before and after
June 10, 2025
Claire Burgess, Dr.

Clinical Case: Lower Black Triangle Closure Case with Bioclear Method Composite Restorations

Using 3M™ Scotchbond™ Universal Plus Adhesive, 3M™ Filtek™ Supreme Flowable, 3M™ Filtek™ Supreme XTE, and 3M™ Sof-Lex™ coarse and medium discs.

About the Case

This male patient presented with lower black triangles following orthodontic treatment with aligners. He was very self-conscious about the appearance of the black triangles, which were visible and caused food to become trapped during meals. Seeking a minimally invasive solution, he opted for Bioclear composite restorations on his lower six teeth to address his concerns.

The challenge:
Black Triangles, affecting 30% of the population, are often caused by periodontal disease or post-adult orthodontics. Many patients actively seek solutions for this common dental concern. With Bioclear Method composite restorations, this once challenging issue can now be predictably and consistently treated. The method delivers restorations with minimal if any preparation, precise morphology, minimal interdental finishing, excellent gingival health, exceptional aesthetics, and longlasting durability.


Learn more about the products used in this clinical case

Pre treatment of lower black triangles following orthodontic treatment

Pre treatment of lower black triangles following orthodontic treatment.

The Black Triangles were measured using the Bioclear Black Triangle Gauge

The Black Triangles were measured using the Bioclear Black Triangle Gauge.

Anatomical black Triangle mylar Bioclear matrices were selected, and tried in to ensure the proper emergence profile with the surrounding gingiva and papillae

Anatomical black Triangle mylar Bioclear matrices were selected, and tried in to ensure the proper emergence profile with the surrounding gingiva and papillae.

A rubber dam was applied, and the teeth were discolosed to allow thorough biofilm removal using aluminum trihydroxide powder and Aquasol solution (Aquacare). No tooth preparation was necessary.

Small Black Triangle matrices were positioned on the first tooth both mesially and distally. Shield matrices were placed on adjacent teeth to protect the surrounding spaces

Small Black Triangle matrices were positioned on the first tooth both mesially and distally. Shield matrices were placed on adjacent teeth to protect the surrounding spaces.

Bioclear Injection Moulding was performed using 3M Scotchbond Universal Plus, warmed 3M Filtek Supreme Flowable, and 3M Filtek Supreme XTE body paste composite in shade A2

Bioclear Injection Moulding was performed using 3M™ Scotchbond™ Universal Plus, warmed 3M™ Filtek™ Supreme Flowable, and 3M™ Filtek™ Supreme XTE body paste composite in shade A2.

The central incisor was sculpted and shaped using small 3M SofLex coarse and medium discs. This process was then repeated for the second central incisor and the lateral incisors

The central incisor was sculpted and shaped using small 3M™ Sof-Lex™ coarse and medium discs. This process was then repeated for the second central incisor and the lateral incisors.

Post treatment photo highlighting the elimination of the visible black triangles. These images demonstrate durable restorations with a flawless polish and healthy surrounding periodontal tissue.

Post treatment photo highlighting the elimination of the visible black triangles. These images demonstrate durable restorations with a flawless polish and healthy surrounding periodontal tissue.

Periapical radiographs taken before treatment demonstrate the black triangle spaces

Periapical radiographs taken before treatment demonstrate the black triangle spaces.

Periapical radiographs taken after treatment demonstrate the classic Bioclear shape achieved with the matrices, as well as smooth, overhang-free emergence profiles.

Periapical radiographs taken after treatment demonstrate the classic Bioclear shape achieved with the matrices, as well as smooth, overhang-free emergence profiles.

The Outcome

Included are photographs taken after treatment highlighting the elimination of the visible black triangles. These images demonstrate durable restorations with a flawless polish and healthy surrounding periodontal tissue.

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