Patient-Specific Implants, Full-Arch Failures & Revision Surgery with Dr. Vishtasb Broumand

<p>In Episode 9 of <em>On The Mic with MAP: Mapping the Way to Predictable Implant Dentistry</em>, Dr. Michael A. Pikos welcomes internationally respected oral and maxillofacial surgeon <strong>Dr. Vishtasb Broumand</strong> for an insightful discussion on some of the most complex challenges in implant dentistry today.</p><p>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.</p><p>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.</p><p>Topics discussed include:</p><p>• Patient-Specific Implants (PSIs) for severe maxillary and mandibular defects</p><p>• Managing failed All-on-X and full-arch implant cases</p><p>• Soft tissue principles that drive long-term implant success</p><p>• Designing predictable custom implant frameworks</p><p>• Revision surgery strategies for complex complications</p><p>• Clinical decision-making for advanced reconstruction cases</p><p>• The importance of surgical foundations and lifelong learning</p><p>• Why social media can create unrealistic expectations for developing clinicians</p><p>One of the most memorable takeaways from the episode is Dr. Broumand&#39;s reminder that successful clinicians are built through years of experience, education, and repetition—not shortcuts.</p><p>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.</p><p>Learn more about advanced implant education at PikosInstitute.com</p><p><strong>00:00</strong> Introduction &amp; Welcome Dr. Vishtasb Broumand<br><strong>01:52</strong> Early referral cases and professional relationship<br><strong>03:03</strong> Leaving Miami and moving to Arizona<br><strong>06:38</strong> Building a practice focused on complex revision surgery<br><strong>08:31</strong> Why difficult implant failures get referred to specialists<br><strong>09:01</strong> Introduction to Patient-Specific Implants (PSIs)<br><strong>10:01</strong> Cases where conventional implants are no longer possible<br><stron