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

  
  

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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

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