A tiny black space between my front teeth.


Hello! I have an implant on my top right front tooth and a root canal on my top left front tooth. Both are now crowned, but between the two crowns right under my gum there's a tiny black space. It's very unsightly and I'm a singer, so when I say "f" or "s" sounds air escapes. It's very annoying and I don't think I have the confidence to sing on a microphone. Any advice or help would be deeply appreciated. Thank you very much.

- Randy

Randy,

This space between your teeth is called a "black triangle, and is actually a difficult problem and there may not be an easy fix. And I can't give you a complete answer without seeing exactly what it looks like and doing a close examination.

The position of the gum is determined by the positions of the implant and the natural tooth, and by the shapes of the crowns. It's not a situation where you can have a little gum surgery and re-position the gum.

Sometimes this problem occurs because the general dentist who initially plans the implant doesn't know how to tell the surgeon exactly where to place the implant, and the surgeon may not have any expertise in that area. It's an issue of teamwork, and the surgeon and general dentist need to have excellent communication and a great working relationship.

You could come in to our office and let us take a look, and we could give you a better idea of what could be done, if you'd be willing. It's possible that some simple procedures to clean or maintain the area would help the gum be more healthy and this would be all that would be required. On the other hand, the problem could be fundamental and require a new implant and/or new crowns on the front teeth.
 

Related information:

Return to the frequent questions page.

Frequent Questions about Dental Implants:

Some of the more popular questions:

Make an appointment with Phoenix dentist Dr. Arthur Chal

A guide to using this website:

There is an enormous amount of
    content in this website—enough to fill
    several books. Make a selection from
    the navigation menu along the top of
    this page. Then, as you visit each
    page, look for more links in the body
    of the page and near the bottom to
    find more detailed information.

Featured Stories:

Jennifer was getting married in a few
    weeks, but was embarrassed to smile.
    It turned out she was a great case
    for a Zirconia Bridge - high tech,
    high strength, and ultimate esthetics,
    and all completed in time for the
    wedding!
J.T. suffered from bulimia. Even though
    she lived in California, she drove 657
    miles to see Dr. Chal. When
    you read her warm thank-you note,
    you'll understand why.
    Read J.T.'s bulimia story.
Tom's Case illustrates a fixed
    implant hybrid restoration
, and
    leaves him with a solid feeling to his
    teeth, "like hitting the sweet spot with
    every swing of the golf club."
Emily came to Dr. Chal frightened, in
    lots of pain, with an ugly smile and TMJ
    disorder
. Dr. Chal eased her fears,
    solved her pain, gave her a beautiful
    smile, and cured her TMJ disorder.
    Read her heart-warming story.
Brenda's dental implant horror
    story
. - read about how Dr. Chal
    re-did her old implant work, solved
    her pain and infection, and made her
    look ten years younger.
 

 

 

For An Appointment
To render an opinion on your case, Dr. Chal will plan on spending quality time evaluating your situation. Plan on spending an hour or more with him at your appointment.

To help you plan your budget, please allow for a cost of $150 - $300 for this appointment. Plan also on receiving an expert and accurate analysis. Because of the quality time involved, we regret being unable to provide free consultations, free second opinions, or estimates over the phone.

To request an appointment,
click here or call (602) 957-5000.

Monday - Thursday: 8:00 – 5:00
Friday: 8:00 – 12:00
4715 N. 32nd St., Suite 106
Phoenix, AZ  85018

 
 
Dr. Chal is the recommended cosmetic dentist for Phoenix for the mynewsmile.com cosmetic dentistry website, for placing beautiful porcelain veneers.

 

 

Dr. Arthur Chal

 

Link to Dental Information Dental Implants Implant vs Bridge Missing Several Teeth Missing All Teeth Teeth in an Hour Dental Implant Cost Dental Implant Horror Stories Frequent Questions Other Questions Ask a Question Contact Us The Dental Implants Blog