Black Triangles (dentistry)
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Black Triangles (dentistry)
''Angularis nigra'', Latin for 'black angle', also known as open gingival embrasures, and colloquially known as "black triangle", is the space or gap seen at the cervical embrasure, below the contact point of some teeth. The interdental papilla does not fully enclose the space, leading to an aperture between adjacent teeth. This gap has many causes including gingival recession, and gingival withdrawal post-orthodontic work. Interdental "black triangles" were rated as the third-most-disliked aesthetic problem below caries and crown margins. Treatment of ''angularis nigra'' often requires an interdisciplinary approach, involving periodontal, orthodontic and restorative treatment. Possible treatments to correct ''angularis nigra'' include addition of composite resin in the space, veneer placement, or gum graft. ''Angularis nigra'' is generally only treated based on the aesthetic preference of the patient (although serious gum recession may warrant periodontal treatment). Previously ...
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Embrasure (dentistry)
In dentistry, embrasures are V-shaped valleys between adjacent teeth. They provide a spill way for food to escape during chewing which essentially aids in the self-cleansing process. They also prevent food from being forced through the contact area which might cause food packing and periodontal pain and permit a slight amount of stimulation to the gingiva. When two teeth in the same arch are in contact, their curvatures adjacent to the contact areas form spillway spaces which are known as embrasures. See also * Angularis nigra ''Angularis nigra'', Latin for 'black angle', also known as open gingival embrasures, and colloquially known as "black triangle", is the space or gap seen at the cervical embrasure, below the contact point of some teeth. The interdental papilla d ... ("black triangle") References * Dental anatomy {{Dentistry-stub ...
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Teeth
A tooth (: teeth) is a hard, calcified structure found in the jaws (or mouths) of many vertebrates and used to break down food. Some animals, particularly carnivores and omnivores, also use teeth to help with capturing or wounding prey, tearing food, for defensive purposes, to intimidate other animals often including their own, or to carry prey or their young. The roots of teeth are covered by gums. Teeth are not made of bone, but rather of multiple tissues of varying density and hardness that originate from the outermost embryonic germ layer, the ectoderm. The general structure of teeth is similar across the vertebrates, although there is considerable variation in their form and position. The teeth of mammals have deep roots, and this pattern is also found in some fish, and in crocodilians. In most teleost fish, however, the teeth are attached to the outer surface of the bone, while in lizards they are attached to the inner surface of the jaw by one side. In cartilaginous ...
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Interdental Papilla
The interdental papilla, also known as the interdental gingiva, is the part of the gums (gingiva) that exists coronal to the free gingival margin on the mesial and distal surfaces of the teeth. The interdental papillae fill in the area between the teeth apical to their contact areas to prevent food impaction; they assume a conical shape for the anterior teeth and a blunted shape buccolingually for the posterior teeth. A missing papilla is often visible as a small triangular gap between adjacent teeth. Dentists will sometimes refer to this gap as a ' black triangle'. It can sometimes be corrected with orthodontic treatment. The relationship of interdental bone to the interproximal contact point between adjacent teeth is a determining factor in whether the interdental papilla will be present. If a distance greater than 8 mm exists between the interdental bone and the interproximal contact, usually no papilla will be present. If the distance is 5 mm or less, then a papil ...
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Composite Resin
Dental composite resins (better referred to as "resin-based composites" or simply "filled resins") are dental cements made of synthetic resins. Synthetic resins evolved as restorative materials since they were insoluble, of good tooth-like appearance, insensitive to dehydration, easy to manipulate and inexpensive. Composite resins are most commonly composed of Bis-GMA and other dimethacrylate monomers (TEGMA, UDMA, HDDMA), a filler material such as silica and in most applications, a photoinitiator. Dimethylglyoxime is also commonly added to achieve certain physical properties such as flow-ability. Further tailoring of physical properties is achieved by formulating unique concentrations of each constituent. Many studies have compared the lesser longevity of resin-based composite restorations to the longevity of silver- mercury amalgam restorations. Depending on the skill of the dentist, patient characteristics and the type and location of damage, composite restorations can hav ...
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Veneer (dentistry)
In dentistry, a veneer is a layer of material placed over a tooth. Veneers can improve the aesthetics and function of a smile and protect the tooth's surface from damage. There are two main types of material used to fabricate a veneer: composite and dental porcelain. A composite veneer may be directly placed (built-up in the mouth), or indirectly fabricated by a dental technician in a dental lab, and later bonded to the tooth, typically using a resin cement. They are commonly used for treatment of adolescent patients who will require a more permanent design once they are fully grown. The lifespan of a composite veneer is approximately four years. In contrast, a porcelain veneer may only be indirectly fabricated. A full veneer crown is described as "a restoration that covers all the coronal tooth surfaces (mesial, distal, facial, lingual and occlusal)". Laminate veneer, on the other hand, is a thin layer that covers only the surface of the tooth and is generally used for aestheti ...
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Periodontal Disease
Periodontal disease, also known as gum disease, is a set of inflammatory conditions affecting the tissues surrounding the teeth. In its early stage, called gingivitis, the gums become swollen and red and may bleed. It is considered the main cause of tooth loss for adults worldwide. In its more serious form, called periodontitis, the gums can pull away from the tooth, bone can be lost, and the teeth may loosen or fall out. Halitosis (bad breath) may also occur. Periodontal disease typically arises from the development of plaque biofilm, which harbors harmful bacteria such as ''Porphyromonas gingivalis'' and ''Treponema denticola''. These bacteria infect the gum tissue surrounding the teeth, leading to inflammation and, if left untreated, progressive damage to the teeth and gum tissue. Recent meta-analysis have shown that the composition of the oral microbiota and its response to periodontal disease differ between men and women. These differences are particularly notable in t ...
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Crown (dentistry)
In dentistry, a crown or a dental cap is a type of dental restoration that completely caps or encircles a Human tooth, tooth or dental implant. A crown may be needed when a large dental cavity threatens the health of a tooth. Some dentists will also finish root canal treatment by covering the exposed tooth with a crown. A crown is typically bonded to the tooth by dental cement. They can be made from various materials, which are usually fabricated using ''indirect methods''. Crowns are used to improve the strength or appearance of teeth and to halt deterioration. While beneficial to dental health, the procedure and materials can be costly. The most common method of crowning a tooth involves taking a dental impression of a tooth prepared by a dentist, then fabricating the crown outside of the mouth. The crown can then be inserted at a subsequent dental appointment. This ''indirect method'' of tooth restoration allows use of strong dental restorative materials, restorative material ...
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Dental Restoration
Dental restoration, dental fillings, or simply fillings are treatments used to restore the function, integrity, and morphology of missing tooth structure resulting from caries or external trauma as well as the replacement of such structure supported by dental implants. They are of two broad types—''direct'' and ''indirect''—and are further classified by location and size. Root canal therapy, for example, is a restorative technique used to fill the space where the dental pulp normally resides and are more hectic than a normal filling. History In Italy evidence dated to the Paleolithic, around 13,000 years ago, points to bitumen used to fill a tooth and in Neolithic Slovenia, 6500 years ago, beeswax was used to close a fracture in a tooth. Graeco-Roman literature, such as Pliny the Elder's Naturalis Historia (AD 23–79), contains references to filling materials for hollow teeth. Tooth preparation Restoring a tooth to good form and function requires two steps: # prepari ...
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