Reverse Gum Recession & Fill Black Triangles
Gum Builder & Black Triangles Live Patient Training
- Earn 13 CE Credits
- Live Patient Training
- 50+ training locations
- 4.9/5 Rating (2,500+ reviews)
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Learn the Fast, Profitable & Effective Treatment for Two of Dentistry's Biggest Challenges
Gingival recession and black triangles affect nearly half your patients, yet most dentists are still telling patients to “watch it.” Meanwhile, 92% refuse gum graft surgery, leaving them with nowhere to turn and you with untreated disease walking out the door.
The Gum BuilderTM course teaches you AAFE’s exclusive CaHA filler protocols for treating recession, hypersensitivity, and dreaded black triangles without surgery or composite. Treatment takes just minutes, with little to no post-operative pain, and results patients can feel within days.
You don’t need any previous experience or training in fillers to attend. You’ll leave with everything you need to start treating immediately: live patient certification, dental insurance codes, patient consultation materials, and a procedure your patients will say yes to on the spot.
AAFE’s Gum BuilderTM training is your next step to practice growth.
What You’ll Learn

Diagnose &
Treatment Plan
Evaluate and treat patients to achieve the best possible gingival recession, tooth hypersensitivity, and black triangle outcomes

Inject With
Confidence
Deliver CaHA filler therapy using AAFE's exclusive Gum BuilderTM protocols with live patient proficiency

Start Treating
Patients
Integrate successful filler therapy into your work and begin offering this high-ROI service from day one
Complete Course Details
Everything you need to know about the Botulinum Toxins & Dermal Fillers Level I training
- Periodontal anatomy and how it relates to collagen biostimulation
- Gingival biotypes and gingival recession
- Predisposing factors for gingival recession and their clinical significance?
- Review the evidence and outcomes related to surgical options for gingival recession
- Regenerative CaHA (calcium hydroylapatite) dermal fillers – how they work
- The interrelationship between collagen biostimulation and tissue regeneration
- FDA clearance and scientific study review
- Rapidly reduce dentin hypersensitivity with CaHA filler – how does it work?
- CaHA filler full strength and dilute preparation for gingival recession treatment
- Patient evaluation and assessment for successful CaHA filler treatment
- Precise treatment CaHA filler protocols
- Gingival anatomy and how it relates to different treatment options for black triangles
- Identify proper interdental gingival contour for each clinical situation
- Esthetic gingival guidelines to establish proper lip and smile lines
- Assessing the patient’s gingival biotype and how to treatment plan different biotypes for dental restorative, implant, and black triangle treatment
- The top 6 causes of deficient interdental papilla – the dreaded black triangle
- Black triangle treatment alternatives including removable prosthodontics, dental restorative treatment with fixed restorative or composite resins, and periodontal surgery options
- Patient assessment and consultation for black triangle treatment with dermal fillers
- Indications and contraindications for dermal filler pharmaceutical agents
- Different delivery techniques to rebuild deficient interdental papilla
- Internal partial thickness graft technique to create an interdental papilla space for dermal filler treatment
- Sterile technique training using dermal fillers
- Step by step black triangle treatment with dermal fillers for the best esthetic and therapeutic outcomes
- Follow up and maintenance visits management
- Patient fees and dental insurance codes for CaHA filler treatment – this is one of the highest ROI dental treatments that can double your perio production immediately!
Please Bring Your Own Model Patient
For the best learning experience, please bring your own model patient. This is a teaching course so please advise your model patient that they must be available for approximately 2-3 hours.
- You and your attending team members may serve as patients
- The AAFE does not provide model patients
- It is possible that you can find a patient at the course but this is not guaranteed
Course Schedule (Schedule may vary by location)
IMPORTANT INFORMATION: The comprehensive didactic lectures and clinical video lessons for these courses are Virtual On-Demand Modules which must be completed as a prerequisite to taking the live patient hands-on portion of these courses. Total CE hours are a combination of the virtual on demand module hours and the live patient instruction hours.
AM Session
| Registration | 7:30 AM | |
| Gum BuilderTM and Filling Black Triangles Live Patient Training | 8:00 AM – 12:00 PM | Course Begins on Time |
PM Session When Offered
| Registration | 12:30 PM | |
| Gum BuilderTM and Filling Black Triangles Live Patient Training | 1:00 PM – 5:00 PM | Course Begins on Time |
Only dental CE is offered at this time.
Continuing Dental Education Information
THIS ACTIVITY IS JOINTLY PROVIDED BY MEDICAL EDUCATION RESOURCES AND AMERICAN ACADEMY OF FACIAL ESTHETICS.
Hours will be rewarded only for the actual courses taken by attendee.
For full faculty biographies and full faculty disclosures click here: AAFE Clinical Faculty
Target Audience
This activity has been designed to meet the educational needs of physicians, dentists, nurse practitioners, nurses, physician assistants involved in the care of patients.
Dentist Credit

The American Academy of Facial Esthetics is an ADA CERP Recognized Provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. The American Academy of Facial Esthetics designates each of these individual activities for 13 continuing education credits per course.

The American Academy of Facial Esthetics is designated as an approved PACE Program Provider by the Academy of General Dentistry. The formal continuing education programs of this program provider are accepted by AGD for Fellowship, Mastership and membership maintenance credit. Approval does not imply acceptance by a state or provincial board of dentistry or AGD endorsement. The current term of approval extends from 4/1/2023 to 3/31/2027. Provider ID# 321332
Disclosure of Conflicts of Interest
It is the policy of Medical Education Resources to ensure balance, independence, objectivity, and scientific rigor in all of its educational activities. In accordance with this policy, MER identifies conflicts of interest with its instructors, content managers, and other individuals who are in a position to control the content of an activity. Conflicts are resolved by MER to ensure that all scientific research referred to, reported, or used in a continuing education activity conforms to the generally accepted standards of experimental design, data collection, and analysis.
Accreditation Statement

In support of improving patient care, this activity has been planned and implemented by Medical Education Resources (MER) and American Academy of Facial Esthetics – AAFE. MER is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Find a Training Event Near You
With events in 50+ cities every year, there’s always an AAFE training near you. Find your date and location below.
Last chance to register
New York, NY
Oct 15-16, 2026. 2-day event, starts 7:30 AM EDT
- Package: Core 4 Gum Builder
- Botulinum Toxin Level 1
- Dermal Fillers Level 1
- TMJ & Facial Pain Therapy Level 1
- Gum Builder & Black Triangles
Last chance to register
Augusta, GA
Oct 16, 2026. 1-day event, starts 7:30 AM EDT
- Gum Builder & Black Triangles
Last chance to register
Cleveland, OH
Oct 16, 2026. 1-day event, starts 7:30 AM EDT
- Botulinum Toxin Level 1
- Gum Builder & Black Triangles
Denver, CO
Oct 23, 2026. 1-day event, starts 7:30 AM MDT
- Botulinum Toxin Level 1
- Gum Builder & Black Triangles
No dates in this location this month. Try another month or location.
Atlanta, GA
Nov 13, 2026. 1-day event, starts 7:30 AM EST
- TMJ & Facial Pain Therapy Level 1
- Gum Builder & Black Triangles
Los Angeles, CA
Nov 13, 2026. 1-day event, starts 7:30 AM PST
- Botulinum Toxin Level 1
- Gum Builder & Black Triangles
Tallahassee, FL
Nov 14, 2026. 1-day event, starts 7:30 AM EST
- Gum Builder & Black Triangles
Chicago, IL
Nov 19-20, 2026. 2-day event, starts 7:30 AM CST
- Package: Core 4 Gum Builder
- Botulinum Toxin Level 1
- Dermal Fillers Level 1
- TMJ & Facial Pain Therapy Level 1
- Gum Builder & Black Triangles
No dates in this location this month. Try another month or location.
Hartford, CT
Dec 3-4, 2026. 2-day event, starts 7:30 AM EST
- Package: Core 4 Gum Builder
- Botulinum Toxin Level 1
- Dermal Fillers Level 1
- TMJ & Facial Pain Therapy Level 1
- Gum Builder & Black Triangles
New York, NY
Dec 3-4, 2026. 2-day event, starts 7:30 AM EST
- Package: Core 4 Gum Builder
- Botulinum Toxin Level 1
- Dermal Fillers Level 1
- TMJ & Facial Pain Therapy Level 1
- Gum Builder & Black Triangles
Las Vegas, NV
Dec 10-11, 2026. 2-day event, starts 7:30 AM PST
- Package: Core 4 Gum Builder
- Botulinum Toxin Level 1
- Dermal Fillers Level 1
- TMJ & Facial Pain Therapy Level 1
- Gum Builder & Black Triangles
Scottsdale, AZ
Dec 10-11, 2026. 2-day event, starts 7:30 AM MST
- Package: Core 4 Gum Builder
- Botulinum Toxin Level 1
- Dermal Fillers Level 1
- TMJ & Facial Pain Therapy Level 1
- Gum Builder & Black Triangles
Cleveland, OH
Dec 11, 2026. 1-day event, starts 7:30 AM EST
- Botulinum Toxin Level 1
- Gum Builder & Black Triangles
Denver, CO
Dec 11, 2026. 1-day event, starts 7:30 AM MST
- Botulinum Toxin Level 1
- Gum Builder & Black Triangles
Nashville, TN
Dec 11, 2026. 1-day event, starts 7:30 AM CST
- Botulinum Toxin Level 1
- Gum Builder & Black Triangles
Dallas, TX
Dec 18, 2026. 1-day event, starts 7:30 AM CST
- Botulinum Toxin Level 1
- Gum Builder & Black Triangles
No dates in this location this month. Try another month or location.
Bundle More Courses + More Savings!
Save Thousands With Multi-Course Training Packages
Get certified in multiple procedures for less and receive 12+ months of AAFE Premium Membership with community support and exclusive member benefits.
- Bundle multiple live-patient certifications to save thousands
- Access private member forums for clinical questions & case guidance
- Get discounts on injectables, training, and partner services
- List your practice in the AAFE provider directory & more
Customize Your Courses
Access Premium Member Benefits
Customize Your Courses
Access Premium Member Benefits
Real Stories From Real AAFE Graduates
Watch AAFE graduates share how facial esthetic certification transformed their practice and career forever.
Dr. Grant Ritchey
DMD, Dentist for 30+ Years
"It’s a really good cross-pollination. My injectable practice benefits from the established relationships I already have with my patients. And I’m getting new dental patients because of the injectable side."
Brittany Crivillaro
NP
"Just being able to do something I love every day and seeing happy patients has been a huge part of what’s motivated me to continue on this journey."
Dr. Grace Chung
DDS
"It adds a little bit more with a little bit less effort, and it’s really been helping our bottom line."
Frequently Asked Questions
Everything you need to know before enrolling
Key clinical topics include:
- Interdental papilla volumization using dermal fillers and hyaluronic acid protocols
- Diagnosis and classification of gingival black triangles and interdental tissue deficits
- Injection depth, micro-pipette/needle placement, and precise volume dosing for delicate gingival tissue
- Gummy smile reduction combining neurotoxin (Botox®) and gingival contouring
- Complications management, tissue necrosis prevention, and post-treatment care
Yes, the course includes live clinical demonstration and mentored hands-on training on model patients to practice precision gingival injection techniques.
Participants earn up to 13 CME/CE contact hours upon completing the live training and associated online coursework.
Credits are accredited and accepted by ADA CERP and AGD PACE (for Dentists), AMA PRA Category 1 Credits™ (for Physicians), and ANCC / AANP (for Nurses and NPs).