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

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 approachesHow pterygoid implants eliminate distal cantileverThe role of cortical anchorage in full arch stabilityCommon complications and how to avoid themWhy restorative understanding is critical for surgical successIf 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 overviewRecap of zygomatic implant discussion00:56 – 01:49Why this episode matters Demand for non-zygomatic solutionsImportance of complications in learning01:49 – 02:21Overview of Remote Anchorage Options PterygoidPalatalParanasalTrans-sinus02:21 – 05:05 Pterygoid Implants Deep Dive Eliminates distal cantileverReduces need for zygomasIdeal for atrophic maxilla05:05 – 06:25Clinical Advantages EfficiencyReduced morbidityVersatility in revision cases06:25 – 07:39Technical Considerations Learning curveBlind procedureGuided vs freehand07:39 – 08:54Palatal Approach Game-changing techniqueStrong synergy with pterygoid implants08:54 – 10:02Paranasal + Trans-Sinus Approaches Cortical anchorage principlesExpanding treatment possibilities10:02 – 11:47Restorative Integration Importance of surgical-restorative communicationFull-arch workflow considerations11:47 – 14:58Complications Overview Pterygoid risksAnatomy challengesImportance of CBCT + planning14:58 – 16:44Palatal + Paranasal Complications Loss of torqueTrajectory issuesAnchorage failures16:44 – 17:58Key Takeaway First drill (pilot bur) is criticalProprioceptive feedback matters17:58 – 20:30Event Promotion + Closing Full Arch Complications SummitMultidisciplinary approachLegal + 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/ LinkedIn: https://www.linkedin.com/company/pikos-institute/ 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 positioningSoft tissue deficiencies12:00–13:30 — 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: Facebook: https://www.facebook.com/pikosinstitute Instagram: https://www.instagram.com/pikosinstitute/ LinkedIn: https://www.linkedin.com/company/pikos-institute/ 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

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