About the Case
The patient, a male in his mid-30s presented to the practice requesting improved aesthetics of the lower anterior teeth. Dark/black triangles had developed after fixed orthodontic treatment implemented to correct moderate to severe anterior crowding of the lower anterior teeth.
Initially a referral was made to a periodontist for possible gingival and bone grafting procedures, but it was deemed unpredictable in this case. Other restorative options offered to the patient included indirect restorations; veneers and crowns. These were not a conservative option due to the aggressive nature of the required preparations to achieve the desired aesthetic result. Patient opted for a minimally invasive approach.
The challenge was that traditional composite bonding techniques including the use of cellular strip and sculptable composite resin can be cumbersome to manage interproximal embrasure areas and contacts. The Patient was happy with ortho treatment result but very conscious of the resultant dark triangles.