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


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.

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