Title: Digitally guided, minimally invasive esthetic management of cervical soft tissue deficiencies using pink composite: A non-surgical innovation in the future of dentistry
Abstract:
Background: Gingival recession and the resulting black triangles represent a growing esthetic concern, particularly among aging individuals. Traditional periodontal surgical approaches for papilla reconstruction often produce unpredictable outcomes, especially in cases with interdental bone or papilla loss. This has led to an increasing demand for minimally invasive, highly esthetic alternatives. In modern restorative and esthetic dentistry, non-surgical interventions are gaining prominence as predictable and patient-friendly solutions when surgical reconstruction is contraindicated or unlikely to succeed.
Objective: To demonstrate a conservative and innovative approach using digital tools and pink composite resin for managing multiple gingival recessions and black triangles, aligning with advancements in modern restorative and esthetic dentistry.
Case Description: A 50-year-old male patient presented with generalized Miller’s Class I and II gingival recessions and multiple black triangles in the anterior maxilla. Due to the absence of adequate interdental papilla and unsuitability for surgical intervention, a digitally guided, minimally invasive treatment was planned.
Methodology: Digital intraoral scanning and 3D smile simulation were utilized to assess the extent of interdental papilla loss and to visualize the proposed esthetic outcome. This digital workflow enhanced treatment planning and facilitated patient education by providing a realistic preview of post-treatment results, thereby improving patient consent and engagement. A custom shade-matched flowable pink composite resin was selected for its superior handling, adaptability, and ability to replicate the soft tissue's subtle color gradients and contours. The material was applied incrementally using a layered technique, guided by digital references to achieve anatomical accuracy, optimal symmetry, and seamless integration with adjacent tissues. Final finishing and polishing were performed using a multi-step protocol with polishing discs and silicone tips to enhance surface luster, light reflection, and the natural appearance of gingival tissues.
Results: The immediate postoperative outcome showed significant visual improvement in gingival aesthetics and the elimination of black triangles. At 6-week and 3-month reviews, the composite maintained its stability with high patient satisfaction and no inflammation or detachment. (pictures will include in presentation slides)
Future Perspective: This case highlights the innovative integration of digital technology and direct composite artistry as a forward-thinking, patient-centered approach in restorative and aesthetic dentistry. By combining digital workflows with lifelike pink composite materials, this technique offers a minimally invasive alternative for managing soft-tissue aesthetic deficiencies—particularly in cases where surgical intervention is unpredictable or undesirable. As digital tools and materials continue to evolve, this conservative method is well-positioned to become a mainstream solution in aesthetic and restorative dental practice.
Conclusion: Digitally guided pink composite sculpting offers a reliable, minimally invasive solution for managing gingival recessions and black triangles. It reflects the future of restorative dentistry—merging digital precision with aesthetic innovation.
