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

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 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/show/6Sj8qBsxCM8az1BmWzIdUi?si=51d7a9dad5f0405d Apple Podcasts: https://podcasts.apple.com/us/podcast/on-the-mic-with-map-podcast-mapping-the-way/id1878393358

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 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/show/6Sj8qBsxCM8az1BmWzIdUi?si=51d7a9dad5f0405d Apple Podcasts: https://podcasts.apple.com/us/podcast/on-the-mic-with-map-podcast-mapping-the-way/id1878393358

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: 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

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 – IntroductionDr. Pikos introduces Dr. Steven Rasner and reflects on his 46-year dental career. 01:19 – An Unconventional BeginningDr. Rasner explains why his journey did not begin at the top of his class. 02:42 – Returning HomeLimited opportunities led him back to rural New Jersey to practice with his father. 03:40 – Discovering Continuing EducationHow CE gave Dr. Rasner a new direction and transformed his outlook. 04:30 – Learning from Dentistry’s Leading EducatorsLessons and inspiration from Dawson, Spear, Kois, Misch, Pikos, and others. 06:22 – How Education Builds ConfidenceDr. Pikos and Dr. Rasner discuss the connection between knowledge, confidence, and clinical growth. 08:15 – The Transformation of a PracticeHow education influenced treatment planning, team development, and practice performance. 09:00 – Advice for Young DentistsLive below your means—but never hesitate to invest in your education. 10:05 – Confidence and Case AcceptancePresenting comprehensive care with confidence, honesty, and genuine concern for patients. 11:50 – Becoming an EducatorHow a successful rural practice led Dr. Rasner to begin teaching practice management. 12:00 – Building a $4 Million Solo PracticeCreating 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 CareThe development and purpose of the Rasner Institute. 20:44 – The Fulfillment of TeachingWhy seeing former students succeed has become one of his greatest professional honors. 22:54 – Success in a Blue-Collar CommunityBuilding a thriving fee-for-service practice in an economically challenged area. 23:35 – Implementation Creates GrowthWhy applying what you learn is just as important as attending the course. 24:49 – The Irreplaceable Value of Live CEThe conversations, mentorship, relationships, and opportunities that cannot be replicated online. 27:11 – The Limitations of Social Media EducationWhy 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 YourselfDr. Rasner delivers his most important advice for younger clinicians. 33:19 – Final ReflectionsDr. Pikos reinforces the importance of ownership, education, and eliminating excuses. 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/show/6Sj8qBsxCM8az1BmWzIdUi?si=51d7a9dad5f0405d Apple Podcasts: https://podcasts.apple.com/us/podcast/on-the-mic-with-map-podcast-mapping-the-way/id1878393358

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 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/show/6Sj8qBsxCM8az1BmWzIdUi?si=51d7a9dad5f0405d Apple Podcasts: https://podcasts.apple.com/us/podcast/on-the-mic-with-map-podcast-mapping-the-way/id1878393358

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 OhOverview of Simon's accomplishments and humanitarian work1:05 – Simon's Journey into Full-Arch Dentistry OMS residencyLeaving residencyBuilding a DSOBurnout treating routine dentistryDiscovering purpose through full-arch treatment3:30 – Humanitarian Mission in Guatemala Discovering the needBringing zygomatic implant treatmentCreating sustainable educationUniversity partnerships 6:00 – Building Sustainable Healthcare Treating patients firstTumor reconstructionCraniofacial careOperation Smile collaborationLong-term vision for Guatemala8:25 – Learning Full-Arch Dentistry Reading literatureMentorsBrazil trainingImportance of live surgical educationLearning from pioneers12:50 – Building a Patient-First Full-Arch Practice Philosophy behind his DSOFP1 vs overdenturesTechnologyTreatment planningPatient-centered decision making15:00 – Life Outside Dentistry FamilyParentingWork-life balancePersonal interests18:00 – Advice for Young Clinicians Responsibility of treating full-arch patientsMentorshipContinuing educationCommunity learningNever stop improving20:00 – Final Thoughts Commitment to educationLeadershipLifelong learningClosing 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 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/show/6Sj8qBsxCM8az1BmWzIdUi?si=51d7a9dad5f0405d Apple Podcasts: https://podcasts.apple.com/us/podcast/on-the-mic-with-map-podcast-mapping-the-way/id1878393358

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 Broumand01:52 Early referral cases and professional relationship03:03 Leaving Miami and moving to Arizona06:38 Building a practice focused on complex revision surgery08:31 Why difficult implant failures get referred to specialists09:01 Introduction to Patient-Specific Implants (PSIs)10:01 Cases where conventional implants are no longer possible11:23 Managing severe maxillary defects and failed All-on-X cases13:31 Risks and complications of subperiosteal implants15:10 Evolution of PSI design and manufacturing17:31 Why soft tissue management is critical for success18:32 Preventing implant exposure and long-term complications20:47 The future of patient-specific implant reconstruction22:04 Selecting the right PSI candidates23:16 Advice for young clinicians entering implant dentistry24:10 Why fundamentals matter more than social media highlights25:35 The importance of continuing education and mentorship28:43 Lifelong learning and becoming the best clinician possible30:14 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 Moura01:26 – Building a training center & clinical residency programs03:00 – Why real clinical follow-up matters more than social media dentistry03:56 – Growing up in a family of dental technicians06:10 – Dr. Moura’s philosophy on full-arch rehabilitation06:57 – FP1 vs FP3 treatment concepts08:01 – Avoiding zygomatic implants whenever possible09:20 – Guided surgery for pterygoid and trans-sinus implants10:01 – How modern zygomatic workflows have evolved11:37 – Why fully “brain-guided” surgery can be difficult to teach14:03 – Photogrammetry and digital workflows in full-arch therapy15:10 – The evolution of the palatal implant approach17:17 – Why exposed palatal threads are often not problematic18:08 – When palatal implants truly shine clinically20:04 – Why trans-sinus implants are more difficult than they appear22:08 – The importance of always having a Plan B24:08 – Immediate load realities and managing low torque situations26:22 – The most common complications in full-arch dentistry27:46 – Managing bruxers and minimizing cantilevers29:26 – Advice for young clinicians entering full-arch therapy31:02 – Prosthetically driven implant dentistry philosophy31:26 – Closing thoughts and where to learn more from Dr. MouraConnect 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/show/6Sj8qBsxCM8az1BmWzIdUi?si=51d7a9dad5f0405d Apple Podcasts: https://podcasts.apple.com/us/podcast/on-the-mic-with-map-podcast-mapping-the-way/id1878393358 YouTube: https://www.youtube.com/@PikosInstitute/videos

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 casesWhy quad zygoma cases are in a class of their ownThe “dreaded triad” of complications:✓ Sinusitis✓ Oroantral communication✓ Implant failure/distressOrbital intrusion risks and surgical anatomy considerationsWhy pterygoid implants can often reduce the need for zygomatic implantsThe importance of surgical experience, diagnostics, and patient selectionThe progression of full-arch education from foundational concepts to advanced remote anchorage protocolsThis 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 – Introduction0:20 – Why this topic matters1:27 – Intraoperative vs early vs late complications2:00 – Cases that may not require zygomatic implants2:53 – Hybrid vs quad zygomatic cases4:07 – The “dreaded triad” of complications6:17 – Why pterygoid implants are a game changer7:22 – Managing sinusitis and oroantral communication10:04 – Sinus membrane integrity and complication risk13:08 – Orbital intrusion risks explained15:36 – Why zygomatic implant training matters16:05 – The Pikos Institute Full Arch Learning Ladder22:04 – Why zygomatic implant placement is more than surgery24:58 – Why complication management matters25:51 – Final thoughts and encouragementConnect 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 Introduction00:20 — Dr. George Kotsakis Background: Greece to U.S. Dentistry Journey03:22 — Why Curiosity Led Him into Peri-Implantitis Research05:10 — University of Washington, Texas, and Rutgers Academic Career10:49 — Why Peri-Implantitis Is Now a Clinical Reality12:27 — Modern Evidence-Based Prevention & Diagnostic Frameworks14:42 — The Biggest Modifiable Risk Factors Clinicians Overlook15:23 — Honest Patient Communication & Treatment Reliability17:58 — When Is It Better to Remove the Implant?20:18 — “Less Is More” Around Implant Surface Treatment22:05 — Why Chlorhexidine May Reduce Bone Regeneration23:01 — Lasers in Peri-Implantitis Therapy: Promise vs Reality25:23 — Prosthetic Design & Emergence Profile as a Risk Factor29:05 — Full Arch Bone/Soft Tissue Considerations Often Ignored34:01 — Future of Peri-Implantitis Treatment & Host Modulation36:40 — Closing Thoughts🎧 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

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