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The black triangles associated with missing papillae have long been one of the most difficult esthetic dilemmas to manage. The inherent complexities of this problem often lead to misdiagnosis, improper treatment and disappointing results. This session will present interdisciplinary methods to properly diagnose causative factors and more predictably reform missing papillae utilizing periodontal, restorative and orthodontic techniques. These same methods can be used by orthodontists when finishing cases to prevent black triangles. Dr. Roblee will also present advanced examples that illustrate the implementation of the above principles in cases involving severe periodontal defects, implant placement problems, accelerated orthodontic techniques, temporary anchorage devices and dentoalveolar distraction osteogenesis.
Learning Objectives:
Diagnosis of the fundamental components of a missing papilla
Development of appropriate interdisciplinary treatment plans to reform a lost papilla
Prevention of black triangles during orthodontic therapy
