Page 17 - NYSAGD GP Fall 2018

Option #4 involves the same training as option 3 but with the added cost and knowledge of the use and implementation of a
CBCT, intra-oral scanner, surgical plate fabrication either in-office or a 3rd party.

Finally the treatment of choice, Option #5. This procedure is implemented the same day one hour after premedication. The
CTO technique involves only the use of multiple periapical radiographs.
1- Decoronation- which the removal of the clinical crown and scalloping the cervical aspect of the the remaining tooth to the
alveolar crest.

4- Bone graft material placed within the extraction site, on the labial wall prior to implant placement. In this case we use

4- Bone graft material placed within the extraction site, on the labial wall prior to implant placement. In this case we use
Irradiated Cancellous bone. The implant is then placed as it would normally be done. It is important to note that initial fixation
Irradiated Cancellous bone. The implant is then placed as it would normally be done. It is important to note that initial fixation

(greater than 35 Ncm) is almost always achieved and knowledge of soft tissue management is necessary for this step.
(greater than 35 Ncm) is almost always achieved and knowledge of soft tissue management is necessary for this step.

CTO Decoronation

CTO with Graft and
CTO with Graft and
2- Ideal initiation of the osteotomy site with a #4 surgical round bur. During this procedure you must ignore the presence of the
Connective tissue
Connective tissue
Graft
root and approach the osteotomy as if there were an ideal ridge and an ideal location in all 3 dimensions. The retention of the
Graft
root allows the osteotomy to be done with out the classic bouncing of the osteotomy drills in a extraction socket. This is done

in the usual manner and to one step drill before your planned final step drill.

5- After initial fixation is confirmed the process for immediate loading to performed. It is at this point that knowledge of

5- After initial fixation is confirmed the process for immediate loading to performed. It is at this point that knowledge of
prosthetic rehabilitation is necessary for proper emergence profile to achieve an good esthetic result.
prosthetic rehabilitation is necessary for proper emergence profile to achieve an good esthetic result.

CTO Post
CTO Post
treatment
treatment

CTO with Guide Pin
3. At this point, the remaining root frag- 6. Final periapical radiographs (Figures 8
6- Final periapical radiographs are taken to confirm proper 3 dimensional placement and labial bone thickness.

6- Final periapical radiographs are taken to confirm proper 3 dimensional placement and labial bone thickness.
ments are removed and the socket freed and 9) are taken to confirm proper three- Upcoming
CTO Final

of any residual tissue (Figure 5). Observe dimensional placement and labial bone
Step Drill

what was once the apical location of the thickness. Guidelines for

root and what will be the ideal location of

3- At this point the remaining root fragments are removed and the socket freed of any residual tissue. Observe what was once

the apical portion of the implant. NYSAGD Student

the apical location the the root and what will be the ideal location of the apical portion of the implant.

Membership Dues

4- Bone graft material placed within the extraction site, on the labial wall prior to implant placement. In this case we use

In the past years, NYSAGD has been

paying for our student membership

Irradiated Cancellous bone. The implant is then placed as it would normally be done. It is important to note that initial fixation

dues to the AGD for all 4 years of den-

(greater than 35 Ncm) is almost always achieved and knowledge of soft tissue management is necessary for this step.
tal school. However, with the recent

increase in AGD Student Membership
Figure 8. CTO post-op Figure 9. CTO cross-cut. Dues (it went from $17 to $20 at the
CTO Cross-cut
CTO Periapical
CTO Cross-cut
periapical x-ray.
Figure 5. CTO osteotomy. CTO Periapical 2017 House of Delegates), increase in

our student memberships, and the fact
CTO Osteotomy

4. Irradiated cancellous bone graft mate- In conclusion, the CTO technique allows that NYS has approximately 2500 stu-

rial is placed within the extraction site on for immediate implant placement, initial dents (potential cost of $50,000/year),
In conclusion, the CTO technique allows for immediate implant placement, initial fixation, immediate loading, same day visit,
In conclusion, the CTO technique allows for immediate implant placement, initial fixation, immediate loading, same day visit,
NYSAGD can no longer sustain the

application without the use of a CBCT (If necessary). This allows the best treatment possible for the patient, minimizes visits
the labial wall prior to implant placement fixation, immediate loading, all in one visit, practice. Furthermore, there is rumor
application without the use of a CBCT (If necessary). This allows the best treatment possible for the patient, minimizes visits
and chair time. What more could we ask for.....

4- Bone graft material placed within the extraction site, on the labial wall prior to implant placement. In this case we use
(Figure 6). The implant is then placed as and without the use of a DBCT. This allows that two more dental schools will open in
and chair time. What more could we ask for.....

I am “Mikey” from the Calderon Institute

I am “Mikey” from the Calderon Institute
it would normally be done. It is important the best treatment possible for the patient, NYS within the next few years. Conse-
Irradiated Cancellous bone. The implant is then placed as it would normally be done. It is important to note that initial fixation
Calderoninstitute.com

Calderoninstitute.com

to note that initial fixation (greater than minimizes visits and chair time. What more quently, at our February 2018 NYSAGD
(greater than 35 Ncm) is almost always achieved and knowledge of soft tissue management is necessary for this step.
35Ncm) is almost always achieved and could we ask for… Board of Trustees Meeting, the follow-

knowledge of soft tissue management is Disclaimer: I, Mike E. Calderón, declare that I ing guidelines were approved:

necessary for this step. do not have a financial arrangement with any

corporate organization offering financial support 2018 – NYSAGD will continue to pay

or grant monies in regards to my continuing den-
AGD membership dues for ALL dental
tal education presentation and/or Case Report. students in NYS for 2018.
After receiving his DDS
CTO with Graft and 2019 - NYSAGD will pay AGD mem-
degree from the Dental bership dues for only 3 and 4 year
th
rd
Connective tissue School of Case Western dental students for 2019. **Students will

Reserve Ohio in 1994,
Graft he moved back to Brook- pay dues directly to the AGD and submit
for full reimbursement from NYSAGD –
lyn, New York. There, Attn: Mrs. Paula Bostick.
he worked at a General
Figure 6. CTO with bone graft and Practice Residency at Kings Coun- 2020 – NYSAGD will no longer pay for
CTO with Graft and
connective tissue graft. ty Hospital between 1994 to 1999. Dr. any student membership dues to AGD.
Connective tissue Calderón completed a 2 year program at Instead, each school will be allotted up
5- After initial fixation is confirmed the process for immediate loading to performed. It is at this point that knowledge of
5. After initial fixation is confirmed, the the United States Dental Institute, where to $1000/year (NYU will be allotted
Graft
process for immediate loading is to be per- he received his certification in orthodon- $2000/year because it has over 1500 stu-
prosthetic rehabilitation is necessary for proper emergence profile to achieve an good esthetic result.
formed. It is at this point that knowledge tics. Dr. Mike Calderón also completed dents) to be used towards Pre-fellowship
of prosthetic rehabilitation is necessary for 4 years at New York University as an track Lunch and Learns, membership

the proper emergence profile to achieve a Implant Resident. He has an extensive recruitment and retention programs,
good esthetic result (Figure 7). education and experience in implant etc. Schools can submit a grant form
5- After initial fixation is confirmed the process for immediate loading to performed. It is at this point that knowledge of
to request funding from NYSAGD. If
dentistry, having placed more than 6,000
prosthetic rehabilitation is necessary for proper emergence profile to achieve an good esthetic result.

implants. He established his private a chapter does not use all of their allot-
ted funding in a given year, other chap-
practice in Bay Shore, New York where
he provides both advanced surgical and ters may have access to the remaining
prosthetic phases of implant dentistry funds toward the end of the year. ** If
approved by the House of Delegates in
for his patients. Dr. Mike E. Calderón Nov 2018, each school may potentially
lectures nationally and internationally
on implant-related topics. Dr. Mike E. receive up to additional $500/year at the
discretion of our Regional Directors.
Calderón is the founder of Calderón In-
stitute. He is a member of the Academy of
General Dentistry (AGD), the Academy
of Osseointegration (AO), fellow of the
American Academy of Implant Dentist-
ry (AAID), diplomat of the International
Figure 7. CTO post-op photo. Congress of Oral Implantology (ICOI)
CTO Post as well as a diplomat of the American
CTO Post Board of Oral Implantology (ABOI).
treatment www.nysagd.org l Fall 2018 l GP 17
treatment

6- Final periapical radiographs are taken to confirm proper 3 dimensional placement and labial bone thickness.
6- Final periapical radiographs are taken to confirm proper 3 dimensional placement and labial bone thickness.

CTO Cross-cut
CTO Periapical

CTO Cross-cut
In conclusion, the CTO technique allows for immediate implant placement, initial fixation, immediate loading, same day visit,
CTO Periapical

application without the use of a CBCT (If necessary). This allows the best treatment possible for the patient, minimizes visits
and chair time. What more could we ask for.....

I am “Mikey” from the Calderon Institute
Calderoninstitute.com

In conclusion, the CTO technique allows for immediate implant placement, initial fixation, immediate loading, same day visit,
application without the use of a CBCT (If necessary). This allows the best treatment possible for the patient, minimizes visits
and chair time. What more could we ask for.....
I am “Mikey” from the Calderon Institute
Calderoninstitute.com