired location. It is also possible for black triangles to appear after the completion of an orthodontic treatment.
Oral Hygiene
It is important for patients to practice good oral hygiene in order to maintain healthy teeth and gums. This includes brushing the teeth at least twice each day and daily flossing. Be gentle and use light pressure when brushing and flossing. When too much force is used, it can cause damage to the gums and tooth’s enamel. Improved oral hygiene practices can help reduce the appearance of the spaces. Simple adjustments can help restore the gums and eliminate the gaps altogether.
Composite Resin and Veneers
In some cases, the natural shape of the tooth is causing the black triangles to be more prevalent. In this case, the dentist may opt to use a composite resin to fill in the spaces. A porcelain or ceramic veneer can also be used to eliminate black triangles and improve the tooth’s appearance. Veneers are a thin shell which is placed directly over the front of the natural tooth. Veneers help conceal various cosmetic issues and are extremely durable. When they are properly cared for, they can last for 20 years or more.
Factors such as the severity, location, and cause will determine the best treatment for a patient’s black triangles. The patient’s oral health can dictate which treatment options are possible. It is critical to treat the issue as soon as possible to ensure the best possible outcome. An underlying condition like bone loss or gum disease must first be treated before any cosmetic concerns can be addressed.