{"id":5525,"date":"2014-06-05T08:58:59","date_gmt":"2014-06-05T06:58:59","guid":{"rendered":"https:\/\/www.zerodonto.com\/en\/?p=5525"},"modified":"2017-03-09T11:47:47","modified_gmt":"2017-03-09T10:47:47","slug":"dr-pierpaolo-cortellini-hopeless-tooth-treatment-2","status":"publish","type":"post","link":"https:\/\/www.zerodonto.com\/en\/2014\/06\/dr-pierpaolo-cortellini-hopeless-tooth-treatment-2\/","title":{"rendered":"\u201cHopeless tooth\u201d treatment #2"},"content":{"rendered":"<p>Dear colleagues,<\/p>\n<p>below a clinical case presented by Dr. Pierpaolo Cortellini.<br \/>\nFor those who are interested, you can find the full article about the advanced techniques in periodontal regeneration on our blog at the following link:<\/p>\n<p>Minimally Invasive Surgical Technique (MIST) in Regenerative Periodontal Therapy<br \/>\n<a href=\"http:\/\/l.facebook.com\/l.php?u=http%3A%2F%2Fzerodonto.com\/en%2F2013%2F07%2Fminimally-invasive-surgical-technique.html&amp;h=MAQGy6mdD&amp;s=1\" target=\"_blank\" rel=\"nofollow nofollow\">https:\/\/www.zerodonto.com\/en\/<wbr \/>2013\/07\/<wbr \/>minimally-invasive-surgical<wbr \/>-technique.html<\/a><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2014\/06\/1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone\" src=\"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2014\/06\/1.jpg\" alt=\"\u201cHopeless tooth\u201d treatment 1\" width=\"960\" height=\"720\" \/><\/a><\/p>\n<p style=\"text-align: center;\"><!--more-->_________<\/p>\n<p style=\"text-align: center;\"><strong>Illustrations:<\/strong><\/p>\n<p><a href=\"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2014\/06\/2.jpg\"><br \/>\n<img loading=\"lazy\" decoding=\"async\" class=\"size-thumbnail aligncenter\" src=\"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2014\/06\/2.jpg\" alt=\"\u201cHopeless tooth\u201d treatment 2\" width=\"287\" height=\"192\" \/><\/a><\/p>\n<p>Fig 1. Baseline picture of a first lower left molar. The patient was affected by a severe chronic periodontitis and referred frequent abscesses in this area and in other parts of the mouth.<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: left;\"><a href=\"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2014\/06\/3.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-3498\" src=\"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2014\/06\/3.jpg\" alt=\"\u201cHopeless tooth\u201d treatment 3\" width=\"250\" height=\"194\" \/><\/a><\/p>\n<p>Fig 2. The radiograph shows a large all around bone destruction at the distal root, extending beyond the apex and involving the furcation<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\"><a href=\"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2014\/06\/4.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-3499\" src=\"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2014\/06\/4.jpg\" alt=\"\u201cHopeless tooth\u201d treatment 4\" width=\"242\" height=\"197\" \/><\/a><\/p>\n<p>Fig 3. Picture taken after cause-related therapy. The probe shows an attachment loss greater than 15mm. There is also a degree III furcation involvement. The tooth is vital.<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\"><a href=\"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2014\/06\/5.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-3500\" src=\"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2014\/06\/5.jpg\" alt=\"\u201cHopeless tooth\u201d treatment 5\" width=\"282\" height=\"197\" \/><\/a><\/p>\n<p>Fig 4. The tooth was endodontically treated before surgery to allow for the all around instrumentation of the apex of the distal root<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\"><a href=\"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2014\/06\/6.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-3501\" src=\"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2014\/06\/6.jpg\" alt=\"\u201cHopeless tooth\u201d treatment 6\" width=\"315\" height=\"192\" \/><\/a><\/p>\n<p>Fig 5. A papilla preservation flap was raised to debride the all around defect. The defect was then treated with Amelogenins.<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\"><a href=\"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2014\/06\/7.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-3502\" src=\"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2014\/06\/7.jpg\" alt=\"\u201cHopeless tooth\u201d treatment 7\" width=\"287\" height=\"193\" \/><\/a><\/p>\n<p>Fig 6. Primary intention closure of the flap<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\"><a href=\"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2014\/06\/8.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-3503\" src=\"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2014\/06\/8.jpg\" alt=\"\u201cHopeless tooth\u201d treatment 8\" width=\"288\" height=\"194\" \/><\/a><\/p>\n<p>Fig 7. Stability of the wound at suture removal after 1 week<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\"><a href=\"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2014\/06\/9.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-3504\" src=\"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2014\/06\/9.jpg\" alt=\"\u201cHopeless tooth\u201d treatment 9\" width=\"288\" height=\"193\" \/><\/a><\/p>\n<p>Fig 8. Four-year picture of the treated area.<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\"><a href=\"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2014\/06\/10.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-3505\" src=\"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2014\/06\/10.jpg\" alt=\"\u201cHopeless tooth\u201d treatment 10\" width=\"280\" height=\"196\" \/><\/a><\/p>\n<p style=\"text-align: left;\">Fig 9. The 4-year radiograph shows the almost complete resolution of the defect. A degree I buccal furcation is still present.<\/p>\n<p>&nbsp;<\/p>\n<p align=\"center\"><strong><a href=\"https:\/\/www.facebook.com\/media\/set\/?set=a.10151725089643970.1073741863.134992723969&amp;type=3\" target=\"_blank\">See photogalley on Facebook<\/a><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Dear colleagues, below a clinical case presented by Dr. Pierpaolo Cortellini. For those who are interested, you can find the full article about the advanced techniques in periodontal regeneration on our blog at the following link: Minimally Invasive Surgical Technique (MIST) in Regenerative Periodontal Therapy https:\/\/www.zerodonto.com\/en\/2013\/07\/minimally-invasive-surgical-technique.html &nbsp; &nbsp;<\/p>\n","protected":false},"author":21,"featured_media":5526,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[40],"tags":[],"coauthors":[34],"class_list":["post-5525","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-guest-post-from-facebook"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>\u201cHopeless tooth\u201d treatment #2 | Dr. Pierpaolo Cortellini | Zerodonto<\/title>\n<meta name=\"description\" content=\"Advanced techniques in periodontal regeneration in post by Dr. Pierpaolo Cortellini. 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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. info@ studiocortellini.it Website: www.studiocortellini.it TangramOdis srl Via C Botta 16 50136 Firenze, Italia corsi@tangramodis.it www.tangramodis.it ATRO (Accademia Toscana di Ricerca Odontostomatologica) Firenze, Italia ERGOPERIO (European Research Group on Periodontology) Berna, Svizzera\",\"url\":\"https:\\\/\\\/www.zerodonto.com\\\/en\\\/author\\\/pierpaolocortellini\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"\u201cHopeless tooth\u201d treatment #2 | Dr. Pierpaolo Cortellini | Zerodonto","description":"Advanced techniques in periodontal regeneration in post by Dr. Pierpaolo Cortellini. 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A case severe chronic periodontitis and referred frequent abscesses.","breadcrumb":{"@id":"https:\/\/www.zerodonto.com\/en\/2014\/06\/dr-pierpaolo-cortellini-hopeless-tooth-treatment-2\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.zerodonto.com\/en\/2014\/06\/dr-pierpaolo-cortellini-hopeless-tooth-treatment-2\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.zerodonto.com\/en\/2014\/06\/dr-pierpaolo-cortellini-hopeless-tooth-treatment-2\/#primaryimage","url":"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2014\/11\/cortellini.jpg","contentUrl":"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2014\/11\/cortellini.jpg","width":960,"height":720},{"@type":"BreadcrumbList","@id":"https:\/\/www.zerodonto.com\/en\/2014\/06\/dr-pierpaolo-cortellini-hopeless-tooth-treatment-2\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.zerodonto.com\/en\/"},{"@type":"ListItem","position":2,"name":"\u201cHopeless tooth\u201d treatment #2"}]},{"@type":"WebSite","@id":"https:\/\/www.zerodonto.com\/en\/#website","url":"https:\/\/www.zerodonto.com\/en\/","name":"Zerodonto | Dentistry in Blog","description":"","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.zerodonto.com\/en\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Person","@id":"https:\/\/www.zerodonto.com\/en\/#\/schema\/person\/72dfa14ee9b71df403827efdad9f3bb9","name":"Pierpaolo Cortellini","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2014\/10\/Cortellini5-150x150.jpg0828934f7898aaf84acb160421964105","url":"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2014\/10\/Cortellini5-150x150.jpg","contentUrl":"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2014\/10\/Cortellini5-150x150.jpg","caption":"Pierpaolo Cortellini"},"description":"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 \u201cProject Periodontal Diagnosis\u201d and Coordinator of the 5 \u201cNational Educational Projects\u201d 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. info@ studiocortellini.it Website: www.studiocortellini.it TangramOdis srl Via C Botta 16 50136 Firenze, Italia corsi@tangramodis.it www.tangramodis.it ATRO (Accademia Toscana di Ricerca Odontostomatologica) Firenze, Italia ERGOPERIO (European Research Group on Periodontology) Berna, Svizzera","url":"https:\/\/www.zerodonto.com\/en\/author\/pierpaolocortellini\/"}]}},"_links":{"self":[{"href":"https:\/\/www.zerodonto.com\/en\/wp-json\/wp\/v2\/posts\/5525","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.zerodonto.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.zerodonto.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.zerodonto.com\/en\/wp-json\/wp\/v2\/users\/21"}],"replies":[{"embeddable":true,"href":"https:\/\/www.zerodonto.com\/en\/wp-json\/wp\/v2\/comments?post=5525"}],"version-history":[{"count":8,"href":"https:\/\/www.zerodonto.com\/en\/wp-json\/wp\/v2\/posts\/5525\/revisions"}],"predecessor-version":[{"id":16681,"href":"https:\/\/www.zerodonto.com\/en\/wp-json\/wp\/v2\/posts\/5525\/revisions\/16681"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.zerodonto.com\/en\/wp-json\/wp\/v2\/media\/5526"}],"wp:attachment":[{"href":"https:\/\/www.zerodonto.com\/en\/wp-json\/wp\/v2\/media?parent=5525"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.zerodonto.com\/en\/wp-json\/wp\/v2\/categories?post=5525"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.zerodonto.com\/en\/wp-json\/wp\/v2\/tags?post=5525"},{"taxonomy":"author","embeddable":true,"href":"https:\/\/www.zerodonto.com\/en\/wp-json\/wp\/v2\/coauthors?post=5525"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}