"Restoratively driven papilla regeneration: correcting the dreaded 'black triangle'"

Until now there were very few dedicated tools or techniques for restoratively driven papilla regeneration. Previous attempts at both diastema closure and papilla regeneration using direct composites often ended with significant compromise in periodontal health. The interdental papilla serves as both an esthetic and functional asset, and anatomically ideal interproximal composite shapes can serve as a predictable scaffold to regain this valuable gingival architecture. The reader is strongly cautioned that to attempt this elective procedure using no magnification and without appropriate materials may not be in the patient's best interest, and that non treatment or referral is recommended. This extremely rounded, injection molded composite filling technique is new. Once again, technological advancements allow changes to perform techniques that were previously unthinkable. Slowly, the profession will change their thought patterns, retrain their hands and minds, and allow this substantial clinical evolution in restorative dentistry.