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

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.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.The discussion also dives into:✅ FP1 vs FP3 treatment philosophies✅ Guided surgery for complex full-arch cases✅ The realities of complications in implant dentistry✅ Why prosthetic complications remain the biggest challenge✅ The importance of biomechanics and prosthetically driven treatment planning✅ Managing bruxers and reducing cantilevers✅ Why every clinician needs a “Plan B” during surgery✅ Advice for young clinicians entering full-arch implant therapyThis episode delivers practical insights, real-world experience, and honest discussion around what truly creates long-term predictability in implant dentistry.Time Stamps00:00 – Introduction to Dr. Pedro Moura01:26 – Building a training center & clinical residency programs03:00 – Why real clinical follow-up matters more than social media dentistry03:56 – Growing up in a family of dental technicians06:10 – Dr. Moura’s philosophy on full-arch rehabilitation06:57 – FP1 vs FP3 treatment concepts08:01 – Avoiding zygomatic implants whenever possible09:20 – Guided surgery for pterygoid and trans-sinus implants10:01 – How modern zygomatic workflows have evolved11:37 – Why fully “brain-guided” surgery can be difficult to teach14:03 – Photogrammetry and digital workflows in full-arch therapy15:10 – The evolution of the palatal implant approach17:17 – Why exposed palatal threads are often not problematic18:08 – When palatal implants truly shine clinically20:04 – Why trans-sinus implants are more difficult than they appear22:08 – The importance of always having a Plan B24:08 – Immediate load realities and managing low torque situations26:22 – The most common complications in full-arch dentistry27:46 – Managing bruxers and minimizing cantilevers29:26 – Advice for young clinicians entering full-arch therapy31:02 – Prosthetically driven implant dentistry philosophy31:26 – Closing thoughts and where to learn more from Dr. MouraConnect with us on Social Media: Facebook: https://www.facebook.com/pikosinstituteInstagram: https://www.instagram.com/pikosinstitute/LinkedIn: https://www.linkedin.com/company/pikos-institute/Twitter/X: ⁠https://x.com/PikosInstituteSpotify: https://open.spotify.com/show/6Sj8qBsxCM8az1BmWzIdUi?si=51d7a9dad5f0405dApple Podcasts: https://podcasts.apple.com/us/podcast/on-the-mic-with-map-podcast-mapping-the-way/id1878393358YouTube: https://www.youtube.com/@PikosInstitute/videos