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 Broumand 01:52 Early referral cases and professional relationship 03:03 Leaving Miami and moving to Arizona 06:38 Building a practice focused on complex revision surgery 08:31 Why difficult implant failures get referred to specialists 09:01 Introduction to Patient-Specific Implants (PSIs) 10:01 Cases where conventional implants are no longer possible 11:23 Managing severe maxillary defects and failed All-on-X cases 13:31 Risks and complications of subperiosteal implants 15:10 Evolution of PSI design and manufacturing 17:31 Why soft tissue management is critical for success 18:32 Preventing implant exposure and long-term complications 20:47 The future of patient-specific implant reconstruction 22:04 Selecting the right PSI candidates 23:16 Advice for young clinicians entering implant dentistry 24:10 Why fundamentals matter more than social media highlights 25:35 The importance of continuing education and mentorship 28:43 Lifelong learning and becoming the best clinician possible 30:14 Closing remarks