Have you noticed any small, triangular gaps along the gum line of your smile? Commonly called “black triangles” and professionally called “open gingival embrasures,” these gaps can occur for various reasons at any age.
For instance, many people naturally develop black triangles between their teeth early in life purely due to genetics. Teeth vary in shape and size from one person to another. If your teeth are naturally triangular in shape (wider at the crown and narrower near the root), black triangles may appear during childhood. In other instances, gum recession and dental trauma lead to black triangles in adults and seniors.
At Beverly Hills Orthodontics®, black triangles between teeth is one of the many conditions that we treat. If you’ve been considering treatment for your smile gaps, keep reading to learn more about black triangles, what causes them, and what your available treatment options are.ย
Why Black Triangles Form In Our Smiles
Open gingival embrasures can develop in your smile at any age. For many patients, multiple factors influence the development of these black triangles, which is why they tend to emerge later in life.
As we mentioned earlier, genetics plays a significant role in black triangle development. Not only can your tooth shape or size create natural gaps, but alignment issues and crowding can also increase these gaps over time until they become highly noticeable black triangles.
Malocclusions (e.g., underbite, overbite, crossbite, etc.) and dental crowding can cause teeth to push against one another and apply uneven pressure on the gums. These factors lead to gum recession, which results in black triangles. In addition to genetics, black triangles can form or worsen because of:
- Natural gum recession and bone loss caused by aging
- Periodontal disease and similar gum issues
- Physical trauma to the gums, teeth, jaw, etc.
- Weakened jawbone due to tooth loss
- Poor oral hygiene
Lastly, black triangles can develop toward the end of orthodontic treatment. Appliances such as Invisalign and braces don’t actually cause black triangles themselves. Instead, as they straighten crooked teeth, these treatments sometimes expose gaps that would have already been there had the teeth started out perfectly aligned.
For Treating Black Triangles Between Teeth
Orthodontics Is the Gold Standard
Although cosmetic dentistry uses methods like bonding for fast, aesthetic results, the solution is far from permanent. If you want to get rid of black triangles between your teeth, you’ll need to make an appointment with an orthodontist.
Orthodontic Treatment
- While cosmetic treatments aim to cover up black triangles or fill them with composite material, orthodontic treatments completely eliminate them by physically bringing teeth closer together.
- Typically, more triangular-shaped teeth โณโณ tend to have larger black triangles associated with them.
- The first step in black triangle orthodontic treatment is a polishing procedure known as interproximal reduction (IPR). In simple terms, IPR is a procedure in which an orthodontist polishes away a small portion of tooth enamel to create space between teeth.
Beverly Hills Orthodontics most often performs IPR with a small polishing strip that doesn’t cause any patient discomfort. We use it to remove just a few microns of enamel from the problematic teeth so that the triangular areas take a more rectangular shape.
After the teeth have received IPR, we use either Invisalign or braces to bring them together. Thanks to IPR, once the clear aligners/braces successfully realign the smile after 6-12 months, the newly reshaped teeth will fit snugly next to each other with little-to-no gap. Most black triangle patients qualify for both Invisalign and braces and can select whichever option best suits their lifestyle.
Drawbacks of Cosmetic “Fixes”
- May not provide the look you want. Bonding can look bad because it’s very difficult to fill in the black triangle space and ensure the teeth maintain a natural shape.
- Restoration (bonding) tends not to last. It is almost impossible to keep the area along the gumline dry enough to place the composite bonding material.
Industry experts frequently agree that orthodontics is a better black triangle treatment route than cosmetic dentistry because:
- It significantly reduces black triangles and retains the natural shape of your teeth.
- Gums respond better to orthodontic treatments to reposition the teeth than they do to staying in close, perpetual contact with imperfect dental bonding.
- Beyond improving your personal aesthetics, orthodontic care provides patients with numerous health benefits.
That said, IPR and Invisalign or braces can only do so much. That’s because you can only remove so much enamel before tooth sensitivity sets in. In severe black triangle cases—where the gaps are far larger than typical—IPR alone may not fully close the entire triangular gap. In cases this severe, cosmetic dentistry becomes the only real option. The chart below provides a brief overview of these points.
Comparing Black Triangle Treatment Options
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Unhappy with the Black Triangles Between Your Teeth?
Beverly Hills Orthodontics Can Help
Although black triangles are physically small, they can be extremely noticeable to yourself and others. Thankfully, they are easy to correct if you partner with a skilled orthodontist like Beverly Hills Orthodontics’ own Dr. Monica Madan.
Recognized as one of the top Invisalign providers in the country, BHO has been treating patients across Los Angeles since we opened our doors in 2008. Located in Beverly Hills, Studio City, Alhambra, and Downtown LA, Beverly Hills Orthodontics treats a wide variety of alignment issues, including black triangles.
We specialize in creating unique care plans that honor the preferences, schedules, and priorities of each individual patient. Within a matter of months, we can eliminate the black triangles between your teeth and provide you with a flawless smile that will last a lifetime. Contact us today to learn more.
Considering treatment for the black triangles between your teeth? Call or text us at 310-785-0770 or visit our contact page to book an appointment.