On the Mic with MAP Podcast: Mapping the Way to Predictable Implant Dentistry

What Every Dental Implant Surgeon Should Know About Remote Anchorage Non-Zygomatic Approach

https://www.pikosinstitute.com/live-courses/pterygoid-implant-course-with-non-zygomatic

We’re bringing back a fan-favorite episode of On the Mic with MAP! In this throwback to episode 5, Dr. Michael A. Pikos dives deep into remote anchorage solutions for full arch implant therapy—without relying on zygomatic implants. We’re re-running the conversation, but the message remains the same: understanding alternative anchorage strategies is essential to expanding your full arch capabilities.

Following the overwhelming response to our discussion on zygomatic implants, this episode explores alternative surgical strategies for treating the atrophic maxilla, including:

✅ Pterygoid implants
✅ Palatal approach implants
✅ Paranasal implants
✅ Trans-sinus protocols

Dr. Pikos breaks down:

• When and why to use non-zygomatic approaches
• How pterygoid implants eliminate distal cantilevers
• The role of cortical anchorage in full arch stability
• Common complications and how to avoid them
• Why restorative understanding is critical for surgical success

Whether you’re revisiting this fan favorite or tuning in for the first time, this episode provides clinical insight, real-world application, and surgical strategy to help expand your full arch capabilities and reduce reliance on zygomatic implants.

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What separates following a surgical protocol from truly understanding why it works?

In this episode of On the Mic with MAP: Mapping the Way to Predictable Implant Dentistry, Dr. Michael A. Pikos welcomes Dr. Richard Miron for a conversation about the science behind regenerative dentistry—and how that science informs clinical decisions.

Drawing on their years of research, teaching, and collaboration, they explore the evolution of platelet-rich fibrin (PRF), extended PRF membranes, bone graft selection, and the importance of understanding biomaterial properties. Dr. Miron also shares his perspective on emerging research involving processed allografts, exosomes, facial esthetics, and combination therapies using lasers and biologics.

The conversation closes with a powerful discussion about education: why sharing failures and complications matters, how mentorship shapes clinical growth, and why understanding the biology remains central to responsible implant care.

In this episode:
• Translating laboratory research into clinically relevant questions
• The evolution of PRF and extended PRF membranes
• Understanding the rationale behind bone graft selection
• Emerging directions in regenerative research
• The value of teaching complication prevention and management

Listen for a closer look at the science, judgment, and honest conversations that move implant education forward.

Explore continuing education at PikosInstitute.com.

00:20 Welcome and introduction

Dr. Pikos introduces his guest and their longstanding collaboration.

01:10 Dr. Miron’s background

Training in Canada and Switzerland, molecular and cell biology, and biomaterials research.

02:48 Books, teaching, and humility

Writing, faculty involvement, and an approachable teaching philosophy.

07:31 Research that changes patient care

How mentorship shifted Dr. Miron toward clinically relevant research questions.

10:30 Connecting researchers and clinicians

Differences in academic environments and the importance of collaboration.

12:11 Finding that connection at Pikos Institute

Bringing laboratory science and clinical education together.

13:20 The evolution of PRF

Horizontal centrifugation, collection tubes, and extended PRF.

14:38 Extended PRF in clinical applications

Early experiences, membrane applications, and clinician-led exploration.

18:00 Understanding bone graft materials

Material properties, selection, and gaps in foundational knowledge.

20:53 The biology behind the technique

Why clinicians need to understand the rationale for treatment decisions.

23:21 New directions in allograft research

Processing methods and discussion of premixed graft concepts.

25:58 Procedure-specific graft mixtures

Dr. Miron’s vision for simplifying material selection.

26:56 Exosomes and regenerative research

Discussion of application-specific biologic approaches.

29:07 PRF and facial esthetics

How patient interest led to work beyond dental applications.

31:27 Lasers and combination therapies

Discussion of lasers alongside PRF and growth factors.

33:20 Friendship and professional impact

Dr. Pikos reflects on their collaboration.

35:03 Teaching failures and complications

Why honest education requires more than successful cases.

36:31 Prevention, management, and shared learning

Dr. Pikos explains the role of his own complications in teaching.

38:11 Closing remarks

Personal appreciation and their ongoing relationship.Connect with us on Social Media: Facebook: https://www.facebook.com/pikosinstituteInstagram: https://www.instagram.com/pikosinstitute/LinkedIn: https://www.linkedin.com/company/pikos-institute/Twitter/X: ⁠https://x.com/PikosInstituteSpotify: https://open.spotify.com/show/6Sj8qBsxCM8az1BmWzIdUi?si=51d7a9dad5f0405dApple Podcasts: https://podcasts.apple.com/us/podcast/on-the-mic-with-map-podcast-mapping-the-way/id1878393358

Successful implant reconstruction requires more than rebuilding bone. Soft tissue management, clinical judgment, and complication prevention all play essential roles.

In this episode of On the Mic with MAP: Mapping the Way to Predictable Implant Dentistry, Dr. Michael A. Pikos welcomes Dr. Jose Luis Mompell and Dr. Juan L. Chao to discuss the evolution of reconstructive oral surgery.

Together, they explore autogenous bone grafting, the Khoury Split Bone Block technique, and how digital guides and 3D printed models are changing their approach to bone augmentation. They also share lessons from their own complications and explain why clinicians need a thoughtful progression from simpler cases to more demanding reconstructions.

Discover why they describe soft tissue as an implant’s “seatbelt,” how portions of their digital workflow move outside the patient’s mouth, and why technology still depends on the surgeon’s hands.

The conversation also previews their three-day Mastering Reconstructive Oral Surgery course at the Pikos Institute in February 2027.

Explore continuing education opportunities at PikosInstitute.com.

00:14 Welcome and guest introductions

01:25 Background in oral surgery and bone augmentation

02:14 The growing need for reconstructive treatment

03:10 Integrating soft tissue and digital workflows

04:43 Preview of the three-day Pikos Institute course

05:15 Why soft tissue instruction comes before bone grafting

06:02 Building confidence through step-by-step training

08:05 Understanding the Khoury Split Bone Block technique

09:25 Horizontal, vertical, and combined defects

10:30 Their philosophy on autogenous tissue

11:48 Soft tissue as an implant’s “seatbelt”

13:04 Complications and lessons from their own cases

15:56 How their reconstructive protocols evolved

17:12 Transitioning to digitally designed procedures

18:37 Case selection and the learning curve

22:42 How their guided digital workflow began

23:09 Guides, templates, and working outside the mouth

24:15 Initial skepticism and site-specific bone harvesting

25:12 Shaping and transferring bone plates using a 3D printed model

26:01 Why digital technology still depends on soft tissue management

26:46 Dr. Pikos reflects on tissue thickness and graft protection

28:23 Course preview and closing invitation

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Full-arch dentistry is often discussed in terms of implant positioning, immediate loading, digital workflows, prosthetic design, and clinical outcomes. But to truly go Beyond the Arch™, clinicians must recognize the person—and the story—behind every case.

In this episode of On the Mic with MAP, Dr. Michael A. Pikos takes listeners Beyond the Arch™ to explore the human side of full-arch implant dentistry. Drawing on more than four decades of clinical experience, he explains why listening to the patient, rebuilding trust, and understanding what brought them to treatment are just as important as surgical and restorative excellence.

Many patients arrive after years of pain, failing teeth, unsuccessful treatments, embarrassment, financial investment, and lost confidence. Going Beyond the Arch™ means understanding that treatment is not simply about replacing teeth. It can restore a patient’s comfort, dignity, confidence, ability to eat, and willingness to smile again.

Dr. Pikos also discusses the responsibility of the entire dental team, the danger of allowing routine procedures to feel routine to the patient, and the importance of measuring success beyond implant survival.

Can the patient eat comfortably? Are they smiling again? Do they trust their new teeth? Has their life genuinely improved?

Because going Beyond the Arch™ means recognizing that clinical excellence gets the patient through the procedure—but human excellence gets them through the journey.

00:20 It’s not about the arches—it’s about the people

00:46 The rapid evolution of full-arch dentistry

01:24 Looking beyond implants and prostheses

02:01 Every patient arrives with a story

03:07 Rebuilding trust before rebuilding the mouth

03:35 Why clinicians must slow down and truly listen

04:03 The consultation is not about selling dentistry

04:59 Anatomy provides information; the patient’s story provides understanding

05:25 The problem with impersonal, assembly-line care

06:46 What are we really restoring?

07:21 Confidence, dignity, comfort, and quality of life

08:17 A routine procedure can be life-changing for the patient

09:23 Never allow treatment to feel routine to the patient

10:20 Preparing the entire team to understand patient fear

11:10 Patients experience one team—not separate departments

12:09 Clinical excellence versus human excellence

12:38 The emotional moment when the patient sees the result

13:20 Measuring outcomes beyond implant survival

14:20 Technology should make care more personal

16:00 The most important lessons are not always surgical

18:30 Why Dr. Pikos continues to love what he does

19:08 Closing

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Mastering a surgical technique is only the beginning. True clinical growth comes from understanding why, when—and when not—to use it.

In Episode 15 of On the Mic with MAP, Dr. Michael A. Pikos goes Beyond the Arch™ to explore the value of educational diversity in implant dentistry. He explains how exposure to different clinical backgrounds, philosophies, biomaterials, workflows, and approaches to complications helps clinicians develop stronger judgment and make better decisions.

From full-arch treatment and remote anchorage to hard- and soft-tissue grafting, no single technique is right for every patient. Dr. Pikos discusses the importance of respecting anatomy and biology, anticipating complications, preparing a Plan B, and customizing treatment to the individual case.

The goal of meaningful education is not to produce clinicians who simply follow protocols. It is to develop independent thinkers and confident decision-makers capable of delivering predictable, patient-specific care.

00:20 Introducing educational diversity

00:50 Why clinicians may approach the same case differently

01:49 Education versus indoctrination

02:23 Developing thinkers instead of doers

03:40 Looking beyond technique to anatomy and indications

05:14 Why great education develops judgment

05:47 The value of diverse faculty backgrounds

07:23 Learning multiple approaches to complications

08:22 The importance of in-depth lectures and focused Q&A

10:46 Evidence-based education with clinical relevance

12:18 Challenging established thinking and techniques

13:20 Clinical growth: how, when, and when not

14:18 Why one approach does not fit every patient

15:44 One diagnosis with multiple treatment options

16:22 Planning for complications and preparing a Plan B

18:16 Developing decision-makers—not protocol followers

18:44 Creating a community of clinical excellence

19:43 The question every clinician should continue asking

20:08 Closing thoughtsConnect with us on Social Media:

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Dr. Steven Rasner didn’t graduate at the top of his dental class or begin his career with prestigious opportunities. He returned to his rural New Jersey hometown because it was the only opportunity available—and used continuing education to completely transform his confidence, clinical skills, and future.

In this episode of On the Mic with MAP: Mapping the Way to Predictable Implant Dentistry, Dr. Michael A. Pikos sits down with his longtime friend and colleague to discuss Dr. Rasner’s remarkable 46-year career.

They explore how live continuing education helped him build a thriving fee-for-service practice in a blue-collar community, become a respected educator, and establish the Rasner Institute. Dr. Rasner also shares candid advice for younger clinicians about failure, confidence, case acceptance, lifelong learning, and taking ownership of their professional growth.

This conversation is a powerful reminder that your starting point does not determine how far you can go. Invest in yourself, eliminate excuses, and never stop learning.

00:20 – Introduction
Dr. Pikos introduces Dr. Steven Rasner and reflects on his 46-year dental career.

01:19 – An Unconventional Beginning
Dr. Rasner explains why his journey did not begin at the top of his class.

02:42 – Returning Home
Limited opportunities led him back to rural New Jersey to practice with his father.

03:40 – Discovering Continuing Education
How CE gave Dr. Rasner a new direction and transformed his outlook.

04:30 – Learning from Dentistry’s Leading Educators
Lessons and inspiration from Dawson, Spear, Kois, Misch, Pikos, and others.

06:22 – How Education Builds Confidence
Dr. Pikos and Dr. Rasner discuss the connection between knowledge, confidence, and clinical growth.

08:15 – The Transformation of a Practice
How education influenced treatment planning, team development, and practice performance.

09:00 – Advice for Young Dentists
Live below your means—but never hesitate to invest in your education.

10:05 – Confidence and Case Acceptance
Presenting comprehensive care with confidence, honesty, and genuine concern for patients.

11:50 – Becoming an Educator
How a successful rural practice led Dr. Rasner to begin teaching practice management.

12:00 – Building a $4 Million Solo Practice
Creating an exceptional practice through comprehensive care rather than patient volume.

14:41 – “Dentistry Is My Golf”
Why Dr. Rasner continues pursuing advanced education at 72 years old.

16:31 – Bridging Education and Patient Care
The development and purpose of the Rasner Institute.

20:44 – The Fulfillment of Teaching
Why seeing former students succeed has become one of his greatest professional honors.

22:54 – Success in a Blue-Collar Community
Building a thriving fee-for-service practice in an economically challenged area.

23:35 – Implementation Creates Growth
Why applying what you learn is just as important as attending the course.

24:49 – The Irreplaceable Value of Live CE
The conversations, mentorship, relationships, and opportunities that cannot be replicated online.

27:11 – The Limitations of Social Media Education
Why online content may create unrealistic expectations about clinical outcomes.

28:48 – Entering the “Fourth Quarter”
Dr. Pikos and Dr. Rasner reflect on longevity, purpose, and continuing to grow.

31:15 – Invest in Yourself
Dr. Rasner delivers his most important advice for younger clinicians.

33:19 – Final Reflections
Dr. Pikos reinforces the importance of ownership, education, and eliminating excuses.

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Are lectures alone enough to create better clinicians?

In this episode of On the Mic with MAP: Mapping the Way to Predictable Implant Dentistry, Dr. Michael A. Pikos discusses one of the most important—and often overlooked—topics in continuing education:

What makes education truly meaningful?

Drawing on more than three decades of teaching clinicians around the world, Dr. Pikos explains why information alone doesn't create competence. Instead, predictable clinical success comes from understanding biology, anatomy, diagnosis, critical thinking, sound decision-making, and learning from complications.

Topics include:

✔ Information vs. transformation
✔ Why understanding "why" matters more than memorizing techniques
✔ Building clinical judgment and confidence
✔ The importance of anatomy, diagnosis, and treatment planning
✔ Why complications are the greatest teachers
✔ Lifelong learning in implant dentistry
✔ The educational philosophy behind the Pikos Institute

Whether you're placing your first implant or have decades of experience, this episode offers valuable insight into becoming a more thoughtful, confident, and predictable clinician.

Subscribe for future episodes of On the Mic with MAP featuring leading educators and experts in implant dentistry.

Learn more about Pikos Institute live courses:
https://www.PikosInstitute.com

00:00 – Introduction: What is meaningful education?

01:00 – Information vs. transformation in learning

02:00 – Why competence requires structured thinking, not information overload

03:45 – Why fundamentals always matter: anatomy, diagnosis, and treatment planning

05:05 – Teaching beginners and experienced surgeons at the same time

06:10 – Moving from technician to thinker

07:40 – Developing clinical judgment through mentorship and experience

08:40 – Why complications create the greatest learning opportunities

10:40 – Lifelong learning and evaluating new technology critically

11:50 – The responsibility educators have to their students and patients

13:10 – The mission of the Pikos Institute

15:25 – Why the live course experience matters

17:10 – Final thoughts: becoming better every day

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Purpose drives great clinicians.

In this episode of On the Mic with MAP, Dr. Michael A. Pikos welcomes Dr. Simon Oh for a discussion that goes far beyond surgical techniques.

Dr. Oh shares the personal journey that led him from professional burnout to discovering purpose through full-arch implant dentistry. Together they discuss education, mentorship, humanitarian outreach, advanced implant reconstruction, and the responsibility every clinician accepts when restoring a patient's smile.

Listeners will also hear the inspiring story behind Dr. Oh's work in Guatemala, where he is helping develop sustainable education programs that empower local surgeons to provide advanced care within their own communities.

This conversation serves as a reminder that excellent implant dentistry is about more than placing implants—it's about changing lives through education, compassion, and lifelong learning.

Connect with us on Social Media: Facebook: https://www.facebook.com/pikosinstituteInstagram: https://www.instagram.com/pikosinstitute/LinkedIn: https://www.linkedin.com/company/pikos-institute/Twitter/X: ⁠https://x.com/PikosInstituteSpotify: https://open.spotify.com/show/6Sj8qBsxCM8az1BmWzIdUi?si=51d7a9dad5f0405dApple Podcasts: https://podcasts.apple.com/us/podcast/on-the-mic-with-map-podcast-mapping-the-way/id1878393358

00:00 – Introduction

• Dr. Michael Pikos introduces Dr. Simon Oh
• Overview of Simon's accomplishments and humanitarian work

1:05 – Simon's Journey into Full-Arch Dentistry

• OMS residency
• Leaving residency
• Building a DSO
• Burnout treating routine dentistry
• Discovering purpose through full-arch treatment

3:30 – Humanitarian Mission in Guatemala

• Discovering the need
• Bringing zygomatic implant treatment
• Creating sustainable education
• University partnerships

6:00 – Building Sustainable Healthcare

• Treating patients first

• Tumor reconstruction
• Craniofacial care
• Operation Smile collaboration
• Long-term vision for Guatemala

8:25 – Learning Full-Arch Dentistry

• Reading literature
• Mentors
• Brazil training
• Importance of live surgical education
• Learning from pioneers

12:50 – Building a Patient-First Full-Arch Practice

• Philosophy behind his DSO
• FP1 vs overdentures
• Technology
• Treatment planning
• Patient-centered decision making

15:00 – Life Outside Dentistry

• Family
• Parenting
• Work-life balance
• Personal interests

18:00 – Advice for Young Clinicians

• Responsibility of treating full-arch patients
• Mentorship
• Continuing education
• Community learning
• Never stop improving

20:00 – Final Thoughts

• Commitment to education
• Leadership
• Lifelong learning
• Closing remarks

Episode 11: Soft Tissue, Biology & Predictable Full-Arch Outcomes with Dr. Tomasz Kaczyński

What separates predictable full-arch clinicians from those who simply place implants?

In this episode of On the Mic with MAP: Mapping the Way to Predictable Implant Dentistry, Dr. Michael A. Pikos welcomes internationally recognized periodontist Dr. Thomas Kaczynski for an insightful discussion on the principles that create long-term implant success.

Together, they explore why mastering single implant therapy remains the foundation for predictable full-arch reconstruction, how proper soft tissue management influences long-term biological stability, and why clinicians should resist the temptation to shortcut their education.

The conversation also covers pterygoid implants, treatment planning philosophy, common complications, patient follow-up, mentorship, and the importance of lifelong learning in implant dentistry.

Whether you're beginning your implant journey or refining advanced protocols, this episode offers practical clinical insights that can immediately improve your decision-making.

• Transitioning from periodontics to full-arch implant therapy

• Why every clinician should master single implants first

• The role of bone grafting and soft tissue in long-term success

• Preventive surgical strategies that reduce future complications

• When to graft—and when not to

• Pterygoid implants versus zygomatic implants

• The value of structured education and mentorship

• Why long-term follow-up matters more than social media highlights

• Advice for young implant clinicians

Subscribe for future episodes featuring world-renowned educators discussing the latest concepts in implant dentistry, regenerative therapy, full-arch reconstruction, and evidence-based surgical protocols.

0:00–2:00 Introduction and guest introduction

2:00–5:00 Dr. Kaczynski's journey from periodontics to full-arch surgery

5:00–9:00 Why mastering single implants comes before full-arch rehabilitation

9:00–13:00 The importance of biology, bone grafting, and soft tissue management

13:00–17:00 Preventive soft tissue protocols and minimizing secondary surgeries

17:00–20:00 Training philosophy and Full-Arch Immersion education program

20:00–24:00 Pterygoid implants vs. zygomatic implants and reducing complications

24:00–28:00 Common complications in full-arch implant therapy and long-term maintenance

28:00–31:00 Advice for young clinicians entering implant dentistry

31:00–End Final thoughts on mentorship, education, ethics, and continuous learningConnect with us on Social Media: Facebook: https://www.facebook.com/pikosinstituteInstagram: https://www.instagram.com/pikosinstitute/LinkedIn: https://www.linkedin.com/company/pikos-institute/Twitter/X: ⁠https://x.com/PikosInstituteSpotify: https://open.spotify.com/show/6Sj8qBsxCM8az1BmWzIdUi?si=51d7a9dad5f0405dApple Podcasts: https://podcasts.apple.com/us/podcast/on-the-mic-with-map-podcast-mapping-the-way/id1878393358

In Episode 10 of On the Mic with MAP: Mapping the Way to Predictable Implant Dentistry, Dr. Michael A. Pikos explores one of the most overlooked factors in implant dentistry: soft tissue management.

While most full-arch education focuses on implant placement and bone grafting, long-term esthetic, biologic, phonetic, and restorative success is often determined by the "Z" in Dr. Pikos' All-on-XYZ™ philosophy—soft tissue.

Discover why tissue thickness, keratinized tissue, vestibuloplasty procedures, flap design, and phenotype management are critical for achieving predictable full-arch outcomes that stand the test of time.

In This Episode:

✔ Understanding the All-on-XYZ™ philosophy
✔ Why soft tissue matters more than most clinicians realize
✔ The relationship between tissue phenotype and implant longevity
✔ Surgical strategies for improving tissue stability
✔ Vestibuloplasty and soft tissue augmentation techniques
✔ Immediate provisionalization as a tissue-shaping tool
✔ Why many implant complications are actually tissue-related
✔ The future of tissue-driven full-arch treatment planning

00:00 Introduction

00:20 The Origins of the All-on-XYZ™ Philosophy

01:25 Why Soft Tissue Is the Real Foundation

02:17 How Soft Tissue Impacts Esthetics

02:52 Hygiene Access, Phonetics & Long-Term Stability

03:26 Thin Phenotypes and Future Complications

04:51 Bone Grafting vs. Soft Tissue Management

05:47 Vestibuloplasty with Acellular Dermal Matrix

06:22 Why Many Implant Failures Are Tissue Related

06:53 The Biology of Full-Arch Success

07:43 Emergence Profiles and Tissue Health

08:45 Surgical Strategies for Soft Tissue Enhancement

09:15 Flap Design Principles for Full-Arch Cases

10:45 Tissue Preservation Techniques

11:24 Vestibuloplasty and Tissue Volume Enhancement

11:55 Immediate Provisionalization as a Tissue-Shaping Tool

12:24 Tissue-Driven Treatment Planning

12:55 Growth Factors, Biologics & Soft Tissue Architecture

13:21 Remote Anchorage and Soft Tissue Management

13:47 What Patients Really Want

15:02 The True Meaning of the Z Factor

15:30 Final Takeaways

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In Episode 9 of On The Mic with MAP: Mapping the Way to Predictable Implant Dentistry, Dr. Michael A. Pikos welcomes internationally respected oral and maxillofacial surgeon Dr. Vishtasb Broumand for an insightful discussion on some of the most complex challenges in implant dentistry today.

Drawing from decades of experience in tumor reconstruction, advanced implant rehabilitation, and revision surgery, Dr. Broumand shares how he became a referral destination for some of the most difficult implant complications and catastrophic full-arch failures.

The conversation explores the rapidly evolving role of patient-specific implants (PSIs), treatment options for severely atrophic jaws, the importance of soft tissue management, and why mastering surgical fundamentals remains essential for long-term success.

Topics discussed include:

• Patient-Specific Implants (PSIs) for severe maxillary and mandibular defects

• Managing failed All-on-X and full-arch implant cases

• Soft tissue principles that drive long-term implant success

• Designing predictable custom implant frameworks

• Revision surgery strategies for complex complications

• Clinical decision-making for advanced reconstruction cases

• The importance of surgical foundations and lifelong learning

• Why social media can create unrealistic expectations for developing clinicians

One of the most memorable takeaways from the episode is Dr. Broumand's reminder that successful clinicians are built through years of experience, education, and repetition—not shortcuts.

Whether you are a general dentist, oral surgeon, periodontist, prosthodontist, or implantologist, this episode offers valuable clinical insights and practical wisdom for navigating the increasingly complex world of implant dentistry.

Learn more about advanced implant education at PikosInstitute.com

00:00 Introduction & Welcome Dr. Vishtasb Broumand
01:52 Early referral cases and professional relationship
03:03 Leaving Miami and moving to Arizona
06:38 Building a practice focused on complex revision surgery
08:31 Why difficult implant failures get referred to specialists
09:01 Introduction to Patient-Specific Implants (PSIs)
10:01 Cases where conventional implants are no longer possible
11:23 Managing severe maxillary defects and failed All-on-X cases
13:31 Risks and complications of subperiosteal implants
15:10 Evolution of PSI design and manufacturing
17:31 Why soft tissue management is critical for success
18:32 Preventing implant exposure and long-term complications
20:47 The future of patient-specific implant reconstruction
22:04 Selecting the right PSI candidates
23:16 Advice for young clinicians entering implant dentistry
24:10 Why fundamentals matter more than social media highlights
25:35 The importance of continuing education and mentorship
28:43 Lifelong learning and becoming the best clinician possible
30:14 Closing remarks

In this episode of On the Mic with MAP: Mapping the way to Predictable Implant Dentistry, Dr. Michael A. Pikos sits down with internationally recognized implant clinician and educator Dr. Pedro Moura from Porto, Portugal for a deep conversation on modern full-arch implant rehabilitation, remote anchorage strategies, and the evolution of treatment for the severely atrophic maxilla.

In this episode, Dr. Moura shares his philosophy on predictable full-arch therapy, including the use of pterygoid implants, trans-sinus approaches, palatal implants, guided surgery, and how today’s minimally invasive protocols are helping clinicians avoid more aggressive zygomatic procedures whenever possible.

The discussion also dives into:

✅ FP1 vs FP3 treatment philosophies
✅ Guided surgery for complex full-arch cases
✅ The realities of complications in implant dentistry
✅ Why prosthetic complications remain the biggest challenge
✅ The importance of biomechanics and prosthetically driven treatment planning
✅ Managing bruxers and reducing cantilevers
✅ Why every clinician needs a “Plan B” during surgery
✅ Advice for young clinicians entering full-arch implant therapy

This episode delivers practical insights, real-world experience, and honest discussion around what truly creates long-term predictability in implant dentistry.

Time Stamps

00:00 – Introduction to Dr. Pedro Moura
01:26 – Building a training center & clinical residency programs
03:00 – Why real clinical follow-up matters more than social media dentistry
03:56 – Growing up in a family of dental technicians
06:10 – Dr. Moura’s philosophy on full-arch rehabilitation
06:57 – FP1 vs FP3 treatment concepts
08:01 – Avoiding zygomatic implants whenever possible
09:20 – Guided surgery for pterygoid and trans-sinus implants
10:01 – How modern zygomatic workflows have evolved
11:37 – Why fully “brain-guided” surgery can be difficult to teach
14:03 – Photogrammetry and digital workflows in full-arch therapy
15:10 – The evolution of the palatal implant approach
17:17 – Why exposed palatal threads are often not problematic
18:08 – When palatal implants truly shine clinically
20:04 – Why trans-sinus implants are more difficult than they appear
22:08 – The importance of always having a Plan B
24:08 – Immediate load realities and managing low torque situations
26:22 – The most common complications in full-arch dentistry
27:46 – Managing bruxers and minimizing cantilevers
29:26 – Advice for young clinicians entering full-arch therapy
31:02 – Prosthetically driven implant dentistry philosophy
31:26 – Closing thoughts and where to learn more from Dr. MouraConnect with us on Social Media:

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Dr. Michael A. Pikos returns for Episode 7 of On the Mic with MAP: Mapping the Way to Predictable Implant Dentistry to discuss one of the most important and misunderstood topics in full-arch implant therapy: zygomatic implant complications.

In this episode, Dr. Pikos breaks down:

• The major differences between hybrid and quad zygomatic cases
• Why quad zygoma cases are in a class of their own
• The “dreaded triad” of complications:
✓ Sinusitis
✓ Oroantral communication
✓ Implant failure/distress
• Orbital intrusion risks and surgical anatomy considerations
• Why pterygoid implants can often reduce the need for zygomatic implants
• The importance of surgical experience, diagnostics, and patient selection
• The progression of full-arch education from foundational concepts to advanced remote anchorage protocols

This episode is essential viewing for clinicians interested in:
✓ Full-arch implant reconstruction
✓ Remote anchorage protocols
✓ Zygomatic implants
✓ Pterygoid implants
✓ Advanced implant surgery
✓ Surgical complication prevention and management

Learn more about advanced implant education at:
PikosInstitute.com

• 0:00 – Introduction
• 0:20 – Why this topic matters
• 1:27 – Intraoperative vs early vs late complications
• 2:00 – Cases that may not require zygomatic implants
• 2:53 – Hybrid vs quad zygomatic cases
• 4:07 – The “dreaded triad” of complications
• 6:17 – Why pterygoid implants are a game changer
• 7:22 – Managing sinusitis and oroantral communication
• 10:04 – Sinus membrane integrity and complication risk
• 13:08 – Orbital intrusion risks explained
• 15:36 – Why zygomatic implant training matters
• 16:05 – The Pikos Institute Full Arch Learning Ladder
• 22:04 – Why zygomatic implant placement is more than surgery
• 24:58 – Why complication management matters
• 25:51 – Final thoughts and encouragement

Connect with us on Social Media: Facebook: https://www.facebook.com/pikosinstituteInstagram: https://www.instagram.com/pikosinstitute/LinkedIn: https://www.linkedin.com/company/pikos-institute/Twitter/X: ⁠https://x.com/PikosInstituteSpotify: https://open.spotify.com/show/6Sj8qBsxCM8az1BmWzIdUi?si=51d7a9dad5f0405dApple Podcasts: https://podcasts.apple.com/us/podcast/on-the-mic-with-map-podcast-mapping-the-way/id1878393358

Peri-implantitis is one of the fastest-growing complications in implant dentistry—and one of the most misunderstood.

In this episode, Dr. Michael A. Pikos welcomes internationally recognized researcher Dr. George Kotsakis for a powerful discussion on the evidence, misconceptions, and future of peri-implant disease prevention and treatment.

From diagnosis and risk factors to implant surface decontamination, prosthetic design, surgical intervention, and emerging host modulation therapies, this conversation delivers practical insight every implant clinician needs now.

If you place implants, restore implants, or maintain implant patients—this episode is required listening.

00:00 — Introduction to Episode 6 & Guest Introduction
00:20 — Dr. George Kotsakis Background: Greece to U.S. Dentistry Journey
03:22 — Why Curiosity Led Him into Peri-Implantitis Research
05:10 — University of Washington, Texas, and Rutgers Academic Career
10:49 — Why Peri-Implantitis Is Now a Clinical Reality
12:27 — Modern Evidence-Based Prevention & Diagnostic Frameworks
14:42 — The Biggest Modifiable Risk Factors Clinicians Overlook
15:23 — Honest Patient Communication & Treatment Reliability
17:58 — When Is It Better to Remove the Implant?
20:18 — “Less Is More” Around Implant Surface Treatment
22:05 — Why Chlorhexidine May Reduce Bone Regeneration
23:01 — Lasers in Peri-Implantitis Therapy: Promise vs Reality
25:23 — Prosthetic Design & Emergence Profile as a Risk Factor
29:05 — Full Arch Bone/Soft Tissue Considerations Often Ignored
34:01 — Future of Peri-Implantitis Treatment & Host Modulation
36:40 — Closing Thoughts🎧 Listen on Spotify, Apple Podcasts, or watch on YouTube🔗 Explore courses at PikosInstitute.com

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In Episode 5 of On the Mic with MAP, Dr. Michael A. Pikos dives deep into remote anchorage solutions for full arch implant therapy—without relying on zygomatic implants.

Following the overwhelming response to Episode 1 on zygomatic implants, this episode explores alternative surgical strategies for treating the atrophic maxilla, including:

✅ Pterygoid implants
✅ Palatal approach implants
✅ Paranasal implants
✅ Trans-sinus protocols

Dr. Pikos breaks down:

• When and why to use non-zygomatic approaches
• How pterygoid implants eliminate distal cantilever
• The role of cortical anchorage in full arch stability
• Common complications and how to avoid them
• Why restorative understanding is critical for surgical success

If you're looking to expand your full-arch capabilities and reduce reliance on zygomatic implants, this episode provides clinical insight, real-world application, and surgical strategy.

00:00 – 00:56

Introduction

• Episode overview
• Recap of zygomatic implant discussion

00:56 – 01:49Why this episode matters

• Demand for non-zygomatic solutions
• Importance of complications in learning

01:49 – 02:21Overview of Remote Anchorage Options

• Pterygoid
• Palatal
• Paranasal
• Trans-sinus

02:21 – 05:05

Pterygoid Implants Deep Dive

• Eliminates distal cantilever
• Reduces need for zygomas
• Ideal for atrophic maxilla

05:05 – 06:25Clinical Advantages

• Efficiency
• Reduced morbidity
• Versatility in revision cases

06:25 – 07:39Technical Considerations

• Learning curve
• Blind procedure
• Guided vs freehand

07:39 – 08:54Palatal Approach

• Game-changing technique
• Strong synergy with pterygoid implants

08:54 – 10:02Paranasal + Trans-Sinus Approaches

• Cortical anchorage principles
• Expanding treatment possibilities

10:02 – 11:47Restorative Integration

• Importance of surgical-restorative communication
• Full-arch workflow considerations

11:47 – 14:58Complications Overview

• Pterygoid risks
• Anatomy challenges
• Importance of CBCT + planning

14:58 – 16:44Palatal + Paranasal Complications

• Loss of torque
• Trajectory issues
• Anchorage failures

16:44 – 17:58Key Takeaway

• First drill (pilot bur) is critical
• Proprioceptive feedback matters

17:58 – 20:30Event Promotion + Closing

• Full Arch Complications Summit
• Multidisciplinary approach
• Legal + anesthesia considerations

In this episode of On the Mic with MAP: Mapping the Way to Predictable Implant Dentistry, Dr. Michael A. Pikos sits down with Dr. Hussein Basma to discuss:

✅ Dual specialty training in periodontics and prosthodontics
✅ The biggest causes of implant complications
✅ Immediate vs delayed implant placement decision-making
✅ Soft tissue management in the esthetic zone
✅ 3D implant positioning and emergence profile
✅ How photography and video improve clinical outcomes
✅ The importance of evidence-based, clinically relevant protocols

This episode is essential for clinicians looking to improve predictability, esthetics, and long-term implant success.

🎧 Listen on Spotify, Apple Podcasts, or watch on YouTube
🔗 Explore courses at PikosInstitute.com

Connect with us on Social Media:

Facebook: https://www.facebook.com/pikosinstitute

Instagram: https://www.instagram.com/pikosinstitute/

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Twitter/X: ⁠https://x.com/PikosInstitute

Spotify: https://open.spotify.com/episode/5JmGSwM7eOrOpAKVFY8F0O?si=Nt5MluomQBeCthhRU79zyA

Apple Podcasts: https://podcasters.spotify.com/pod/show/michael-a-pikosYouTube: https://youtu.be/jeQjIM81jdw

A Perio-Prosth Approach to Dental Implants with Dr. Hussein Basma https://www.pikosinstitute.com/hard-soft-tissue-gbr-courses/mastering-implants-in-the-esthetic-zone

00:00–01:10 — Introduction
• Dr. Michael A. Pikos introduces Dr. Hussein Basma
• Sets up his unique dual specialty background

01:10–03:00 — Prosthodontic Training (Lebanon)
• Full-mouth rehab, implants, removable + fixed
• Early exposure to comprehensive implant care

03:00–04:30 — Periodontics Residency (UAB)
• ~400 implants placed during residency
• Extensive experience in bone + soft tissue grafting

04:30–05:30 — First Exposure to Pikos Institute
• Sinus grafting course experience
• “Changed the way I look at complications”

05:30–07:30 — Dual Training Advantage
• Perio + Prostho synergy
• Rare combination → full-scope clinician

07:30–09:00 — Photography & Education
• Importance of documentation
• 4K video + photography as teaching tools
• Key insight: reviewing complications visually

09:00–12:00 — Esthetic Zone Implant Course (A–Z)
• Immediate vs delayed decision-making
• Emergence profile + prosthetic planning
• Major causes of complications:

• Poor 3D positioning
• Soft tissue deficiencies

12:00–13:30 — Course Success + Demand
• Sold-out trajectory
• High attendee feedback

13:30–16:30 — Education Philosophy (Pikos Standard)
• Teaching the “WHY” vs just technique
• Evidence-based + clinically relevant
• “Monday morning implementation” mindset

16:30–20:30 — What Makes Great CE Valuable
• Implementation > attendance
• Avoiding the “learn and do nothing” trap

20:30–23:00 — Social Media & Continuous Learning
• Using Instagram the right way
• Collaboration > imitation
• Evidence-based validation

23:00–26:30 — Role in Pikos Institute Programs
• Core curriculum + full-arch training
• Faculty impact and mentorship

26:30–32:00 — Pikos Symposium Discussion
• Longer lecture format (90+ mins)
• Depth > surface-level education
• Structured Q&A = real learning

In Episode 3 of On the Mic with MAP, Dr. Michael A. Pikos explores one of the most critical—and often overlooked—topics in implant dentistry:

Full Arch Implant Therapy Complications.

Drawing on decades of clinical experience, Dr. Pikos breaks down:

•

Why complications are inevitable in full-arch cases

•

The critical role of bone and soft tissue grafting

•

The truth behind “graftless” solutions

•

How proper maintenance and follow-up prevent long-term failure

•

Why prosthesis removal is essential for diagnosis

This episode is essential for any clinician looking to improve predictability and long-term success in implant dentistry.

00:00 – Introduction
Welcome + overview of full arch complications

00:30 – Why complications are inevitable
Experience-based perspective + importance of prevention

01:00 – The real issue: Bone & soft tissue
The “elephant in the room”

02:00 – The myth of “graftless” solutions
Why this mindset leads to failure

03:15 – Clinical scenario: Thin maxilla case
Implant translucency + risk factors

04:30 – Why these cases fail over time
Long-term consequences of under-treatment

05:00 – Veneer grafting approach
70/30 graft protocol + membrane strategy

06:15 – Additional hard tissue concerns
Periodontal defects + trans-sinus cases

06:45 – Soft tissue complications (mandible focus)
Lack of attached tissue risks

07:15 – Connective tissue grafting solutions
Autogenous vs ADM (AlloDerm)

08:45 – Key technique: Managing graft relapse
Planning for 50% shrinkage

10:00 – Rethinking implant foundations
Hard + soft tissue as standard of care

11:20 – The importance of follow-up
Why most clinicians miss complications

12:00 – Maintenance protocols that work
3, 6, 12-month intervals

13:00 – Why you must remove the prosthesis
Hidden complications revealed

14:30 – Disagreeing with current guidelines
Why radiographs alone are not enough

15:30 – Additional benefit: Cancer screening
Critical diagnostic opportunity

16:00 – Final takeaways
Prevention, maintenance, accountability

17:00 – Event invitation
Full Arch Complications Symposium (Orlando)

In this episode, Dr. Michael A. Pikos and Dr. Safa Tahmasebi discuss the philosophy and execution of full-arch implant reconstruction through an evidence-based lens. Recorded during a live course at the Pikos Institute, this conversation explores the integration of surgical and restorative principles, evolving techniques, and the importance of structured education in achieving predictable outcomes.

Key Topics:

•

Evidence-based dentistry is the foundation of predictable implant outcomes

•

Full-arch success depends on integration of surgery, prosthetics, and biology

•

Hybrid workflows are becoming the new clinical standard

•

Education and continuous learning are essential for staying at the forefront

00:00 – Introduction & Course Overview

•

Day 3 of the full-arch program

•

Participant feedback and course structure

01:00 – Building the Foundation: The “Why”

•

Importance of science over “how-to” training

•

Avoiding procedural-only education

02:30 – All-on-XYZ Concept Explained

•

Beyond implant count

•

Role of bone and soft tissue in long-term success

04:00 – Hands-On Training & Clinical Relevance

•

Realistic patient-based models

•

Bridging theory to real-world execution

05:30 – Occlusion-Driven Implant Planning

•

Prosthetic-first approach

•

Implant positioning guided by restorative outcomes

06:30 – Digital vs. Analog Workflows

•

Hybrid workflow approach

•

Incorporating photogrammetry and evolving technology

07:30 – The 7-Level Education Continuum

•

Structured progression from beginner to advanced cases

08:30 – The Shift Away from Zygomatic Implants

•

When they are appropriate

•

Rise of alternative anchorage solutions

10:30 – Managing Complex Maxillary & Mandibular Cases

•

Limitations of the mandible

•

Introduction to subperiosteal implants

12:30 – The Future of Implant Education & Innovation

•

Digital advancements

•

Continuous evolution of techniques

Connect with us on Social Media:

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In this inaugural episode of "On the Mic" with MAP: Mapping the Way to Predictable Implant Dentistry, Dr. Michael A. Pikos explores the evolving role of zygomatic implants in full-arch reconstruction. Drawing on decades of experience, he discusses clinical indications, complications, and modern alternatives that can reduce the need for zygomatic implants.

Key Topics:

•

The real indications for zygomatic implants

•

Why they may be overused

•

The “dreaded triad” of complications

•

Remote anchorage solutions

•

Patient-first treatment philosophy

•

Training pathways for clinicians

You can watch the video version of this podcast on the Pikos Institute YouTube channel at: https://youtu.be/OQ_YzrUeW0c

Connect with us on Social Media: Facebook: https://www.facebook.com/pikosinstituteInstagram: https://www.instagram.com/pikosinstitute/LinkedIn: https://www.linkedin.com/company/pikos-institute/Twitter/X: https://x.com/PikosInstitute