Bioclear matrix/composite for black triangles experience & results
*Warning: long post
Haven’t seen many people talk about their journey or post their results from this cosmetic procedure known as Bioclear for black triangles, so figured this could help at least one person out there.
Context/history
Diagnosed with Stage III Grade A periodontal disease in Sep 2024 as a 26 y/o, with pockets ranging from 5-7mm. Also found out I have the IL-6 marker that increases the rate of bone resorption, which exacerbated my bone loss beyond what it would have been without the marker.
I completed a full mouth SRP in that same month then made sure I got a cleaning every 3 months. I have also been extremely diligent about my oral hygiene routine, which involves: brushing 2x/day with electric toothbrush, floss 1x/day, water floss 1x/day, mouthwash 1x/day, chlorhexidine rinse 1x/few weeks (also chew xylitol gum when I have it). I also saw a perio who recommended removing my wisdom teeth since some of my deepest pockets were around those teeth, and I got that done in May 2025. Within a year after diagnosis, my disease was deemed stable, my pockets shrunk back to 2s and 3s (still a couple 4s), and I was able to accomplish this without LANAP or osseous surgery, despite being pushed to do both. However, I was left with a ton of bone loss everywhere, but my front teeth - both top and bottom - were impacted the most.
Once I knew I was stable, I started looking into what I could do cosmetically to get rid of the black triangles. I looked into papilla filler, mainly for the triangles on my top teeth since they were smaller, but didn’t love the idea of needing to go back more frequently, and that it couldn’t be done on my lowers. I’ve had Invisalign 2x so wasn’t keen on doing IPR and a 3rd round of treatment. Finally settled on Bioclear in particular (vs. normal composite), as I read that it is more biocompatible with our bodies, and I liked that results could last upwards of 7-10 years without needing a touch up if taken care of properly.
From there, it was about picking the right dentist, specifically a cosmetic dentist who had the proper accreditation to perform the Bioclear treatment. I live in the Seattle area so my options were pretty slim, or rather dentists didn’t do a great job advertising this as one of their services on their websites. After finally finding someone, then the road to fixing the triangles actually began.
Procedure
At my consultation, I had a bunch of questions prepared but the most important one to me was making sure I was even a candidate for Bioclear. As you can see from the pictures, the biggest spaces were on my bottom teeth, and I worried they’d be too big to fill. Luckily, that thought hadn’t even crossed my dentist’s mind so we proceeded with next steps, which was getting my teeth whitened. It only took me one session to get my teeth to a color I was happy with since they were already pretty white, but it’s important to be realistic with yourself because the whiter you go, the more you’ll need to continue whitening your teeth to ensure they match the color of the composite. After the whitening, they color matched my teeth to the composite and we scheduled two sessions for the procedure— one for the top, one for the bottom.
Each session took about 3 hours, but they flew by as I was given a lot of anesthetic. For both the top and bottom, the filling was placed in between the front 4 teeth, so 6 triangles closed in total basically. For a couple weeks after each session, my gums were pretty sensitive so I just avoided water flossing near the front and went really slowly with my normal floss. I haven’t needed to go back for any adjustments, but my dentist provided a 1 year warranty on the Bioclear so that if anything goes awry in that time, I know I can get it fixed at no additional cost.
Cost
In total, everything came out to $5200 OOP, or $2600 for each half of my mouth (reminder: I’m in Seattle). Since this is a cosmetic procedure, I was sure I wouldn’t get any coverage from my dental plan but they ended up refunding me a little over $1000, so that helped immensely. I have delta dental btw.
Results
Now that it’s been almost a month since my last session, I can say that I am beyond happy with my results! I was worried that my bottom teeth would look really blocky/fake and that people would be able to tell where my natural teeth ended and where the composite began, but I’m proud to say that neither ended up being the case. To me, they look incredibly natural and most importantly, they have eliminated the shame that I had been carrying around since I got my SRP done. The triangles were a constant reminder of my lack of self-care, and I had even adapted the way I talked so that my bottom lip would cover most of my bottom teeth to avoid them being seen. I no longer have to think about that, and I no longer feel “dirty”— not that I think people with perio/triangles are dirty, I just felt gross and ashamed of myself for letting it get to that point. My perio/teeth used to be so all-consuming and anxiety-inducing, so it truly feels like a weight has been lifted off of my psyche.
If you’ve been on a similar journey to turn your oral health around and are now looking into options for closing black triangles, I highly recommend researching Bioclear and seeing if it’s right for you. Also want to emphasize that if you’ve decide on Bioclear, choosing the right dentist will be the next biggest decision you make, so choose wisely. I’ve had such a positive experience overall and I hope whoever reads this feels hopeful and even empowered to take action for themselves!