Can Orthodontics Remove Black Triangles? A Retreatment Short-Term Orthodontic Review

Hello,

This is Apgujeong Orthodontic Clinic.

We previously showed a case where black triangles were removed with Clippy-C front teeth partial orthodontic treatment, and there was an inquiry asking whether orthodontic treatment must be done with Clippy-C.

23.04~23.08

It is possible not only with Clippy-C orthodontics, but also with the invisible lingual 2D orthodontic appliance.

Today, I will show you a retreatment review of a case where black triangles were removed with 2D partial orthodontic treatment.

After having orthodontic treatment a long time ago, the patient removed the wire retainer because it was uncomfortable, and the front teeth shifted again, so they came in for retreatment.

23.04

If you remove the wire retainer after n years following orthodontic treatment, the teeth will definitely shift again.

However, some people’s teeth shift back quickly depending on the condition of the gums, while others show little shifting even after several years.

From the front, the black triangle is large.

In particular, the two front teeth look unusually large.

23.04

Teeth strictly follow perspective.

When people come in saying the two front teeth seem large, it is often not actually a problem with the tooth size.

It is often because the two front teeth are positioned more forward than the adjacent teeth.

Once the alignment is corrected, the front teeth looking large is naturally resolved.

Because this was retreatment, an invisible 2D appliance was chosen, and the treatment was carried out using interproximal reduction and elastic bands as needed.

23.06

This is how it looked two months after starting treatment.

The 2D appliance is attached lingually at the back, so it is not obvious from the front that orthodontic treatment is being done.

23.06

The black triangle has already been greatly reduced.

The blue arrow in the photo indicates a device that prevents space from opening behind the canine.

Front teeth partial orthodontics may look simple, but it is a treatment that requires a surprising amount of attention to prevent side effects such as space opening behind the canine.

23.08

After that, two more months of finishing treatment were done, and the retreatment was completed.

The total treatment period was 4 months.

Some people ask, "If the orthodontic treatment period is short, doesn't that strain the gums?"

Teeth do not move faster just because more force is applied.

Rather, tooth movement becomes slower and strains the gums.

For orthodontic treatment to end quickly, all tooth movements must be predicted in advance so that the treatment does not become prolonged from the start.

Preventive treatment is necessary.

23.04~23.08

For this reason, a great deal of experience and know-how is needed.

23.04~23.08

Even when viewed from an angled side view, you can see that the black triangle has been greatly reduced.

23.04~23.08

By combining interproximal reduction and elastic bands, the protruding front teeth were moved back quite a bit.

23.04~23.08

23.04~23.08

The wire retainer was placed neatly without any foreign-body sensation.

Retainers also require periodic maintenance.

This time, the patient decided to receive regular checkups and maintenance more thoroughly.

23.04~23.08

The issue of the two front teeth looking unusually large was also neatly resolved.

High-difficulty full orthodontic treatment that takes 1 to 2 years is meaningful,

but front teeth partial orthodontic treatment that produces good results in a short period of time is also very rewarding.

Rather than only worrying about black triangles caused by side effects of orthodontic treatment done long ago, or teeth that have shifted again,

please get a consultation at a nearby orthodontic clinic.

It may be a case that can be resolved in a short period of time.