Pikos Symposium 2023

Advanced Full-Arch Implant Rehabilitation for the Atrophic Maxilla: Solving Serious Problems Using Zygomatic and Pterygoid Implants with a Fully Digital Workflow

The ultimate dental implant challenge is reconstruction of the severely resorbed Maxilla especially in patients with multiple previous failed attempts at dental implant placement and full arch implant rehabilitation. Zygomatic implants were first used for reconstruction of large Maxillofacial defects, now they are commonly used in patients with terminal dentition with atrophic Maxillary bone to provide implant retained fixed and removable prosthesis utilizing the Zygomatic bones to anchor the dental implants. This course is a comprehensive, detailed, step-by-step lecture that will cover the Zygomatic Implant Surgical and presurgical planning, surgical procedures and digital protocols including multiple techniques commonly utilized to place and restore these implants.



Learning Objectives

  • Treatment plan and select patients for Zygomatic Implants
  • Assess the need for rehabilitation of the atrophic maxilla
  • Discuss anatomical and x-ray interpretation connected with the placement of zygomatic implants
  • Discuss the surgical protocol for conventional and extra-maxillary placement of the zygomatic dental implants
  • Discuss digital restorations, intraoral scans, photogrammetry and related laboratory work
  • Review common pitfalls and complications related to zygomatic implants.

Dr. Vishtasb Broumand Bio

Vishy Broumand, DMD, MD is a graduate of the University of Florida College of Dentistry and the University of Miami School of Medicine. He completed his residency in Oral and Maxillofacial Surgery along with a second year of General Surgery and a one year fellowship in Head and Neck Tumor and Reconstructive Surgery. Upon completion of fellowship, he was in private practice from 2006 to 2012, and later served as Assistant Professor of Surgery in the University of Miami School of Medicine Division of Oral and Maxillofacial Surgery from 2012 to 2015.

He now permanently resides in Scottsdale and has a full-time private practice of Oral and Maxillofacial Surgery at the Desert Ridge Oral Surgery Institute. He serves as Clinical Assistant Professor of Oral Surgery at the University of Arizona, Banner University Medical Center and is the official team oral surgeon for the AZ Diamondbacks.

He devotes most of his clinical practice to the comprehensive treatment of patients with missing teeth using conventional and Zygomatic dental implants with the latest digital technology. He also remains passionate about removal of wisdom teeth with sedation and facial reconstructive surgery for treatment of trauma and tumor related defects, obstructive sleep apnea (OSA), and orthognathic surgical correction of craniofacial deformities. He is involved in live patient surgery courses nationwide involving full arch dental implant rehabilitation and placement of zygomatic implants. He is on the medical staff at the Phoenix Children’s Hospital, Banner Medical Center and Honor Health Medical Centers.

He regularly participates in medical rescue missions and relief efforts. While in private practice he was also involved in extensive repair of facial congenital and acquired deformities of adults and children through several non-profit foundations “Mission Rescate” and “Operation Changing Lives” in the Dominican Republic, Haiti and other medically underserved areas in the USA. He has also served on the Board of “Orphans Worldwide”, another non-profit foundation since 2010. After the devastating earthquake in Haiti in January 2010, Dr. Broumand closed his private practice on 2 occasions and chartered a private plane to the Dominican Republic and put together a group of 8 doctors for immediate emergency relief.

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