Treating Black Triangles between Teeth

Black triangles between teeth

Have you lost gum from between your teeth? If you look at any magazine photo or advertisement you will see cosmetically beautiful smiles with uniform, straight teeth. The smiles don’t have gaps or spaces. If you have tiny black triangles between two or more of your teeth, you may feel self conscious about their appearance. Have you wondered how these spaces have formed? Unfortunately, black triangles can indicate that gum tissue is not as healthy and strong as it should be. Often, additional gum treatment is needed before cosmetic alterations can be made to remove these spaces between your teeth. Once your gums have been treated and are healthy, treatment for the black triangles can be done. You can say goodbye to the black spaces in your smile through one of three treatment options from Dr. James Fondriest.

Dr. James Fondriest helps not only patients like you, but other top dentists in the Midwest craft beautiful smiles. You do not have to live with black triangles between your teeth. We can help you achieve a more beautiful smile. Contact us today at 847-234-0517.

What Causes Black Spaces between the Teeth?

In simple terms, black triangles appear because of receding gums, gingivitis, and gum disease. From a distance, those spaces look like leftover food particles, yet upon professional inspection those black spots can indicate a bigger dental problem. You may wish to fill spaces between the teeth for a more uniform appearance.

Gum disease has two distinct stages: gingivitis and periodontitis. Periodontal disease is sometimes referred to as gum disease because its earliest stage is gingivitis. Gingivitis is an inflammation and mild infection of the gums that many people experience at one point or another. It can usually be treated with diligent brushing, antiseptic mouthwash, and thorough flossing at home. However, if gingivitis is not reversed, periodontitis, a more serious infection, can occur. To get rid of this deeper infection, your dentist or periodontist can use a procedure called scaling and root planing. During this procedure, they remove plaque and tartar buildup underneath the gum line around the teeth roots.

Lost Gum from between Teeth

A black triangle forms when the papilla height is lost between teeth. The gingival margin or scallop is going up on the lateral incisor. As the gums recede, the gingival embrasures (the part of the roots facing the papillae) begin to stain.

Periodontitis causes gum and bone loss

Gum disease will cause lost of gum from between teeth. Periodontal disease is serious and has also been linked to more than just your oral health. In fact, the bacteria present in this disease can flow into your bloodstream, which is suspected to increase the likelihood of developing heart disease, heart failure, Alzheimer’s, and diabetes. Unfortunately, the damage that gum disease can cause to your body doesn’t end with better brushing habits. After all, periodontal disease isn’t just a lack of oral hygiene. Many pregnant women experience gestational gum disease due to the increased changes in hormones.

Certain medications can also lower your immune system, making your body even more susceptible to illnesses like gingivitis and gum disease. Dental treatments can resolve the disease, yet repairing the lingering damage presents a different matter altogether.

In addition, gum recession can be caused by aggressive brushing techniques. Be sure to use a soft bristled tooth brush. Use the proper brushing technique to protect your gum tissues and prevent further recession.

Options for Fixing Black Triangles between Teeth

Though treating black triangles is relatively simple, your gums need specialized care before the dentist can start fixing the dark spaces. Once any present disease and infection has been cleared by your general dentist or periodontist, Dr. Fondriest can use the following procedures to improve the appearance of tiny black triangles near the gum line:

Dental bonding:

Also referred to as composite bonding, dental bonding repairs the structure and appearance of teeth. This technique uses the same resin-like composite material that is often used to fill cavities. This commonly performed procedure offers cosmetic solutions that can last anywhere from five to 10 years with proper care and maintenance. Dr. Fondriest will perform a shade analysis on your teeth to perfectly match the dental bonding to your natural tooth color, for a seamless appearance.


Crafted from very thin pieces of medical-grade ceramic, veneers act as a type of cover for your front teeth visible in your smile. They can camouflage a host of cosmetic issues in otherwise healthy, functional teeth. Often old composite veneers are replaced with porcelain. Dental veneers are one of the best ways to improve the cosmetic appearance of teeth in a relatively short amount of time. It often takes just a couple appointments to receive the veneers to camouflage the host of esthetic issues, including black triangles. However, due to their custom fabrication and design, ceramic veneers are pricier than other cosmetic treatments. Dental veneers last on average 15 to 20 years before needing replacement. Most clients who choose them feel that veneers are worth it.

Dental crowns can be used to fill space from lost gum from between teeth

Dental crowns are restorations used to protect a weakened or injured tooth. They also are used to correct serious esthetic flaws, when fillings or dental bonding will not suffice. The dental crown is usually made of porcelain, and covers the entire visible area of a tooth. This porcelain “cap” acts as a cover over the vulnerable or unaesthetic natural tooth.

It’s important to note that for each triangular space, two teeth need treatment. Essentially the part of your teeth closest to the gum line is repaired to close the visible gaps. The result not only brings a more pleasing smile, but usually a healthier and stronger smile, too!

An aspect of better quality dentistry is achieving a goal with the least amount of drilling. Crowns and veneers are the two main cosmetic dental options for transforming your smile.

Orthodontic treatment can close space from lost gum from between teeth

Gum disease will often cause recession of gum from around and between your teeth. The gum between your teeth is called the interdental papillae. Losing the papillae produces the dark space. The blacks spaces will be more pronounced when your teeth shapes are triangular/trapezoidal in shape. Simply sanding the teeth to a more square shape will broaden the contact point between the teeth. As the teeth move closer, these spaces close down by pinching the gum papillae.

Learn more about the treatment options for black triangles

Black triangles between your teeth (see treatment example) and along your gum line doesn’t just look unappealing — they indicate greater issues that require dental attention. To stop the progression of these triangles, visit your dentist to get your artistic smile. To schedule an appointment to repair your triangle-free smile, call us at (847) 234-0517. Also, visit our website for services, testimonials, and before and after gallery. Dr. Fondriest and his staff welcome patients from Chicago and surrounding cities.