Zygomatic implants and patient specific implants are creating new treatment possibilities for patients with severe bone loss, cancer defects, facial trauma, and complex full arch cases that were once considered extremely difficult or impossible to restore. Dr. Vishtasb Broumand joins Rob Norton to share how his background in maxillofacial reconstruction led him from treating cancer and trauma patients to performing advanced implant surgery, quad zygomatic cases, patient specific implants, and digitally planned full arch rehabilitation. Dr. Broumand explores his evolving digital workflow using intraoral scanning, photogrammetry, 3D printing, digital design, and multiple data acquisition systems while explaining why clinicians must understand the strengths and limitations of their technology rather than relying on a single workflow for every patient. The conversation also examines patient specific implant design, passive fit, clinician and laboratory communication, AI documentation, facial scanning, virtual surgical planning, and how advances in digital dentistry are allowing surgical and restorative teams to treat increasingly complex anatomical situations. Dr. Broumand also explains the Jaw in a Day approach, where implants can be placed into a patient's fibula before reconstructive surgery so patients undergoing treatment for cancer or major facial defects can wake up with teeth instead of waiting years for dental rehabilitation.

Chapters

• (00:00:00) - Intro
• (00:02:06) - From Cancer Reconstruction to Zygomatic Implants
• (00:05:53) - Building a Digital Full Arch Workflow
• (00:09:11) - Why Implant Dentists Must Keep Evolving
• (00:11:16) - Digital Design, exocad & Photogrammetry
• (00:16:04) - Patient Specific Implants Explained
• (00:21:57) - Comparing Photogrammetry Systems & Accuracy
• (00:28:45) - Treating Patients Once Considered Unrestorable
• (00:31:28) - AI, Facial Scanning & Jaw in a Day