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Repair of a Gingival Fenestration Using an Acellular Dermal Matrix Allograft
Lawrence G Breault1, Raquel C Brentson, Edward B Fowler
1Brooke Army Medical Center, Joint Base San Antonio Fort Sam Houston, TX.
U.S. Army Medical Department Journal
|February 14, 2016
Summary
A gingival fenestration was successfully treated using an acellular dermal matrix (ADM) allograft. The ADM integrated fully, resolving the defect and improving gingival esthetics after 2.5 months.
Area of Science:
- Periodontology
- Regenerative Dentistry
Background:
- Gingival fenestrations present a clinical challenge in periodontal therapy.
- Acellular dermal matrix (ADM) allografts offer a potential solution for soft tissue reconstruction.
Observation:
- This case report details the treatment of a gingival fenestration in the mandibular anterior region.
- An acellular dermal matrix (ADM) allograft was utilized for the reconstruction.
Findings:
- Complete integration of the ADM allograft into the surrounding soft tissues was observed.
- The gingival fenestration defect showed complete resolution following the procedure.
- Excellent gingival esthetics were achieved after 2.5 months of healing.
Implications:
- Acellular dermal matrix allografts are effective for treating gingival fenestrations.
- This regenerative approach can restore both function and esthetics in periodontal defects.
- Successful ADM allograft integration highlights its potential in soft tissue augmentation procedures.

