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hi there... doesn't it affect the tooth in the long run?
i have a black triangle, caused by a bigeminated lateral incisor..they cut it in half, did 2 root canals on it, i now have one left..after the extraction of the other half..(each half had its own root)..
so my gum is straight there, it doesnt form that "V" between my front incisor and my new lateral one..
here's a pic*sorry for the quality*
the part in red is my remaining half, that was also rebuilt (the part facing the back of my mouth is natural and the part facing my front is rebuilt with cement i guess) and the blue one is my triangle..
i worry about my remaining half a lot as it has suffered so much, and my front incisor, because it is showing so much.. if in any way is possible it affects it, i guess i prefer my black triangle
No long term increase in cavities, periodontal disease or sensitivity. MANY studies done on this topic.
Yours is definitely a unique situation and is not what is typically seen every day.
If you don't IPR the black triangles, you will have to hope that the gums grow back in between the teeth. IPR space is quite small and will not take a long time to close up. IPR done early in treatment is usually for space creation to align teeth. When done near the end of treatment, it is usually to correct black triangles.
Dr. Jason Tam
Toronto Invisalign, Scarborough braces, and Markham Orthodontist
Diamond Plus Invisalign Provider
Thrice Published in the Invisalign Case Gallery
1fifthmiles wrote:so how do i go about asking my dentist to do IPR?
whats the full term for it? i dont really know how to tell my dentist.
just as your dentist "are you going to do ipr? " inter-proximal reduction, i think that's what it is. or you can just say, are you going to shave my teeth? it won't happen until the VERY end of your treatment.
hmm, i dont know. but, IPR makes more space right, which means there' will be gaps. and. actually my dentist has given me 6 link powerchain on the top, to tighten up, so i doubt she will do a IPR there right? cos im nearing end of treatment.
My friend's only 3 months into it and her dentist gave her IPR!
so ill just ask my dentist about it, but i doubt she will do IPR on me....
that's interesting, i guess all orthos do things differently. mine said they would just do shaving at the bottom of my teeth to straighten the jags out, and also possibly round out each tooth so it looks more feminine. but, he doesn't want to do ipr, which kind of bummed me out. he said the tops aren't that bad, the triangles, and the bottoms nobody will see.
yes, but is it ok in the long run, to shave some of the enamel?
isnt it impairing the quality of protection it provides the tooth? i'm afraid of this because i really dont want cavities on my front teeth.. and i was told that my enamel is thin naturally, so...
Dr. Tam mentioned the gum growing to fill in the triangles. Is this even possible? I had no idea.. I'm almost done w/my braces and i am still learning a buttload. In what cases does the gum grow? How often does it happen? My ortho seems to think I don't need ipr .. but the bottoms have HUGE triangles and the tops are visible but not as big. It bothers me but I don't want to bug him too much about getting the ipr. Should I have a right as his patient to ask him again???
VA5 - you have every right to ask, and you should if the triangles bother you. Your ortho may have a good reason why he doesn't want to, but "I don't think you need it" is NOT a good reason.
My ortho did a little IPR to get rid of the trianges on my bottom teeth, but because these teeth were already small and narrow, he didn't want to do too much. That's fine. But when my braces came off...OMG...the triangles were so noticeable, and I was not happy at all. I am going to look into bonding in a few months because I think it looks horrible. I don't have too much hope that my gums will fill in. We shall see....
Well he says that the bottoms do not show anyways and the tops aren't "too big".. which is kind of true, but i still don't mind a little bit. i'm not looking for a super snug look with no triangle.. just less visible ones. especially my bottom teeth, they are really huge! but like you, my bottom teeth are on the smaller side and i am actually thinking my ortho is worried that my teeth will be pushed back even more, which i don't really need b/c i had extractions. i just don't want to irritate him too much if i ask again.
Silly silly silly observation. I check in about once a week and in every thread I see drrick with multiple posts. Which, by the way, I think is an incredible testament to his dedication to orthodontic health. But, one has to wonder when he has time to practice?
OCD + ADHD + Workaholism = multiple quick posts (Not only in this forum but also in dentist forums)
Not only do I practice I also teach around North America, write books, shoot videos, build websites etc. so I am a busy guy but I love what I do so it doesnt seem like work. My vacations and time off do suffer a bit though.
I know this is a pretty old thread, but just wanted to post a question here anyway.
I really want to get IPR to correct black triangles from my previous adventure with orthodontics five years ago. I didn't know enough about it then, so did make enough fuss to get them dealt with at the time.
I'm actually in Invisalign at the moment with my dentist to make a few adjustments to my bite following the extraction of all four wisdom teeth. Every time I bring up IPR my dentist starts talking about having to diverge roots. The way I understand it is that the roots remain parallel, but the gums are flexible like water balloons and can be squeezed back up into the space.
My question is really should I see an ortho now before my Invisalign case is closed and see if he/she will take it over to close the black triangles?
This post is great! I have been concerned about the triangles and nothing has been mentioned yet. I have been in power chains for 7 months and elastics for 6 months. One week and I will be at the one year mark so I hope all this pulls together. When I go back in April, I'm definitely going to mention it.
