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