Background: Orthodontic treatment is one of the treatments in the field of dentistry that aims, to improve crowding teeth. Patients with crowding, especially in the front teeth, often experiencing loss of interdental papillae (black triangle) after the teeth are arranged in a good arch. This condition has a negative impact on aesthetics when smiling and affects the health of periodontal tissues due to chronic retention of leftovers which will continue to tartar, gingival inflammation and abnormal gingival morphology. Various treatment strategies to overcome black triangle cases have been carried out. The surgical approach includes various flap designs and graft techniques to add bone or soft tissue.