Remote Anchorage & Full-Arch Predictability with Dr. Pedro Moura

<p>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.</p><p>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.</p><p>The discussion also dives into:</p><p>✅ FP1 vs FP3 treatment philosophies<br>✅ Guided surgery for complex full-arch cases<br>✅ The realities of complications in implant dentistry<br>✅ Why prosthetic complications remain the biggest challenge<br>✅ The importance of biomechanics and prosthetically driven treatment planning<br>✅ Managing bruxers and reducing cantilevers<br>✅ Why every clinician needs a “Plan B” during surgery<br>✅ Advice for young clinicians entering full-arch implant therapy</p><p>This episode delivers practical insights, real-world experience, and honest discussion around what truly creates long-term predictability in implant dentistry.</p><p>Time Stamps</p><p><strong>00:00</strong> – Introduction to Dr. Pedro Moura<br><strong>01:26</strong> – Building a training center &amp; clinical residency programs<br><strong>03:00</strong> – Why real clinical follow-up matters more than social media dentistry<br><strong>03:56</strong> – Growing up in a family of dental technicians<br><strong>06:10</strong> – Dr. Moura’s philosophy on full-arch rehabilitation<br><strong>06:57</strong> – FP1 vs FP3 treatment concepts<br><strong>08:01</strong> – Avoiding zygomatic implants whenever possible<br><strong>09:20</strong> – Guided surgery for pterygoid and trans-sinus implants<br><strong>10:01</strong> – How modern zygomatic workflows have evolved<br><strong>11:37</strong> – Why fully “brain-guided” surgery can be difficult to teach<br><strong>14:03</strong> – Photogrammetry and digital workflows in full-arch therapy<br><strong>15:10</strong> – The evolution of the palatal implant approach<br><strong>17:17</strong> – Why exposed palatal threads are often not problematic<br><strong>18:08</strong> – When palatal implants truly shine clinically<br><strong>20:04</str