The look of your smile
Point to the space that concerns you and describe how you would like it to look. A single opening and several across the smile are planned differently. Ask how adding resin might change the size and shape of the teeth.

A gap near the gums that showed up at the same time as some bleeding is worth a proper look before any cosmetic fix. From Acton, you can have your gum health checked first, then discuss whether bonding could reduce the space safely.
Bleeding when you brush, and then a dark space between two teeth that was not there before: together, those deserve attention. A black triangle is the opening that can form near the gum between neighbouring teeth. Sometimes it is just how the teeth are shaped. Sometimes the gum and bone that once filled the area have pulled back.
That difference shapes everything that follows. Where the gums are healthy and tooth shape is the main factor, composite can be added to the sides of the teeth to narrow the gap. Bonding works only on the teeth, though; it cannot restore gum or bone, and it must leave a contact you can still clean.
Coming in from Acton, start by telling us what you have noticed and when. Mention bleeding, tenderness or any looseness. We examine the gums carefully and, if they need care, that comes first. Cosmetic options are worth discussing once the tissues are healthy and stable.

Photos can show the space but say nothing about the gums underneath. Let us know when the gap appeared, whether it is changing and which symptoms came with it.
Point to the space that concerns you and describe how you would like it to look. A single opening and several across the smile are planned differently. Ask how adding resin might change the size and shape of the teeth.
If food wedges into the space or flossing hurts, say so. Inflamed gums can make cleaning sore, and the shape of the contact matters too. Any reshaping should leave a surface that is easy to keep clean, not a new trap.
These are the signs most worth raising. They may point to gum disease, which needs treating before any cosmetic closure. Recession or a tooth that moves can also change which options make sense.
A visible gap is not proof of disease, and some healthy gaps need nothing. We will tell you clearly which findings are about your health and which choices are about appearance.
Once gums are stable, composite shaped on the adjoining tooth surfaces can reduce some gaps well. The amount of change depends on the tooth shapes and how much tissue remains. Completely closing a space is not always realistic, especially where support has been lost.
Ask about the planned outline, upkeep and any limits before agreeing to bonding. It helps to know whether bonding stands alone or follows periodontal care, and whether restorative or orthodontic input might also be part of the plan.
Patient information: Clinical trial — composite restoration of anterior black triangles · Research on tooth contact, bone level, and interdental gum tissue
Treating the gums first means the bonding is planned around stable tissue, not inflamed gums that may shrink or shift as they heal. Ask what will be different after gum care and what the composite would then change. Sometimes the gap looks different once the swelling settles.
Ask what, if any, preparation the teeth would need before resin is added. Cosmetic options differ in how much tooth they affect. It is reasonable to ask what future repair or replacement might involve.
Bonding does not end the need for gum care. Ask how the treated area and your periodontal health will be checked over time, and whom to call if bleeding returns or cleaning becomes difficult.
Your visit should cover your gum health as fully as the look of your smile. Ask what records are needed and whether a periodontist's view would help.
Tell us about bleeding, past gum care, orthodontics and fillings, and whether anyone in your family has had gum problems. The dentist measures and checks gum health around the gap and elsewhere in the mouth. X-rays may be needed to assess bone support and the contact between teeth, which the visible space alone cannot show.
If inflammation or gum disease is found, we discuss treatment and, where appropriate, a periodontal referral. Once the gums are stable, we reassess the gap. If they are already healthy, this step may be brief.
When bonding suits the findings, we talk through how the teeth would change and how much reduction is sensible, and confirm the estimate. On the day, the enamel is prepared, then resin is shaped and cured with a light. Ask for a pause anytime.
The composite is polished and the contact tested. We show you which aid suits the new shape and how to use it gently. Review any remaining space and plan your next gum and recall visits.
Even after bonding, the area needs daily care. Follow the method we showed you, and let us know if bleeding returns or your cleaning aid no longer fits.
Ask which floss or interdental brush size suits the bonded area, and keep a spare at home. Use it gently; aggressive cleaning can irritate gums that have only recently settled. If floss keeps catching or the gum starts bleeding again, book a check.
Composite is strong but not indestructible, so keep hard candy, ice and bottle caps away from the treated teeth. If your tongue finds a sharp spot or a small piece seems to be missing, let us know. Please do not file or glue it at home, because the right repair depends on what has happened to the bonded surface.
Stay with the gum care schedule recommended for you. Report persistent bleeding, food trapping or a new gap. Bonding does not replace monitoring of the gums and bone supporting your teeth.
Patient information: Cleveland Clinic — gum recession and its assessment
Bring the questions that matter for your gums, your smile and your routine. Answers should fit your situation, not a set package.
Book an appointment at our Bronte Street practice. We will check your gum health, talk through any cleaning trouble and explain the options worth considering before you decide on treatment.
Whether bonding can help depends on the shape and position of your teeth and on gum health. Active gum disease has to be treated in its own right.