“Sometimes a particular case comes along that appears, at first, to be overwhelming. The case described in this article fits that description. However, when this patient emailed my office and inquired about the possibility of flying across the country to have me treat him, I had fortunately done many cases involving hundreds of teeth using the matrix system that I developed to treat dentition afflicted with black triangles, albeit none of this magnitude. I felt absolutely confident that we could achieve a good outcome. The trick was to disassemble the case into bite-sized pieces. This case presents many excellent questions and the additional challenge of severe facial abrasions. I will first review the background of black triangles and of lower incisor complications, and then proceed with the presentation of the clinical procedures used to treat this particular patient.”
