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On the Mic with MAP Podcast: Mapping the Way to Predictable Implant Dentistry: Daily Summaries Delivered
by Michael A. Pikos
The MAP Podcast — Mapping the Way to Predictable Implant Dentistry — is Dr. Michael A. Pikos’ platform to share over 40 years of implant dentistry experience. He created this podcast to discuss real-world clinical insights, modern techniques, and lessons learned in practice, while sharing updates and education from the Pikos Institute. It’s a space for honest conversation, practical knowledge, and advancing excellence in implant dentistry.
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- 6 days ago21 min
Beyond Implants: Purpose, Passion & Full-Arch Dentistry with Dr. Simon Oh
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/id187839335800:00 – IntroductionDr. Michael Pikos introduces Dr. Simon OhOverview of Simon's accomplishments and humanitarian work1:05 – Simon's Journey into Full-Arch DentistryOMS residencyLeaving residencyBuilding a DSOBurnout treating routine dentistryDiscovering purpose through full-arch treatment3:30 – Humanitarian Mission in GuatemalaDiscovering the needBringing zygomatic implant treatmentCreating sustainable educationUniversity partnerships6:00 – Building Sustainable HealthcareTreating patients firstTumor reconstructionCraniofacial careOperation Smile collaborationLong-term vision for Guatemala8:25 – Learning Full-Arch DentistryReading literatureMentorsBrazil trainingImportance of live surgical educationLearning from pioneers12:50 – Building a Patient-First Full-Arch PracticePhilosophy behind his DSOFP1 vs overdenturesTechnologyTreatment planningPatient-centered decision making15:00 – Life Outside DentistryFamilyParentingWork-life balancePersonal interests18:00 – Advice for Young CliniciansResponsibility of treating full-arch patientsMentorshipContinuing educationCommunity learningNever stop improving20:00 – Final ThoughtsCommitment to educationLeadershipLifelong learningClosing remarks
- 2 weeks ago36 min
Soft Tissue, Biology & Predictable Full-Arch Outcomes with Dr. Tomasz Kaczyński
Episode 11: Soft Tissue, Biology & Predictable Full-Arch Outcomes with Dr. Tomasz KaczyńskiWhat 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 cliniciansSubscribe 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 introduction2:00–5:00 Dr. Kaczynski's journey from periodontics to full-arch surgery5:00–9:00 Why mastering single implants comes before full-arch rehabilitation9:00–13:00 The importance of biology, bone grafting, and soft tissue management13:00–17:00 Preventive soft tissue protocols and minimizing secondary surgeries17:00–20:00 Training philosophy and Full-Arch Immersion education program20:00–24:00 Pterygoid implants vs. zygomatic implants and reducing complications24:00–28:00 Common complications in full-arch implant therapy and long-term maintenance28:00–31:00 Advice for young clinicians entering implant dentistry31:00–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
- Jun 25, 202615 min
Beyond the Bone: Why Soft Tissue Is the Real Foundation of Full-Arch Success
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 planning00:00 Introduction00:20 The Origins of the All-on-XYZ™ Philosophy01:25 Why Soft Tissue Is the Real Foundation02:17 How Soft Tissue Impacts Esthetics02:52 Hygiene Access, Phonetics & Long-Term Stability03:26 Thin Phenotypes and Future Complications04:51 Bone Grafting vs. Soft Tissue Management05:47 Vestibuloplasty with Acellular Dermal Matrix06:22 Why Many Implant Failures Are Tissue Related06:53 The Biology of Full-Arch Success07:43 Emergence Profiles and Tissue Health08:45 Surgical Strategies for Soft Tissue Enhancement09:15 Flap Design Principles for Full-Arch Cases10:45 Tissue Preservation Techniques11:24 Vestibuloplasty and Tissue Volume Enhancement11:55 Immediate Provisionalization as a Tissue-Shaping Tool12:24 Tissue-Driven Treatment Planning12:55 Growth Factors, Biologics & Soft Tissue Architecture13:21 Remote Anchorage and Soft Tissue Management13:47 What Patients Really Want15:02 The True Meaning of the Z Factor15:30 Final TakeawaysConnect 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
- Jun 11, 202630 min
Patient-Specific Implants, Full-Arch Failures & Revision Surgery with Dr. Vishtasb Broumand
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 cliniciansOne 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.com00:00 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
- May 28, 202632 min
Remote Anchorage & Full-Arch Predictability with Dr. Pedro Moura
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 therapyThis episode delivers practical insights, real-world experience, and honest discussion around what truly creates long-term predictability in implant dentistry.Time Stamps00:00 – 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/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/id1878393358YouTube: https://www.youtube.com/@PikosInstitute/videos
- May 14, 202626 min
Zygomatic Implant Complications: What Most Clinicians Don't Know
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 managementLearn more about advanced implant education at:PikosInstitute.com0:00 – 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
- Apr 30, 202637 min
Peri-implantitis: Prevention, Management, Future Treatment with Dr. George Kotsakis
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.comConnect 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/episode/5JmGSwM7eOrOpAKVFY8F0O?si=Nt5MluomQBeCthhRU79zyAApple Podcasts: https://podcasters.spotify.com/pod/show/michael-a-pikosYouTube: https://youtu.be/jeQjIM81jdw
- Apr 16, 202620 min
What Every Dental Implant Surgeon Should Know About Remote Anchorage Non-Zygomatic Approach
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 protocolsDr. 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 – 00:56IntroductionEpisode overviewRecap of zygomatic implant discussion00:56 – 01:49Why this episode mattersDemand for non-zygomatic solutionsImportance of complications in learning01:49 – 02:21Overview of Remote Anchorage OptionsPterygoidPalatalParanasalTrans-sinus02:21 – 05:05Pterygoid Implants Deep DiveEliminates distal cantileverReduces need for zygomasIdeal for atrophic maxilla05:05 – 06:25Clinical AdvantagesEfficiencyReduced morbidityVersatility in revision cases06:25 – 07:39Technical ConsiderationsLearning curveBlind procedureGuided vs freehand07:39 – 08:54Palatal ApproachGame-changing techniqueStrong synergy with pterygoid implants08:54 – 10:02Paranasal + Trans-Sinus ApproachesCortical anchorage principlesExpanding treatment possibilities10:02 – 11:47Restorative IntegrationImportance of surgical-restorative communicationFull-arch workflow considerations11:47 – 14:58Complications OverviewPterygoid risksAnatomy challengesImportance of CBCT + planning14:58 – 16:44Palatal + Paranasal ComplicationsLoss of torqueTrajectory issuesAnchorage failures16:44 – 17:58Key TakeawayFirst drill (pilot bur) is criticalProprioceptive feedback matters17:58 – 20:30Event Promotion + ClosingFull Arch Complications SummitMultidisciplinary approachLegal + anesthesia considerations
About On the Mic with MAP Podcast: Mapping the Way to Predictable Implant Dentistry
The MAP Podcast — Mapping the Way to Predictable Implant Dentistry — is Dr. Michael A. Pikos’ platform to share over 40 years of implant dentistry experience. He created this podcast to discuss real-world clinical insights, modern techniques, and lessons learned in practice, while sharing updates and education from the Pikos Institute. It’s a space for honest conversation, practical knowledge, and advancing excellence in implant dentistry.
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