The aim of this study was to evaluate interdental papillary reconstruction based on a micronized acellular dermal matrix allograft technique. Thirty-eight papillae in 12 patients with esthetic complaints of insuffi cient papillae were evaluated. Decreased gingival recession values were found postoperatively (P < .001). Chi-square analysis showed signifi cantly higher postoperative Papilla Index values (chi-square = 43, P < .001), further supported by positive symmetry statistical analysis values (positive kappa and weighted kappa values). This procedure shows promise as a method for papillary reconstruction. © 2012 by Quintessence Publishing Co Inc.