title: "The mother of all black triangles" case.
abstract: Before the Bioclear matrix and a disciplined approach to composite treatment of black triangles, many treatments ended with significant compromise in periodontal health. Many cases debonded soon after placement. Others suffered problems with stain. Nonetheless, our patients are hopeful for a better solution. The interdental papilla serves as both a functional and aesthetic asset. Anatomically ideal interproximal composite shapes that are mirror smooth can serve as a predictable scaffold to regain this valuable gingival architecture. Clean enamel surfaces can be leveraged to permanently retain the restorations. However, the reader is cautioned that to attempt this elective procedure using no magnification, without a strict adherence to dentin detoxification with a blasting appliance, and using a flat matrix, nontreatment or referral is recommended. Our profession can change its thought processes, retrain its hands and expand its armamentarium to perform techniques that were previously impossible.
authors.affiliation: Academy of Microscope Enhanced Dentistry. drclark@microscopedentistry.com
authors.forename: David
authors.initials: D
authors.lastname: Clark
mesh_terms: D000134:Acid Etching, Dental / Q000379:methods; D020906:Air Abrasion, Dental / Q000379:methods; D003188:Composite Resins / Q000737:chemistry; D001840:Dental Bonding / Q000379:methods; D003775:Dental Polishing / Q000379:methods; D017267:Dental Prosthesis Design / Q000295:instrumentation; D003793:Dental Restoration, Permanent / Q000379:methods*; D004955:Esthetics, Dental; D005881:Gingiva / Q000473:pathology*; D006801:Humans; D007180:Incisor / Q000473:pathology*; D008434:Matrix Bands; D053761:Nanocomposites / Q000737:chemistry; D016733:Rubber Dams; D014072:Tooth Abrasion / Q000628:therapy*
chemical_list: D003188:Composite Resins; C474035:Filtek Supreme