Management of Black Triangle by composit restoration : A Clinical Case Report

  • RAFALIMINO Holy Nasandratra Department of Conservative Odontology Endodontics, Institute of Tropical Odonto-Stomatology of Madagascar, University of Mahajanga, Madagascar
  • Rakotonirina FP University of Mahajanga
  • Radafisolo MEF University of Mahajanga
  • Soanasolo CM University of Mahajanga
  • Andrianjafinoro TH University of Mahajanga
  • Ramaroson J University of Mahajanga
Keywords: aesthetic, black triangle, dental composite, interproximal area, operative dentistry

Abstract

An adequate smile is dictated by the harmony and symmetry of the gingival biotype, lips outline, and dental crown shape. However, the loss of the interdental papilla leads to the appearance of a black triangle at the gingival base. This observation concerns a 55-year-old patient presenting multiple "black triangles" in the anterior-superior area, causing aesthetic concerns. The use of a specific matrix, the application of the fifth-generation adhesive MR2 system, alongside enamel and dentin nano-hybrid composites, allowed us to limit the requested interproximal shapes, ensure effective composite bonding, mimic the state of natural teeth, and mask the black triangles for the patient. Considering ethics, the adhesive restorative technique will be the most cost-effective the rapeutic choice. In line with the therapeutic gradient, this minimally invasive technique should be the primary approach for cases involving "black triangles."

Author Biographies

Rakotonirina FP, University of Mahajanga

Oral Health Center, Ministry of Industrialization, Trade and Consumption Antananarivo,

Radafisolo MEF, University of Mahajanga

University Hospital Joseph Dieudonné Rakotovao, Befelatanana Antananarivo

Soanasolo CM, University of Mahajanga

Sub-section of Parodontology at the Tropical Odonto-Stomatological Institute of Madagascar (IOSTM),

Andrianjafinoro TH, University of Mahajanga

University Hospital Profesora Zafisaona Gabriel Androva Mahajanga Madagascar

Ramaroson J, University of Mahajanga

Sub-section of Conservative Odontology Endodontic
at the Tropical Odonto-Stomatological Institute of Madagascar (IOSTM),

Published
2025-03-30
How to Cite
Nasandratra, R., FP, R., MEF, R., CM, S., TH, A., & J, R. (2025). Management of Black Triangle by composit restoration : A Clinical Case Report. IJO - International Journal of Health Sciences and Nursing ( ISSN: 2814-2098 ), 8(03), 16-21. Retrieved from https://ijojournals.com/index.php/hsn/article/view/1034