Logo IFED 8th World Congress in Munich 2013


Dr. Pierpaolo Cortellini

The current state of surgical regenerative treatment options

Friday, September 20th, 2013
Session 1: 8:40-9:05
Dr. Pierpaolo Cortellini


Periodontal regeneration has been shown to be effective in the treatment of 1- 2- 3-wall intrabony defects or combinations thereof, from very deep to very shallow, from very wide to very narrow. Current approaches are technique sensitive and burdened by a significant amount of clinical failures or incomplete success. We know today that most of the failures of regenerative therapy have an explanation in terms of negative patient factors, sub-optimal use of surgical approaches and materials, and insufficient clinical skill and experience of the surgeon. Clinical success requires application of meticulous diagnostic and treatment strategies. In general, the development of modern regenerative surgical approaches are aimed at complete preservation of the marginal soft tissue and of the defect-associated interdental papilla in order to achieve and maintain primary closure on top of the applied regenerative material during the critical stages of early healing events. Specifically, flap designs and suturing techniques attempt to achieve passive primary closure combined with optimal wound stability. Papilla preservation flaps and minimally invasive procedures are the procedures of current application, supported by sound evidence. Suturing strategies are as well relevant to obtain the desired wound stability. The choice of the proper surgical approach and suturing strategy, along with the selection of the proper regenerative material, are of paramount importance to increase the probability of a clinical success.


Dr. Pierpaolo Cortellini received his MD from the University of Florence (Italy) in 1980, and his DDS in 1984 from the University of Siena (Italy). Dr Cortellini is the Secretery of the Accademia Toscana di Ricerca Odontostomatologica, Firenze Italy, and Board Member of the European Research Group in Periodontology, Berne (CH). He is active Member and Past President of the Italian Society of Periodontology and Past President of the European Federation of Periodontology. Promoter of "Project Periodontal Diagnosis" and Coordinator of the 5 "National Educational Projects" from SIdP, he was Scientific Chairman of Europerio 6. He runs a private practice in Florence (Italy), with services limited to periodontics. Dr. Cortellini is involved in clinical research in periodontology since 1982, with special emphasis to periodontal regeneration, aesthetics, and diagnosis. Dr. Cortellini lectures extensively on a national and international level; he is referee of scientific journals in the field of periodontology, and is the author of more than 100 original publications in scientific journals.

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