The Furcation Dilemma: A 2-Day Advanced Seminar by Pierpaolo Cortellini. "Standard" option

An exclusive, in-depth seminar dedicated to one of the most relevant and complex topics in modern dentistry — the diagnosis and treatment of molars with furcation involvement.

Despite advances in periodontology, the “furcation dilemma” remains an unresolved clinical concern. Over the course of this program, participants will gain a comprehensive understanding of both non-surgical and surgical treatment strategies, with a focus on diagnosis, case planning, and treatment selection.

Led by the world's most renowned master in this field, Dr. Pierpaolo Cortellini, and his team, this seminar provides in-depth lectures, 2D and 3D clinical video demonstrations, and guided discussions on anatomic, diagnostic, and therapeutic protocols. It is ideal for clinicians seeking to enhance their decision-making and treatment planning skills in managing furcation-involved teeth.

Key Learning Objectives:

– Optimal preparation of the patient
– Step 1 & 2 of periodontal therapy
– Pre-surgical diagnosis of the furcation defect
– Planning the surgical approach
– Step-by-step surgical management
– How to debride a furcation
– The non-surgical approach
– The pharmaco-mechanical approach
– Open flap surgery
– Resective surgery
– Regenerative surgery
– Post-surgical period
– Long-term maintenance.

You will leave empowered with expert-level clinical insight and a proven decision-making framework to confidently tackle furcation-involved cases using the latest evidence-based strategies.

IMPORTANT: the “Seminar. Comfort”, “Seminar. VIP” and “Hands-on workshop” participation options are also available for purchase.

Basic advantages of the “Seminar. Standard” option:

– Participation in the scientific program
– Coffee break
– Notes and handouts
– Certificate of participation
– ADA credits available upon request.

PROGRAM

Day 1

Biologic & clinical background

– Multi-rooted teeth: anatomy of upper & lower molars
– Diagnosis and prognosis of teeth with furcation involvement
– Step 1 & 2 of periodontal therapy to improve patient prognosis
– The re-evaluation concept & the surgical treatment plan
– The critical decision: when to extract a molar with furcation involvement
– The surgical approaches: flap or resective or regenerative surgery.

The Conservative Approach

– The open flap: scaling & root planing with access surgery
– Design of the flap & suturing techniques
– Expected outcomes and long-term stability: the SPC problem.

The Resective Approach

– The different resective approaches in Class I, II, & III furcation
– The apically positioned flap
– Bone surgery: ostectomy & osteoplasty
– The “barrelling in” approach in Class I furcations.
 

Day 2

The Resective Approach

– The tunnel approach in Class II & III in lower molars
– The tunnel approach in Class III in upper molars
– Root resection & root amputation in Class II & III
– Prosthetic rehabilitation on resected abutments
– Long-term prognosis.

The Regenerative Approach

– Clinical objectives, indications, limits and prognosis of periodontal regeneration in furcations
– Critical evaluation of periodontal regenerative materials
– The clinical problem: debridement of the defect. Instruments and materials
– The “Key-hole” defect: class II furcation at lower molars and buccal class II furcation at upper molars: the buccal / lingual flap and the coronally advanced flap
– Mesial / distal class II furcation at upper molars associated to intrabony defects: the papilla preservation flap and the minimally invasive surgery
– Class II and III furcation at lower molars associated to intrabony defects: the papilla preservation flap and the minimally invasive surgery
– Long-term prognosis of regenerated teeth.