EPISODE 10: Dr. Brandon Kofford | Smart On X - Innovation, Education, and The Future of AOX

In this episode of the All In, All On X Podcast, Dr. Adam Hogan is joined by Brandon Kofford, founder of Smart On X and Smart Denture Conversions, for an in-depth discussion on what truly drives success and sustainability in full arch dentistry.Rather than focusing on products alone, this conversation explores the underlying systems, principles, and decision-making that separate scalable full-arch practices from those constantly fighting complications. Hogan and Kofford break down why variability—not skill—is often the biggest threat to predictability, profitability, and long-term enjoyment in full arch workflows.A central theme of the episode is the importance of reducing friction in immediate-load dentistry. From provisional fractures and component selection to inventory management and chair-time efficiency, the discussion highlights how small inefficiencies compound into major operational and emotional costs for clinicians. The goal, they argue, is not perfection—but repeatability under real-world pressure.The episode also tackles a critical educational gap in modern implant dentistry: the tendency to chase digital solutions without mastering foundational analog principles. Hogan explains why understanding prosthetics, occlusion, and “teeth in space” is essential before digital workflows can truly deliver their promised efficiency. Kofford reinforces that analog competency doesn’t slow clinicians down—it prevents costly mistakes and makes digital systems work as intended.Beyond clinical workflows, the conversation addresses the corporate realities of innovation in dentistry, including resistance to change, economic incentives, and the challenges faced by clinician-led solutions that disrupt established revenue models. Kofford shares insight into navigating these pressures while staying focused on improving outcomes for both doctors and patients.The episode concludes with a preview of the upcoming Dental Implant Face-Off, a unique live event bringing experienced clinicians together to openly discuss why they choose specific implant systems. The goal is not brand promotion, but transparency—helping doctors understand the real-world tradeoffs, logic, and biases behind implant selection.This episode is a candid, experience-driven discussion for clinicians who want fewer complications, better systems, stronger fundamentals, and a clearer path forward in full arch dentistry.