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Intermediate / Advanced

Innovative Non-Zygomatic Techniques for Full-Arch Success

Cadaver and Model Based Advanced Implant Alternatives for Atrophic Jaws

Course Overview

Core Curriculum Overview

Transform your management of the most challenging atrophic cases—master alternative fixation methods that minimize risks, expand accessibility, and deliver predictable full-arch results without relying only on zygomatic implants.

This three-and-a-half-day intensive course with cadaver lab focuses on the full spectrum of advanced atrophy solutions - beyond traditional zygomatic implants. While zygomatic fixation remains a mainstay for severe bone loss, it carries risks—sinusitis, soft-tissue breakdown, orbital injury, large oral-antral communications, and the need for sophisticated equipment and axillary personnel that can challenge even the seasoned surgeons.

Under the guidance of Dr. Michael A. Pikos & Dr. Safa Tahmasebi, you’ll explore refined non-zygomatic approaches, including the palatal technique, trans-sinus anchorage, pterygoid fixation, sub-nasal fixtures, and strategic utilization of paranasal bone in achieving fixation required for immediate function.

Through a blend of didactic lectures, 3D planning demonstrations, and 4K video of surgical procedures over three and a half days, you’ll learn to select the optimal fixation method for each anatomical presentation, anticipate and prevent complications, and apply the latest implant technologies to enhance primary stability.

Our emphasis focuses on patient selection, anesthesia considerations, and team coordination—ensuring your auxiliary staff is primed for these advanced procedures. At course completion, you’ll confidently integrate these alternative techniques into your practice to deliver safer, more accessible full-arch reconstructions.

Who Should Attend This Course?

This course is perfect for dental surgeons looking to expand their skill set with smart, less invasive solutions that still deliver exceptional results. Join us and discover how sometimes the best solutions are the ones that are right in front of you!

Before
After
Before
After

Course Agenda

Day 1: Foundational Full-Arch Planning & Anatomy

TOPIC DETAILS
Full-Arch Prosthetic Design
  • Treatment sequencing, occlusal schemes, emergence profiles
Digital Treatment Planning
  • CBCT review, virtual wax-ups, guided-surgery workflows
Anatomy Deep-Dive
  • Maxillary buttress, paranasal bone, pterygoid region
Prosthetically Driven Surgical Planning
  • Strategic planning using the prosthesis as a blueprint
Patient Selection Criteria
  • Atrophy classifications, medical and anatomic contraindications
Zygomatic Implant Overview
  • Indications, benefits, and complication management case studies
Group Discussion
  • Anesthesia strategies and auxiliary team coordination

Day 2: Alternative Fixation Techniques

TOPIC DETAILS
Palatal Approach
  • Introduction, Indication, Access, Osteotomy protocol
  • Site-specific fixture considerations
  • Biomechanical considerations
Trans-Sinus Anchorage
  • Background, Indications, 3D guide design
  • Surgical execution technique, complications
Pterygoid Fixation + Live Demo
  • Introduction, Indications, Surgical technique
  • Anatomy and Biomechanical considerations
Sub-Nasal Fixtures
  • Indications, drill sequences, prosthetic integration
Paranasal Bone Utilization
  • Anatomical features, biomechanical considerations
  • Drill path optimization, surgical technique
  • Site-specific fixture considerations
Q&A Panel
  • Technique selection and troubleshooting

Day 3: Advanced Execution, Hands-On & Complication Management

TOPIC DETAILS
Advanced Implant Designs
  • Tapered vs. wide-body fixtures
  • Thread design impact
  • Implant length selection
Hands-On Workshop
  • 3D model fabrication
  • Osteotomy execution on models
  • Biomechanical considerations of 3D models
Soft-Tissue Management
  • Flap design, suturing techniques
  • Dehiscence prevention
  • Soft tissue management of complications
Contingency Planning
  • Recognizing and addressing common and rare complications
Integrating Emerging Technologies
  • Intraoral scanning
  • Model fabrication
  • Tools for predictable surgery

Day 4: Hands-On Cadaver Lab (1/2 Day)

TOPIC DETAILS
Hands-On Cadaver Workshop

Participants will have the unique opportunity to translate their theoretical knowledge into practical skills through hands-on cadaver workshops.

  • Clinicians will work on a cadaver, giving them a realistic feel of surgical conditions
  • Practice flap reflection, osteotomy preparation, and the management of both hard and soft tissues
  • This final hands-on lab ensures that participants can confidently apply everything they’ve learned throughout the course
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Course Media

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Why Attend This Live Course

Master Safer, More Accessible Atrophic Solutions  

Unlock the potential of innovative, non-zygomatic techniques for achieving predictable full-arch rehabilitation in patients with atrophic jaws.

Guidance through creative and practical alternatives

Eliminate the need for advanced procedures like zygomatic implants or sinus grafting.

Gain hands-on expertise in five cutting-edge non-zygomatic fixation techniques

We cover palatal, trans-sinus, pterygoid, sub-nasal, and paranasal anchorage procedures - that minimize sinus and soft-tissue complications, reduce the need for general anesthesia, and expand your ability to treat severe maxillary atrophy under conscious sedation.

Discover how to leverage the palatal approach, pterygoid fixation, and the use of the piriform rim and paranasal bone to achieve primary fixation

Provide immediate function and load the implants without the delays of grafting, making the process faster and more predictable for your patients.  

Elevate Your Practice with Predictable Full-Arch Outcomes

Learn streamlined workflows incorporating the latest implant designs and guided surgery protocols to enhance primary stability, optimize case acceptance, and confidently manage even the most challenging full-arch reconstructions—setting your practice apart as a leader in advanced implant dentistry.  

Network with Leading OMS Innovators

Collaborate directly with Dr. Michael Pikos & Dr. Safa Tahmasebi, and fellow experts in small-group settings.  Foster professional connections for referrals, mentorship, and future collaborative research.

Advance Your Credentials & CE Portfolio

Earn 24 high-value CE credits while gaining exclusive access to comprehensive course materials, surgical pearls & procedures, and post-course support—empowering you to immediately integrate these techniques and elevate your reputation in implantology.

Secure Your Spot for
Innovative Non-Zygomatic Techniques for Full-Arch Success

Advanced Implant Alternatives for Atrophic Jaws

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Learning Objectives

  • Analyze anatomical challenges and select the ideal fixation technique for severe maxillary atrophy.
  • Learn step-by-step surgical protocols for palatal, pterygoid, trans-sinus and subnasal implant placement.
  • Compare risks and benefits of zygomatic implants versus palatal, pterygoid, trans-sinus, and sub-nasal methods
  • Implement surgical protocols to minimize sinusitis, soft-tissue dehiscence, and oral-antral complications.
  • Apply patient selection criteria and anesthesia strategies for non-zygomatic full-arch cases.
  • Manage intraoperative and postoperative complications through evidence-based interventions.
  • Integrate novel implant designs and guided workflows to enhance primary stability and long-term success.
  • Manage intraoperative and postoperative complications through evidence-based interventions.

Pre-Conference Workshops

Workshops require separate registration at checkout and are not included in main session registration price.

Transnasal and Transsinus Technique

Dr. Andrey Trokhalin

$

995

per person

Oct 1, 2025 1:00 PM

-

5:00 pm

Learn More

Pterygoid Implant Therapy - How & Why

Dr. Costa Nicolopoulos

$

995

per person

Oct 1, 2025 1:00 PM

-

5:00 pm

Learn More

Digital Workflow for the Full Arch Reconstruction

Dr. Vishtasb Broumand

$

995

per person

Oct 1, 2025 8:00 AM

-

12:00 pm

Learn More

Pterygoid, Zygomatic, and Transnasal Dental Implants – Hands-on Workshop [SOLD OUT]

Dr. Dan Holtzclaw

$

995

per person

Oct 1, 2025 8:00 AM

-

12:00 pm

Learn More

Zygomatic Implant Placement on a Printed Model Simulating a Real-Life Case

Dr. Alex Fibishenko

$

995

per person

Oct 1, 2025 1:00 PM

-

5:00 pm

Learn More

Optional Package Add-ons

Check out our vendor specials and contact the designated representative to claim your discount.

Salvin Implant Placement Kit
MSRP
$2,343.00
Discounted
$1,972.98
  • Salvin Siegle Round Scalpel Handle (SIEGEL)
  • #15 Sterile, Carbon Blade, 100/BX (BLAD 15)
  • Salvin Quinn Type Elevator (Q-ELEV)
  • Salvin Stainless Steel UNC Probe (PROBE-UNC)
  • Salvin Weider Tongue Retractor-Small-31mm (WEIDER-SMALL)
  • Salvin Modified Frazier Surgical Aspirator-3mm Tip (FR3A)
  • Salvin Crile Wood Tungsten Carbide Tipped Needle Holder-For 3-0 to 5-0 Sutures (CRILE)
  • Salvin Dean Scissors-6 ¾” (17.2cm) (DEAN)
  • Salvin Minnesota Retractor (MINN)
  • Aspirating Syringe CW Type (Syringe CW)
  • Salvin Pikos Block Contouring Bur Straight HP (PIKOS-BLOCK-CONTOUR)
  • Salvin Serrated Lucas 84 Bone Curette (LUCAS-SERR-84)
  • Salvin Serrated Lucas 86 Bone Curette (LUCAS-SERR-86)
  • Salvin Beyer Double Action Rongeur 3.5mm Bite 17.8cm Long (BEYER)
  • Salvin Adson Forceps TC 4 ¾” (12cm) (ADSON TC)
  • Salvin Adson 1x2 Tissue Forceps-4 ¾” (12cm) (ADSON 1x2)
  • Featherlite Snagless Needle Holder For 5-0 to 10-0 Sutures-Thumb Lock (NH-ROUND-7-TCL-R)
  • Salvin Seldin 23 (SELDIN)

To purchase, please contact your course rep Olivia Williamson at 828-773-6396

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Salvin Extraction Kit
MSRP
$2,005.80
Discounted
$1,610.10
  • Salvin Titanium Graft Packer/Placement Site Depth Gauge (GRAFT-PACKER-TI)
  • Salvin Straight Periotome With Fixed Straight Tip (PERIOTOME-STR)
  • Salvin DGA-35 Deep Grip Extended Tip Length Serrated Extraction Forcep (DGA-35)
  • Salvin DGA-36 Deep Grip Extended Tip Length Serrated Extraction Forcep (DGA-36)
  • Salvin DGA-37 Deep Grip Extended Tip Length Serrated Extraction Forcep (DGA-37)
  • Salvin Pikos Scoring Bur (PIKOS-SCORINGBUR)
  • Salvin Elevator DEL 34 (DEL 34)
  • Salvin Elevator DEL 301 (DEL 301)
  • Salvin DEF 23 German Stainless Steel Extraction Forcep (DEF 23)
  • Salvin Kelly Hemostat-Curved-14cm (KELLY-CURV-HEMO)
  • Salvin Iris SuperCut Serrated Scissors-11cm Curved (SC IRIS CU)
  • Salvin PDL-Evator Luxating Elevator-Straight-2.5mm Tip (PDL-STRAIGHT)
  • Salvin Heidbrink H1 Root Tip Pick (HEID 1)
  • Salvin Heidbrink H2 Root Tip Pick (HEID 2)
  • Salvin Heidbrink H3 Root Tip Pick (HEID 3)

To purchase, please contact your course rep Olivia Williamson at 828-773-6396

Connect app
BioHorizons Package Two
MSRP
$19,400
Discounted
$10,700
  • 20 Tapered Pro Conical Laser-Lok
  • 1 Pro Surgical Kit (PRO5000)
  • 1 Pro Freehand Surgical Kit (FSK5000)
  • 1 Prosthetic Kit (PROS3000)
  • 1 BioHorizons Adjustable Torque Wrench (BIOTORQ)
  • 10 Conical Healing Caps
  • 6 Conical Titanium Scan Bodies
  • 3 Striate+, 15x20mm
  • 3 Genate Blend, 0.5cc

To purchase, please contact your course rep Robert  Lacey at 813-618-1372

Connect app
BioHorizons Package One
MSRP
$15,910
Discounted
$8,580
  • 20 Tapered Pro Conical Laser-Lok
  • 1 Pro Surgical Kit (PRO5000) OR Pro Freehand Surgical Kit (FSK5000)
  • 1 Prosthetic Kit (PROS3000)
  • 1 BioHorizons Adjustable Torque Wrench (BIOTORQ)
  • 10 Conical Healing Caps6 Conical Titanium Scan Bodies
  • 3 Striate+, 15x20mm
  • 3 Genate Blend, 0.5cc

To purchase, please contact your course rep Robert  Lacey at 813-618-1372.

Connect app

Innovative Non-Zygomatic Techniques for Full-Arch Success
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Convenient Financing Solutions

Take advantage of tailored payment solutions to suit your needs. Choose quick financing through Live Oak Bank to cover all course-related expenses, or opt for flexible payment plans that let you pay in full or in manageable installments over time.

Bank Financing Available

Quick decision financing available to cover all Pikos Institute courses, fees, travel expenses, incidentals and surgical equipment is offered by Live Oak Bank, specialists in dental practice lending. Available on registrations over $10,000.

Financing Available

Flexible Payment Options

If you would like to pay up front in full or in installments over time, we have you covered with two convenient payment options.

This course is currently sold out. Leave your contact information below and we'll reach out if more seats become available for this event.

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