Black Triangles Causes and Management: A Review of Literature
B. K. Al-Zarea, M. G. Sghaireen, W. M. Alomari, H. Bheran, I. Taher
Current Journal of Applied Science and Technology · pp. 1–7 · Published 15 Dec 2014
10.9734/BJAST/2015/11287Abstract
Open gingival embrasures often pose complex functional and esthetic problems. Management of open embrasures requires careful evaluation of the underlying causes. A team approach comprising of general dentist, an orthodontist, and a periodontist is critical. The authors reviewed a total of 51 articles including review of the literature using the terms ‘black triangle’; ‘open gingival embrasure’; ‘interdental papilla’ and interproximal contact area’. These articles provided information regarding etiology, diagnosis, and management of black triangles. There are several risk factors leading to the development of black triangles. These factors include periodontal disease, loss of height of the alveolar bone relative to the interproximal contact, length of embrasure area, root angulations, interproximal contact position, triangular-shaped crowns and aging. Treatment of black triangles often requires an interdisciplinary approach, involving of periodontal; orthodontic and restorative treatment.
References (34)
- 1 The Effect of the Distance From the Contact Point to the Crest of Bone on the Presence or Absence of the Interproximal Dental Papilla [DOI]
- 2 The Effect of Inter‐Implant Distance on the Height of Inter‐Implant Bone Crest [DOI]
- 3 Comparing the Perception of Dentists and Lay People to Altered Dental Esthetics [DOI]
- 4 Clinical and Radiographic Evaluation of the Papilla Level Adjacent to Single‐Tooth Dental Implants. A Retrospective Study in the Maxillary Anterior Region [DOI]
- 5 Periodontal characteristics in individuals with varying form of the upper central incisors [DOI]
- 6 Smile Attractiveness [DOI]
- 7 The dynesthetic interpretation of the dentogenic concept [DOI]
- 8 Stability of the mucosal topography around single-tooth implants and adjacent teeth: 1-year results.
- 9 Open gingival embrasures after orthodontic treatment in adults: Prevalence and etiology [DOI]
- 10 Management of inter‐dental/inter‐implant papilla [DOI]
- 11 Periodontal considerations in restorative and implant therapy [DOI]
- 12 Dentists' preferences of anterior tooth proportion[mdash ]a Web-based study [DOI]
- 13 Anterior interocclusal relations Part I [DOI]
- 14 Progress in gingival papilla reconstruction [DOI]
- 15 The Effects of Interproximal Distance Between Roots on the Existence of Interdental Papillae According to the Distance From the Contact Point to the Alveolar Crest [DOI]
- 16 Surgical reconstruction of the interdental papilla.
- 17 Esthetic Considerations in Interdental Papilla: Remediation and Regeneration [DOI]
- 18 Surgical reconstruction of the interdental papilla: case report.
- 19 Correlation of Papilla to Crestal Bone Levels Around Single Tooth Implants in Immediate or Delayed Crown Protocols [DOI]
- 20 Anterior dental aesthetics: Gingival perspective [DOI]
- 21 Interdental papilla management: a review and classification of the therapeutic approaches.
- 22 Incidence and size of pretreatment overlap and posttreatment gingival embrasure space between maxillary central incisors [DOI]
- 23 Interproximal papilla augmentation procedure: a novel surgical approach and clinical evaluation of 10 consecutive procedures.
- 24 Peri‐Implant Papilla Reconstruction: Realities and Limitations [DOI]
- 25 Gingival prostheses--a review.
- 26 The influence of the distance from the contact point to the crest of bone on the presence of the interproximal dental papilla.
- 27 Some factors associated with open gingival embrasures following orthodontic treatment [DOI]
- 28 Patients' ranking of interdental "black triangles" against other common aesthetic problems.
- 29 Root coverage and papilla reconstruction using autogenous osseous and connective tissue grafts.
- 30 The Dilemma of the Open Gingival Embrasure Between Maxillary Central Incisors [DOI]
- 31 Surgical reconstruction of interdental papilla using an interposed subepithelial connective tissue graft: a case report.
- 32 A modified papilla preservation technique, 22 years later.
- 33 Implant therapy in cases of agenesis.
- 34 Correction of the "black triangle": restoratively driven papilla regeneration.
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