The Fixed Podcast

What if your membrane actually stayed put and your grafts healed the way you planned? We sat down with Dr. Sean Lan to map a practical path from soft tissue basics to hard tissue confidence, focusing on the decisions that make full-arch treatment predictable rather than precarious.We start where results begin: donor thickness and visibility. Sean explains why 3–4 mm palatal tissue unlocks pedicled options, when a free CTG is the better bet, and how loupes transform half‑millimeter judgment calls. On maxillary implants, we compare buccal soft tissue strategies—pedicled wrap to bone vs tack‑on CTG—and share when a large palatal flap after reduction can be repurposed for added volume. Stability threads through everything: quick transosseous anchor points, when to suture to abutments, and how to get tension‑free closure with thoughtful flap advancement.Then we shift to bone. Think “wet sand in a cup” for within‑contour grafts, and why going outside the contour changes physics, risk, and membrane demands. We unpack buckle veneer grafts, sticky bone myths, autogenous techniques like split bone blocks, and realistic membrane choices guided by PASS principles. If you’ve ever fought a floating membrane, you’ll get step‑by‑step tactics: periosteal slings, apical tacking sutures, fixation screws, double‑membrane shortcuts, and using implants or transosseous holes as smart anchor points. Sean also shares a practical cortical plate save—his “poor man’s plate”—to avoid over‑reduction and set up a site that later needs only soft tissue finishing.Mandibles get honest airtime: fewer escape routes, more muscle pull, higher stakes. We talk training that actually helps—Pink Bible, Zucchelli’s volumes, selective live courses—and how to build reps ethically. Zygomatic implants enter as a necessary but rare tool, best learned with supervision and careful indications. We close on subperiosteals in the most atrophic jaws, urging product decisions to follow biology and evidence, not marketing. Sometimes the most patient‑centered answer is a bar overdenture instead of “fixed at all costs.”Subscribe, share with a colleague who wrestles membranes, and leave a review with your favorite stabilization trick—we’ll feature the best ones in a future episode.

Stop treating full arch like a hammer-and-nail job. We walk through how to think like a doctor first and a technician second, so your immediate wins turn into durable outcomes. From the first consult to the last suture, we frame decisions around patient values, real risk, and a plan that preserves future options rather than burning bridges.We dig into regenerative dentistry as the quiet force behind long-term stability. Autogenous bone from routine alveolectomy, collagen membrane support, and smart use of PRF can minimize biomaterials while preserving volume. On the soft-tissue side, we show how palatal thinning and simple CTG/FGG techniques create protective keratinized bands that make hygiene easier and complications rarer. The goal isn’t “least possible” work; it’s the right amount of work—optimally invasive treatment planning that respects biology and the prosthetic you’ll be maintaining for years.We also tackle the reality of emergencies and team culture. ACLS refreshers, mock codes, and clear role assignments turn chaos into a practiced script when vitals dip or syncope hits. That same clarity belongs in consent: immediate load versus heal-first, conventional implants versus zygomatic rescue, and how each path affects risk, cost, and reversibility. When patients choose knowingly, your surgeries run smoother and follow-ups reveal wiser decisions instead of lucky breaks.If you’re ready to replace shortcuts with fundamentals, integrate regenerative tactics you can use Monday morning, and have cleaner consults that earn trust, this conversation is your playbook. Subscribe, share with a colleague who does full arch, and leave a review telling us which regenerative move you’ll add next.

Soft tissue wins the full-arch war. That’s the hard-earned thesis we explore with Dr. Sean Lan as we move beyond torque chasing and into the quieter skills that make cases last: augmentation strategy, disciplined planning, and candid communication when things get tense. We start with lessons from the Orca Symposium, where soft tissue and regenerative approaches stepped out of the shadows, then unpack how Sean’s study-first approach condensed years of progress into months. Literature fluency, surgical fundamentals, and an environment for high-quality reps created a slingshot effect—turning complex surgeries into predictable systems.You’ll hear a visceral case study: an anterior nasal spine fracture mid-surgery and the clear-headed salvage that followed. Instead of forcing a graftless solution, Sean reframed the event as an unintentional ridge split, stabilized with allograft and PRF, tightened closure, and staged the implant for success. The message is simple and timely: regeneration isn’t a last resort, it’s strategic insurance. Even when cases go smoothly, smart augmentation protects prosthetics, preserves options, and keeps the door open for future revisions.We also tackle the often-ignored foundations of longevity: fitness and posture that let you operate with a clear head and steady hands, plus leadership and communication that prevent small issues from becoming practice-threatening problems. From seated surgery and core bracing to crucial conversations and books that sharpen your voice—How to Win Friends and Influence People, Crucial Conversations, The Courage to Be Disliked, The Anger Trap—we share the tools that keep teams aligned and patients confident. If you’re serious about full arch, this is your blueprint to move from technician to doctor: case logs and debriefs, regeneration readiness, and the people skills that preserve your nights.If this conversation helped you rethink your process, subscribe, share with a colleague, and leave a review with your favorite takeaway—we read them all. What’s one change you’ll make before your next arch?

What if elite full-arch training and life-changing care could happen in the same week? We sit down with Dr. Simon O. to unpack Orca’s model: a global education-and-service engine that treats extreme edentulism while upskilling clinicians from fundamentals to remote anchorage. From Guatemala to Cairo, the mission is bold and practical—end unnecessary toothlessness by pairing rigorous training with real cases that would otherwise never be done.We get specific about how a full-scope, cross-trained practice gives patients better options than a one-size-fits-all FP3 mindset. Simon breaks down Orca’s tiers—entry to implants, prosthetic-first digital workflows, conventional on-X, and advanced approaches like pterygoids, transnasals, and quad zygos—plus when FP1 and even selective subperiosteals make sense. Soft tissue takes center stage this year, along with a push to avoid zygos when smart planning, M configurations, and transsinus strategies can leverage slender bone more safely.Technology is rewriting the playbook. We explore AI-driven design that speeds CBCT-to-provisional workflows, reduces manual lab labor, and sets up safer, more predictable surgeries. The conversation turns to robotics, regulation, and the new shape of “skill” as judgment and patient selection rise while repetitive tasks automate. Then we introduce ArchEd: an asynchronous didactic platform with targeted hands-on and cadaver labs, realistic FDM-printed models from real CTs, structured mentorship, and a vault of point-of-view surgical videos so you can pause, rewind, and walk into complex cases prepared.If you care about full-arch implant dentistry, this is a roadmap to better outcomes: smarter prosthetics, stronger soft tissue, refined anchorage strategies, and an open culture that raises the standard of care worldwide. Join us as we dig into the Orca Symposium’s speaker lineup, expansion plans across regions, and a shared goal that’s bigger than any single clinic—ending avoidable edentulism by teaching excellence at scale.If this resonates, follow the show, share it with a colleague, and leave a review. Your support helps more clinicians find the tools and training they need to deliver world-class full-arch care.

A perfect snap-fit without a single screw will get any clinician’s heart racing—but what does that moment really mean ten years later? We take a hard look at custom subperiosteal implants and ask where they truly belong: why well-designed mandibular subs can solve brutal atrophy with durability, and why maxillary applications remain a minefield of thin bone, complex loading, and fragile claims. Along the way, we strip the shine from marketing slides and focus on what actually carries cases across the finish line—passivation, surface finishing, serviceable prosthetics, and designs that respect mucosa, biomechanics, and maintenance.We walk through the real trade-offs between milling and DMLS, why the cheapest print can become the most expensive complication without proper finishing, and how remote frameworks, tripodial mandible designs, and meso bars distribute force where bone will accept it. We debate embedded MUAs versus removable, make the case for overdentures in extreme resorption, and share the uncomfortable truth about U.S. liability, FDA constraints, and evidence gaps that can leave clinicians exposed. Records and planning matter more than ever, and a multi-app digital pipeline only works when the data is precise and the clinician leads the design intent—not the other way around.Credentials, community, and communication shape outcomes as much as titanium. From rescue stories to cautionary tales, we outline a professional path that prioritizes serviceability, hygiene, and legal defensibility while still embracing the progress that PSIs promise. If you’re weighing subs for your practice, this is the field guide you need: what to adopt now, what to delay, and how to prepare for the AI-enabled future without outsourcing your judgment. If this resonates, follow the show, share it with a colleague, and leave a review—then tell us: fixed or removable for the severely resorbed mandible, and why?

If “more titanium and more screws” sounds like a plan, this conversation may change your mind. We take you behind the curtain of subperiosteal implant design—what the classic meso bar frameworks did brilliantly, why many custom PSI trends miss critical load paths, and how occlusion often determines whether a case survives decades or fails in months. Drawing on tough lessons from early HA-coated, multi-post maxillary cases and the happiest patients who lived well with two-thirds of a frame, we unpack where repairability, segmenting, and tissue-friendly geometry still outperform shiny shortcuts.We walk through the real differences between mandible and maxilla: cortical density, palatal and nasal spine engagement, lateral sinus walls, and the unforgiving mucosa over pneumatized spaces. You’ll hear how palatal coverage and canine eminences lifted success rates historically, and why skipping them today invites the same old complications with a digital gloss. We challenge the “ladder” mindset—singles to All-on-4 to pterygoids to zygos to PSI—and propose a more honest sequence: remote anchorage first, maxillary subs as rescue, and mandibular subs as a predictable workhorse when designed and maintained correctly.This is a prosthetic-first blueprint. Nail the occlusal scheme, align DICOM and STL perfectly, and design frames that are thin, recessed, and biologically sensible. Use materials and guidance that absorb shock, control lateral excursions, and make revisions feasible. We share a sobering maxillary failure with sinus fistulas to underline the stakes and offer a practical checklist for vetting labs and designers who can speak both biomechanics and biology, not just software. If you want growth without trophy hunting, and long-term function your hygiene team can support, this one will sharpen your judgment.Enjoyed the conversation? Follow, share with a colleague who’s PSI-curious, and leave a quick review telling us where you draw the line on maxillary subs.

What if the “new” thing in full-arch isn’t actually new—and the real breakthrough is remembering what already worked? We sit down with Dr. Samuel Jirk to unpack eight decades of subperiosteal design and how those lessons should guide today’s patient‑specific implants. From the first time he watched a 14‑unit FP1 delivered over 10 implants at daybreak, to building an in‑house digital lab, his path reveals how mentorship, biomechanics, and occlusion still decide who gets predictable outcomes.We walk through the foundations laid by the Misch Institute—prosthetics before surgery, divisions of available bone, and RP1–FP4 categories—and why that structure keeps full‑arch treatment safe as complexity rises. Then we challenge the hype around PSIs: CT‑based subs have a long history, and success has always hinged on load direction and soft tissue tolerance. You’ll hear why remote anchorage to the lateral ramus and symphysis reduces crestal stress, how lattice “snowshoe” concepts translate to modern titanium, and why molar‑emerging posts invite dehiscence in thin tissue and active muscle zones. The goal isn’t thicker frameworks; it’s smarter ones—debulked, contoured, and placed where biology says yes.Along the way, we talk real‑world fabrication—segmenting DICOMs, designing in Exocad and Blender, printing and milling, and even casting cobalt‑chrome when indicated. We also spotlight the underreported side of PSI literature, where two‑year complication rates near 26% demand humility and better design, not complacency. If you’re a surgeon or restorative dentist navigating AOX cases, zygos, or subperiosteals, this is a roadmap to pairing digital precision with time‑tested biomechanics and occlusion.If this conversation sharpened your thinking, follow the show, share it with a colleague, and leave a review with your biggest takeaway. Your feedback helps more clinicians find practical, proven full‑arch insights.

The waiting room tells the story before we do: patients are traveling, paying more, and asking for three‑on‑six because it feels like teeth—thin, cleanable, and quiet—without carving bone to hide bulk. We sat down with Dr. Randy Roberts and Dr. Logan Lock efor a candid look at FP1‑based full‑arch care, and why a prosthetic‑first plan can upend old assumptions about high smile lines, bone reduction, and “the lab will save it” thinking.Across a week in their clinic, we watched uncherry‑picked live seats, learned how every extraction and implant becomes a fiducial, and saw why direct‑to‑fixture workflows with internal angle correction make or break access. The mantra is simple but demanding: set the incisal edge first, design ideal teeth, then place implants to serve the prosthetic. That’s how segmented bridges seat fast, phonetics settle quickly, and hygiene stays human. We also walked through high smile line protocols that often avoid macro reduction entirely—suturing tissue to the prosthetic and letting biology re‑establish space—sometimes with nothing more than a subtle 2 mm contour to adjust lip support and display.For clinicians, this is less about picking a side—FP1 vs FP3—and more about expanding options and matching them to the right patient. Younger arches with good bone and tissue deserve a conversation that preserves structure; complex FP3 remains essential when indications call for it. We compare cost positioning, outline a sane training path that builds from solid FP3 into guided FP1 before extreme anchorage, and share the thousand tiny steps that keep a 30‑minute seat from turning into two hours. Most of all, we talk value: why educated patients don’t want the cheapest full‑arch, they want the thinnest, most natural, and most durable one they can maintain for years.If this conversation sparks ideas—or challenges your habits—hit follow, share the episode with a colleague, and leave a review with your biggest FP1 question. Your feedback guides future deep dives and live case breakdowns.

Dive deep into the advanced world of pterygoid implant placement with Dr. Clark as he shares game-changing insights that can transform your full-arch implant practice. This episode tackles one of the most challenging aspects of full-arch rehabilitation – achieving perfect prosthetic outcomes through precise surgical execution.Dr. Clark challenges conventional wisdom about pterygoid implant placement depth, advocating for a more nuanced approach where anterior implants are placed first, followed by adjusting pterygoid depth to ensure all abutment platforms align perfectly. This seemingly subtle shift eliminates uneven prosthetic thickness and tissue complications. The discussion on tissue management reveals how proper thinning of tuberosity and palatal tissues creates silky smooth foundations for prosthetics, saving chairtime and preventing fractures despite initial hesitation about bleeding management.Perhaps most revolutionary is Dr. Clark's definitive stance on implant configurations, declaring the inverted V superior to traditional axial placement. With persuasive reasoning about prosthetic flexibility and surgical contingencies, he demonstrates why angled implants provide infinitely better options for screw channel positioning. His detailed explanation of multi-unit abutment height selection challenges widespread misconceptions, showing how matching abutment height to implant depth (using 1.5mm abutments for 1mm subcrestal implants) accounts for post-surgical bone resorption and creates beautiful emergence profiles without prosthetic flanges.For clinicians struggling with postoperative complications, Dr. Clark offers practical solutions like doxycycline protocols and bleeding management techniques using 2-0 chromic gut suture. These pearls of wisdom demonstrate why even experienced surgeons continue to learn from each visit to his courses.Ready to transform your approach to full-arch implant cases? Listen now to gain insights that will elevate your practice and create more predictable, aesthetic outcomes for your patients. Share your experiences with these techniques and join the conversation about the evolution of implant dentistry.

Mastering complex anatomy in full-arch implant cases requires both technical skill and the wisdom to know your limitations. Dr. Clark Damon joins The Fixed Podcast to share rare but invaluable techniques for challenging anatomical situations that every implant dentist will eventually encounter.The conversation centers around two advanced procedures: sinus crushing and pterygoid implant placement. Dr. Damon reveals that despite completing 3,000 arch cases, he's only performed sinus crushes on three patients—a testament to both the rarity of proper indications and the importance of understanding when this approach is truly necessary. He walks through his precise technique, from the diamond burr scoring to the use of collagen tape rather than particulate graft, explaining how this one-surgery approach can transform cases with pneumatized sinuses that would otherwise require multiple procedures.Perhaps most valuable is Dr. Damon's candid discussion about knowing when to collaborate with specialists. "Too many clinicians are taking on cases they really shouldn't be doing," he observes, emphasizing that revenue pressure often leads to complications that "come home to roost fairly quickly." Instead, he advocates bringing specialists into your office for complex cases—creating learning opportunities while maintaining the patient relationship.The episode showcases Dr. Damon's pterygoid expertise, having placed over 1,000 implants with a stunning 99.5% success rate. He details precise placement techniques, including his preferred 18mm length and entry point between the second and third molar positions. Using the analogy of aiming between the "field goal posts" of the lateral and medial pterygoid plates, he demystifies this advanced technique that dramatically reduces stress on anterior implants.Whether you're looking to expand your implant capabilities or simply understand when to call for reinforcements, this episode delivers practical wisdom from one of implant dentistry's most experienced practitioners. The techniques discussed may be advanced, but the philosophy is universal: always prioritize predictable outcomes over pushing clinical boundaries beyond your comfort zone.

Remote anchorage techniques have revolutionized what's possible in full arch restoration, and few clinicians have as much experience implementing these advanced approaches as Dr. David Zelig. With nearly 1,000 pterygoid implant placements and decades of surgical experience, Dr. Zellig shares the hard-earned wisdom that can only come from extensive clinical practice.The conversation begins with a detailed exploration of pterygoid implant technique, where Dr. Zelig reveals his systematic approach to navigating this complex anatomical region. From precisely identifying the hamular notch to utilizing the pyramidal process of the palatine bone for primary anchorage, listeners gain valuable insights that go well beyond textbook knowledge. "The real stability is along that path in the palatine bone," Dr. Zelig explains, demystifying a placement that many clinicians find intimidating.When discussing potential complications, particularly bleeding management in the pterygoid region, Dr. Zelig provides practical solutions while emphasizing preventative measures through proper technique. His thoughtful approach to zygomatic implants similarly balances clinical efficacy with tissue management, revealing his preference for extra-maxillary approaches in most cases and innovative soft tissue handling techniques that minimize dehiscence.Perhaps most valuable for practicing clinicians is Dr. Zelig's candid discussion of surgical ergonomics and professional longevity. Rather than slowing down after decades of practice, he remains passionate about advancing the field and mentoring the next generation of implant surgeons. "I feel like it is spring again," he shares, describing how these advanced techniques maintain his enthusiasm for patient care.As full arch restoration continues evolving, Dr. Zelig anticipates further advances in patient-specific implants and prosthetic design while cautioning against unrealistic expectations regarding maintenance-free restorations. His balanced perspective, combining cutting-edge innovation with pragmatic clinical wisdom, offers listeners a roadmap for incorporating these advanced techniques into their own practices.Ready to elevate your implant practice? Subscribe to the Fixed Podcast for more conversations with leaders who are pushing the boundaries of what's possible in implant dentistry.

Discover the unexpected intersection of technical mastery and life philosophy in this enlightening conversation with Dr. Nester Marquez, who brings a refreshingly holistic approach to full arch implant dentistry.Dr. Marquez takes us behind the scenes of his renowned "Ways of the Arches" course—an unconventional educational experience combining rigorous clinical training with desert adventures that include shooting ranges, explosions, and sunset complication lectures. It's a CE course where you literally sign a waiver acknowledging the risks, yet participants consistently describe it as transformative both professionally and personally.The clinical pearls in this episode are abundant and practical. Dr. Marquez details his apical fenestration technique, an approach where the implant tip intentionally perforates the buccal plate by 1-2mm to achieve cortical engagement and superior stability. He walks through his Empire State drilling concept that consistently yields torque values of 60-70 Ncm rather than the typical 25-30 Ncm. These aren't just theoretical concepts—they're battle-tested techniques explained with the clarity that comes from extensive experience.What truly distinguishes this conversation is Dr. Marquez's philosophical depth. He candidly discusses how his early chase for professional recognition left important aspects of his life unattended, leading to his "Ways of the Heart" philosophy. His perspective on innovation—"Not everything that shines is gold, but the only way to find anything shiny is by digging"—reminds us that advancement requires exploration and occasional rule-breaking. Most poignantly, he emphasizes that while technical skill matters, true fulfillment comes from family and meaningful relationships.Whether you're an experienced implant surgeon or just beginning your journey into full arch treatment, this episode offers valuable technical insights while reminding us of the bigger picture: At the end of the day, no one will hang your dental achievements on their wall, but the impact you have on patients and loved ones creates a legacy worth pursuing.

What happens when Instagram perfection meets clinical reality? Dr. Nestor Marquez pulls back the curtain on full-arch implant dentistry in this candid conversation that every clinician needs to hear.Practicing in the unique dental tourism hub of "Molar City" (Los Algodones, Mexico) while living just across the border in Yuma, Arizona, Dr. Marquez shares his unconventional journey from failed dental student and aspiring musician to respected implant clinician. With disarming honesty, he reveals how his father's tough love redirected his path toward dentistry—a decision that ultimately led to his passion for complex implant rehabilitation.The heart of this discussion centers on proper clinical education in today's social media-driven landscape. Dr. Marquez challenges the contemporary rush toward advanced techniques, describing how he watched over 100 surgeries before attempting his first case and completed 500-600 traditional all-on-four cases before incorporating pterygoid implants. This measured approach contrasts sharply with clinicians who attempt complex techniques after a single weekend course.Perhaps most valuable is Dr. Marquez's transparency about complications. "The gods of full arch have complications," he reveals, describing how even the most respected clinicians privately seek advice when cases go wrong. This reality check serves as a powerful antidote to the curated perfection of dental Instagram, where clinicians showcase their successes while keeping failures private. His advice on patient communication—never guaranteeing specific outcomes—stems from hard-earned experience.Beyond technical skills, Dr. Marquez emphasizes the psychological components of implant dentistry: managing patient expectations, maintaining perspective, and knowing when personal factors might compromise clinical judgment. These human elements, often overlooked in formal education, prove essential for long-term success.Whether you're an experienced implantologist or just beginning your journey, this conversation offers rare insights into the realities of full-arch implant treatment. Follow Dr. Nestor Marquez on Instagram (@dr_nes) for his exceptional clinical documentation and educational content that brings transparency to this complex field.

Ready to transform your dental practice into a facial aesthetics powerhouse? This eye-opening conversation reveals how implant dentists are perfectly positioned to tap into the $120 billion facial aesthetics industry—a market 24 times larger than implant dentistry itself.Dr. Soren Paape and Dr. Tyler Tolbert explore how incorporating PRF (Platelet-Rich Fibrin) treatments can create substantial recurring revenue streams while delivering exceptional results for patients. The discussion unveils the stark contrast between one-time implant cases versus aesthetic patients who typically spend $3,000 annually on treatments, returning every 4-6 months like clockwork.The conversation takes a fascinating technical turn with the introduction of the "PRF poncho technique"—a game-changing approach that dramatically reduces bacterial infiltration around implants. Learn how this simple yet powerful method creates a protective barrier of leukocyte-rich fibrin that significantly improves long-term implant success rates, especially for immediate placements.Dental professionals will appreciate the detailed breakdown of PRF processing protocols, including critical insights about tube surface properties, oxygen exposure, and temperature control. The experts share practical tips for optimizing PRF quality, avoiding common mistakes, and efficiently integrating these services into your existing practice flow.Perhaps most compelling is how these regenerative treatments can be partially delegated to trained dental assistants who are already comfortable with blood and sterile procedures. This creates new career advancement pathways for team members while maximizing practice productivity.Have you considered how adding facial aesthetics could revolutionize your implant practice? Could the skills you already possess be worth considerably more in this expanding field? Listen now to discover if this could be your practice's next evolution.

Blood has always been the essence of healing. But what happens when we harness its regenerative power in concentrated form? In this captivating conversation with Dr. Rick Myron, we explore the revolutionary world of Platelet-Rich Fibrin (PRF) technology and how it's transforming both dentistry and facial aesthetics.Dr. Myron's journey from a small-town science fair competitor to a globally recognized researcher exemplifies the perfect marriage between clinical practice and scientific innovation. With 19 years of university education spanning dentistry, medicine, and advanced cell biology, he brings unparalleled expertise to the conversation about regenerative technologies. His work bridges a critical gap in American medicine—the separation between researchers and clinicians—allowing him to develop practical solutions for everyday clinical challenges.The discussion demystifies the science behind PRF, explaining how this technology improves upon its predecessor (PRP) by eliminating anticoagulants and working with the body's natural healing mechanisms. While traditional PRP disrupts the essential clotting process, PRF preserves it, resulting in consistently superior clinical outcomes across thousands of comparative studies. We explore specific applications in dentistry, from extraction sites and implant procedures to sinus grafting, where PRF significantly enhances healing in challenging low-blood-flow environments.Perhaps most surprisingly, Dr. Myron reveals how PRF has created a lucrative revenue stream for dental practices through facial aesthetic applications. Treatments like the "vampire facial" (popularized by celebrities) utilize a patient's own blood components to rejuvenate skin naturally, without foreign substances. These procedures cost practices roughly $50 in materials but command $700-1,100 per treatment, with patients returning regularly for maintenance—making them more profitable than many traditional dental procedures.Whether you're a clinician looking to incorporate cutting-edge regenerative techniques or simply fascinated by how science is revolutionizing healing, this episode offers valuable insights into how your own blood might be the ultimate medicine. Ready to transform your understanding of regenerative therapy and possibly your practice's bottom line?

Dr. Sven Bone brings his extraordinary blend of physics, mathematics, and prosthodontics expertise to The Fixed Podcast in an episode that challenges conventional thinking about dental prosthetic design. With his perfectly fitting last name, Dr. Bone's journey from studying complex mathematical modeling in Montana to revolutionizing implant dentistry showcases how interdisciplinary knowledge can transform clinical practice.At the heart of our conversation is Dr. Bone's innovative approach to prosthetic failure prevention through his company, Smart Mouth Technologies. Their groundbreaking "Will It Break" application employs finite element analysis - a computational method that maps stress distributions in prosthetic designs before they're manufactured. This advancement promises to move dentistry away from subjective rules of thumb toward quantifiable, evidence-based design parameters that can dramatically reduce prosthetic complications.We explore the critical relationship between clinical excellence and laboratory precision, with Dr. Bone emphasizing how his experience running Bone Dental Lab has deepened his understanding of the entire prosthetic creation process. From standardizing record-taking protocols to ensuring manufacturing quality control, mastering both sides of the restoration equation leads to superior patient outcomes.Perhaps most compelling is our discussion about patient-specific factors in prosthetic success. Dr. Bone illustrates how two patients with identical prosthetic designs might have dramatically different outcomes based on their unique bite forces, chewing patterns, and parafunctional habits. This highlights the urgent need for more sophisticated diagnostic tools and personalized design approaches in modern implant dentistry.Ready to bring engineering rigor to your implant practice? This episode offers invaluable insights for clinicians seeking to minimize complications and maximize long-term prosthetic success. Subscribe to The Fix Podcast for more conversations at the cutting edge of implant dentistry.

Two masters of full-arch implant dentistry face off in a thought-provoking debate that challenges conventional wisdom about photogrammetry and implant placement strategies. What begins as a discussion about digital scanning accuracy evolves into a fascinating exploration of biomechanical principles that could fundamentally change how you approach your next full-arch case.Dr. Stanley boldly asserts that photogrammetry isn't always necessary, revealing how his team consistently achieves impeccable results using only intraoral scanning. His engineer's mind breaks down the physics of prosthesis flexure, explaining why adding an extra implant can reduce mechanical stress by 300% when maintaining the same anterior-posterior spread. When he states, "After a couple of years of doing dual scans, my assistant stopped because they were always accurate every single time," you'll understand why his confidence in this approach is unwavering.Dr. Damon counters with equally compelling arguments for a different philosophy. "When we really treat a titanium deficiency with a lot of titanium, we now incorporate lack of blood flow into those areas," he explains, advocating for strategic implant placement rather than simply adding more titanium. His preference for pterygoid implants creates wider support without crowding the anterior region, potentially providing better contingency options when complications arise.Both experts share insider tips on achieving predictable outcomes, whether through guided surgery and perfect parallelism or mastery of freehand techniques with anatomical considerations. Their respectful debate reveals that successful implant dentistry isn't about dogmatically following a single approach but understanding the biomechanical and biological principles that govern long-term success.Whether you're just beginning your implant journey or have placed thousands of implants, this exchange between two leading clinicians will give you valuable perspectives to enhance your practice. Listen now to determine which philosophy aligns with your clinical style and patient needs.

Does successful implant dentistry depend more on the tools you use or the brain behind them? This riveting debate between two masters of full arch implant restoration showcases fundamentally different approaches to achieving predictable success.Dr. Damon champions freehand surgery with unwavering confidence, arguing that true mastery comes from maintaining complete anatomical awareness and adaptability. "Your brain is the guide," he asserts, explaining how this approach allows surgeons to pivot instantly when encountering unexpected challenges during surgery. His patients thank him for removing the burden of guided surgery, appreciating both the clinical flexibility and reduced costs.Meanwhile, Dr. Stanley applies engineering optimization principles to implant dentistry, challenging conventional wisdom about stability, torque, and surgical planning. "The idea of undersizing an osteotomy meaning that you made the hole smaller means that when you put the thread in, it's going to compress the bone more," he explains, unveiling how guided surgery creates predictable stability even in challenging bone quality. His revolutionary perspective on torque—demonstrating how a zero-torque implant can have 100% stability—forces listeners to question fundamental assumptions about implant success.Both doctors present compelling evidence for their methods, sharing illuminating clinical examples and practice management insights. Whether discussing pterygoid implants, stackable guides, or the globalization of digital dentistry, this conversation transcends mere technique to explore the philosophy behind predictable outcomes. For practitioners weighing efficiency against flexibility, or considering the true definition of implant stability, this episode delivers paradigm-shifting perspectives.What's your approach to full arch implants? Have you found your perfect balance between planning and adaptability? Share your experiences and continue the conversation!

The debate of pterygoid and zygomatic implants takes center stage as two masters of implant dentistry present dramatically different philosophies on full arch restoration. Dr. Robert Stanley, a dual-trained PhD engineer and dentist, maintains that 99% of patients can be successfully treated without remote anchorage techniques when proper prosthetic principles are applied. Meanwhile, Dr. Damon reveals he incorporates pterygoid implants in virtually all his cases, citing biomechanical advantages and superior outcomes.This riveting discussion dives deep into the engineering principles that govern implant success. Dr. Stanley introduces the concept of "truss systems" that explains why tilted implants work in full arch configurations despite contradicting single-tooth biomechanics. He emphasizes how proper prosthetic design—utilizing adequate vertical height, strong zirconia materials, and limited cantilevers—can achieve excellent long-term outcomes without resorting to specialized techniques.Dr. Damon counters with compelling arguments for pterygoid implants, noting their ability to eliminate cantilevers completely while anchoring into dense cortical bone of the pyramidal process with longer implants. His philosophy that "the best zygoma is the one you never have to do" highlights how pterygoids can often help clinicians avoid more complex procedures.Both experts share concerns about inexperienced practitioners attempting advanced techniques without proper training, noting an alarming trend of recent graduates jumping directly into complex full arch cases. Their contrasting approaches demonstrate that in implant dentistry, understanding fundamental principles allows for multiple pathways to success based on individual patient needs rather than dogmatic adherence to a single technique.Whether you're just beginning your implant journey or looking to refine your approach to complex cases, this episode provides invaluable insights from two different yet equally successful perspectives in modern implant dentistry. What will you take from this debate to enhance your own practice?

What happens when a determined dental student ignores early academic struggles to become an expert in full arch dentistry? Meet Dr. Drew Phillips, our guest with an extraordinary journey through the dental world beginning from his roots in the Dental College of Georgia. In this episode of the Fixed Podcast, Dr. Phillips takes us through his transition from aspiring surgeon to a leading figure in implant dentistry, sharing how the influence of his father's medical career and a remarkable performance on the dental admissions test paved his path. Join us as I recount my own experiences in a General Practice Residency, highlighting the intense pressures of performing under professional scrutiny and the critical lessons learned about surgical visibility. From Salt Lake City's sedation dentistry to the complex world of advanced implant cases, our discussion uncovers the thrilling, yet challenging, leap from residency to specialized surgical fields. With anecdotes of managing unexpected complications, like being left to tackle a double arch case solo, the episode emphasizes the importance of understanding prosthetic aspects before advancing in implant surgery.Together with Dr. Phillips, we explore the intricate decision-making process in implant placement, discussing the nuances of sinus positioning, implant types, and the strategic use of cantilevers. Listen in to discover our favorite dental instruments and the invaluable insights gained from international courses with experts worldwide, including a memorable training experience in Brazil. This episode promises an enlightening look into the dynamic and rewarding world of implant dentistry, offering both seasoned professionals and aspiring dentists a glimpse into the complexities and satisfactions of the field.

Unlock the secrets to navigating the complex world of implant dentistry and bisphosphonate medications, especially as they pertain to postmenopausal women's health. Engage with our insightful discussions on the AOMS position paper and its implications for preventing osteonecrosis of the jaws. We'll guide you through the nuances of educating dental residents on managing patients taking bisphosphonates, while revisiting the Women's Health Initiative study and unraveling its misinterpretations that led to a surge in bisphosphonate use. Join our guest, Dr. Rutkowski, as we explore the intricacies of bisphosphonate-induced osteonecrosis, focusing on drug absorption and potency variations between oral and IV administrations. We highlight the importance of considering dosage, duration, and oral health, and provide a deeper understanding of treatment protocols, including the use of serum CTX and NTX tests and strategic drug holidays. Dr. Rutkowski shares enlightening perspectives on managing dental implants in patients on bisphosphonates and monoclonal antibodies, alongside critical insights for pre- and post-surgery care, including vitamin D supplementation and collaboration with oncologists for radiation therapy cases.Discover the transformative power of the Waterpik Sonic in maintaining oral health, as illustrated by heartwarming anecdotes from Dr. Rutkowski. Hear about the impact of innovative programs like Jacksonville University's Comprehensive Oral Implantology Program, offering remote residency opportunities. As we close this episode, we celebrate the camaraderie and collective wisdom within the implantology community, with gratitude for the experts who generously share their knowledge, advancing our understanding and enriching patient care.

Unlock the secrets of modern implant dentistry with Dr. James Rutkowski, the visionary director of Jacksonville University's Comprehensive Oral Implantology Residency Program. Dr. Rutkowski takes us on an extraordinary journey from his early career as a pharmacist to becoming a trailblazer in implant dentistry. With stories of placing his first implant back in 1983 using makeshift tools, his narrative is both inspiring and enlightening for anyone passionate about advancing in the field. Discover how his dedication to education and innovation has shaped a residency program that is setting new standards in dental education.Immerse yourself in the transformative power of a residency program that weaves together the complexities of pharmacology and implant dentistry. This unique curriculum offers a holistic approach, equipping residents with the skills needed to navigate the intricacies of real-world clinical settings. By integrating diagnosis, surgical placement, prosthetic restoration, and maintenance, the program prepares dentists like Soren and Tyler to tackle complex cases with confidence. Residents also benefit from hands-on training and the opportunity to earn a stipend, ensuring both financial stability and comprehensive education.Explore the myriad benefits of this pioneering residency model, which blends academic rigor with practical experience. Dr. Rutkowski and his team have redefined dental education by emphasizing community, collaboration, and continuous learning. With access to a network of clinics across the U.S., residents gain invaluable experience while patients receive affordable care. This innovative approach not only enhances the residents' skills but also supports their professional growth, offering an enticing alternative to traditional dental education paths. Join us for an engaging discussion that promises to expand your understanding of what it truly means to excel in implant dentistry today.

Unlock the secrets of advanced implant dentistry with insights from Dr. Soren Paape, Dr. Tyler Tolbert, and Dr. Simon Oh. This episode promises to enhance your understanding of the PATZI protocol for six implants and the strategic use of pterygoid implants in the maxilla. We'll discuss the complexities of adapting these techniques to individual patient needs, including nerve lateralization and the critical importance of informed consent. Prepare to gain a comprehensive view of the procedural and financial nuances of advanced implant practices.Explore the balancing act of treating traveling patients, where we unravel the intricacies of strategic pricing, recovery timelines, and managing expectations. The conversation extends to the ripple effect of influencer marketing in dentistry, particularly how platforms like TikTok are reshaping patient awareness and expectations. Discover how prominent social media personalities impact the perception of dental procedures, fueling curiosity and demand for innovative treatments, and learn how this digital landscape can be both a boon and a challenge for practitioners.Finally, join us in celebrating the incredible work of ORCA, an organization making strides in global dental care. Listen as Dr. Oh shares ORCA's mission to provide dental services to underserved populations, highlighting their pioneering efforts in Guatemala and upcoming plans for expansion. From revolutionary techniques to opportunities for professional involvement, this episode shines a light on how ORCA is paving the way for accessible dental care worldwide. Get inspired by stories of transformation and the ethical considerations driving these life-changing initiatives.

Dr. Simon, an esteemed expert in implant dentistry, particularly Full Arch procedures, joins us to unravel his captivating journey from a conventional dentist to a revolutionary implant surgeon. He shares his experiences in trauma surgery and how a passion for transformative dentistry led to a focus on full arch implants, reviving his career and offering life-changing solutions for orally compromised patients.Venture with us into the dynamic world of Full Arch dentistry as we explore both the advancements and challenges facing dental professionals today. Dr. Simon highlights the growing importance of mastering complex cases, underscoring the necessity of continuous learning in a field where the potential of AI is becoming increasingly significant. We discuss innovative implant techniques, including zygomatic and pterygoid implants, emphasizing the balance between surgical precision and personal experience in optimizing patient outcomes.Our conversation takes an insightful turn into the technical aspects of sinus reconstruction and the innovative strategies that are shaping the future of implant dentistry. From creating sinus windows to managing sinus complications, Dr. Simon details his hands-on training experiences that have honed his expertise. We also explore the promising future of materials like Tetranite, which could revolutionize current practices and improve surgical predictability. Join us for an episode that promises to enlighten and inspire dental professionals and enthusiasts alike.

Dr. Justin Moody, a leading figure in implant dentistry, joins us to share his journey and the impact of his visionary educational platform, Pathway. From my own beginnings with an Implant Pathway scholarship in 2018 to the vibrant evolution of dental training, we explore the myriad opportunities Pathway presents. Dr. Moody's passion for inspiring new dentists and his personal pursuits, such as acquiring a Napa property, highlight the importance of passion projects beyond a professional career.The triangular challenges of dentistry—art, business, and patient relationships—are central to our discussion, as we explore how dentists can transform their roles from problem-solvers to healers. Specialization in areas like full arch dentistry allows practitioners to focus on solutions, creating a more rewarding practice for both dentists and their patients. By honing listening skills and understanding patient needs, we emphasize building stronger, more fulfilling patient relationships, turning them into enthusiastic advocates.Through personal stories of overcoming limitations and seizing bold career moves, we delve into the essence of persistence and innovation in the dental field. My journey from a Nebraska farm to implant dentistry illustrates the power of passion and growth when pursuing one's true calling. Additionally, we recount the expansion of a surgical practice amid the COVID-19 pandemic, showcasing the resilience and dedication of our Pathway community. Join us for an inspiring conversation that promises to leave you feeling motivated and ready to embrace new possibilities in your professional journey.

Discover the groundbreaking world of implant dentistry with our special guest, Dr. Logan Locke, as he takes us on a journey through the innovative three-on-six dental implant procedure. We'll unravel the complexities behind the surgical techniques, revealing why tooth-borne guides are pivotal for stability and how pre-planning abutment placements can make or break prosthetic integration. Dr. Locke provides a masterclass on the essential role of initial prosthetics in preserving dental architecture and shares his secrets on using negative bone reduction guides for the best outcomes.As we navigate the landscape of full-arch dental implants, we examine the nuances of occlusal schemes in both three-on-six and all-on-six approaches. Dr. Locke offers insights from the recent ICOI meeting, sparking a conversation about the exciting potential of FP1 approaches in situations usually reserved for FP3 solutions. We highlight the importance of canine guidance and solid posterior contacts for achieving ideal occlusal results. Plus, our discussion emphasizes the need for practitioners to refine their skills in GBR and tissue grafting to tackle complex cases while maintaining aesthetics and functionality.In our final segment, we tackle the transition from FP3 to FP1 prosthetics, exploring the benefits and challenges involved. Dr. Locke delves into the durability of zirconia implants and the hygiene advantages of FP1 prosthetics. With a focus on advancing the three-on-six approach, we discuss the potential for this method to revolutionize full-arch restorations and call for innovation from implant companies to support its mainstream adoption. Join us as we champion the democratization of these cutting-edge techniques, ensuring more providers can offer them to patients seeking lasting, comfortable solutions.

Dr. Logan Locke joins us to unravel the innovations behind the three on six FP1 full arch method. Discover how Dr. Locke's journey alongside Dr. Randy Roberts, starting with affordable single implants in Utah, evolved into groundbreaking procedures like all-on-x and the three on six approach. Learn how these segmented arches, supported by six implants, offer both cost and functional advantages over traditional methods, and hear about the early challenges they faced, from milling limitations to achieving cost efficiency.Explore the strategies Dr. Locke employs to manage implant bridge failures and the solutions necessary for long-term success. We delve into the flexibility of treatment plans, such as transitioning from three on six to two on five designs, and the critical importance of maintaining bone integrity. Special considerations for younger patients are discussed, alongside the potential implications of initial bone removal and the role of FP3 prosthetics. We also touch on advanced solutions like zygomatic implants, which extend the lifespan and effectiveness of dental treatments.In this episode, we explore the intricacies of prosthetic placement and surgical workflows in dental surgeries. Dr. Locke shares insights on how prosthetics influence bone resorption and tissue development, emphasizing the transition from cement-retained to screw-retained systems. Discover the strategic use of multi-unit abutments to maintain implant integrity, and learn about the challenges and benefits of in-house prosthetic production. With a focus on atraumatic extractions and the importance of avoiding unnecessary bone removal, this episode provides a comprehensive look at the techniques that enhance patient outcomes in implant dentistry.

Join us on a captivating journey through the world of implant dentistry with the esteemed Dr. Chris Barrett. From customized implants to zygomatic and pterygoid options, we uncover the critical need for backup plans during surgeries and the importance of comprehensive informed consent. We tackle the tough conversations around patient risks and explore the transformative power of practice and training in building confidence for complex procedures.We reflect on the strategic planning necessary in all-in-four dental cases, addressing challenges like surgical fatigue and phased approaches. New practitioners, take note: we reveal key strategies to overcome common pitfalls and ensure both practitioner and patient satisfaction through effective planning and execution.Looking towards the future, we explore the groundbreaking advancements in dental technology poised to revolutionize the field. From tetranite and robotics to AI and 3D printing, these innovations hold the promise of more precise and personalized care. We discuss how these technologies can enhance diagnostic and treatment processes and contemplate the exciting potential of large data sets to shape a future of more predictable and evidence-based dentistry. Tune in for an enlightening conversation about the future of dental care, where technology meets art and science for the ultimate patient experience.

What does it take to excel in the field of implant dentistry? Join us on the Fixed Podcast as we host Dr. Chris Barrett, a leading expert known for his skills in placing Zygo implants and remote anchorage cases. Dr. Barrett shares his journey from the University of Iowa to a renowned restorative-only practice in Denver, highlighting how mentorships and collaborations shaped his approach to full arch and implant dentistry. You’ll gain insights into his comprehensive methodology, shaped by influential figures.Get ready to uncover the latest advancements in digital dentistry! This episode explores the fascinating world of remote anchorage and milling technology, spotlighting the shift towards same-day zirconia deliveries. We tackle the essential balance between immediate finals and proper healing time, along with innovative techniques like socket shielding and root banking. Our discussion goes deep into the nuances of FP1 versus FP3 prosthetics, emphasizing the critical aspects of precise diagnosis and case selection in modern dental practice.The episode culminates in a thorough examination of the evolution of dental implants. Dr. Barrett recounts historical methods and their limitations, providing context for the advanced techniques available today. From custom implants and mandibular subs to the enduring challenges of zygomatic implants, we cover it all. Discover how modern innovations like extra maxillary methods and pterygoid fixation are setting new standards in implant stability, avoiding the pitfalls of the past. Don't miss this episode packed with expert insights, practical advice, and a forward-thinking perspective on implant dentistry.

Unlock the secrets of advanced implant dentistry with our special guest, Dr. Bernardo Nunes de Sousa, as we navigate the intricate world of dental implants. Bernardo shares his invaluable insights on the evolution of custom subperiosteal implants and their revolutionary benefits for super atrophic cases. Discover why these custom solutions are becoming the preferred choice over traditional zygomatic implants, particularly in challenging scenarios, and the critical role of detailed dental records and photography in managing complications and tracking case progress.Ever wondered about the difference between the Branemark method and other implant placement techniques? Join us as we dissect the nuances between customized implants and traditional methods, emphasizing the preservation of the maxilla's bony architecture. Bernardo explains how leveraging the maxilla's natural buttresses ensures the stability of customized implants and how this compares to the more invasive zygomatic implants. We'll also touch on the practical workflow from a clinician's perspective and discuss the current landscape of customized implant availability in the United States.Finally, gear up for a deep dive into advanced surgical techniques that can make or break complex dental procedures, particularly sinus lifts. With Bernardos step-by-step guidance on tissue management, you'll learn the essential skills for ensuring optimal healing and stability. Don't miss the discussion on extending incisions and utilizing the tuberosity area for thin palatal tissues. We wrap up with a heartfelt conversation on mentorship and the importance of motivation in the dental field, featuring Dr. Bernardo's admiration for the host's impactful work. This episode is a must-listen for anyone looking to elevate their implant dentistry practice.

What if mastering implant dentistry could transform your career? Join us as we welcome back the incredible Dr. Bernardo Nunez de Sousa, a true innovator in the field of implant dentistry. From dreaming of becoming a dentist at just five years old to his advanced training across multiple continents, Dr. Sousa’s journey is nothing short of inspiring. He shares his deep fascination with Dr. Paulo Malo's All-on-4 technique and his adventures from Portugal to the Netherlands, and even to Cuba, where he learned invaluable lessons about technique over tools.This episode is packed with Dr. Sousa’s personal anecdotes, including the exhilarating challenges of advanced cases and boot camps in Brazil. We discuss the evolution of full arch dentistry, moving from overwhelmingly complex cases to mastering them with finesse and confidence. You’ll hear how advanced training programs like the Full Arch Club master course can elevate your skills, making what once seemed daunting now routine. The conversation takes a deep dive into the transformative impact of innovative dental techniques and the critical role of soft tissue management in implantology, revealing the secrets to achieving long-term success in dentistry.We also touch on the importance of preventive care, mentorship, and continuous learning to stay ahead in the field. From the nuances of soft tissue grafting to becoming ambidextrous, Dr. Sousa shares his wealth of knowledge and practical advice. The discussion underscores the significance of documenting your work and maintaining a critical mindset for continuous improvement. Whether you’re a seasoned professional or just starting in the field, this episode promises to equip you with the insights and inspiration needed to excel in implant dentistry.

Ready to revolutionize your dental practice? Join us on the Fixed Podcast as we welcome Dr. Caleb Stott, a dentist whose incredible journey spans from the military to mastering Full Arch dentistry. Discover how Caleb's experiences in Korea and Germany have shaped his career, and how his move into civilian practice led to a thriving dental career in Boise, Idaho. Gain unique insights into the challenges and triumphs of military life, and how those experiences have prepared him for success in his specialized dental practice.Ever wondered about the transition from analog to digital in dental workflows? Caleb dives into his passion for enhancing Full Arch dental care, discussing the integration of photogrammetry, digital tools, and Platelet-Rich Fibrin (PRF) into his practice. He shares his dedication to continuous education through CE courses, mentorship, and international training. Learn from Caleb's real-world experiences, including the frustrations and breakthroughs that come with adopting cutting-edge technology and the value of rigorous training programs.Running a successful Full Arch practice is no easy feat. Caleb reveals the strategic and operational aspects that have driven his practice to new heights. From improving efficiency and team selection to navigating market competition, Caleb’s journey offers a comprehensive look at what it takes to thrive in the dental field. Dive into the vision behind Smile Now, a dental group committed to exceptional clinical treatment and a supportive work environment. This episode is packed with actionable insights and inspiring stories that promise to elevate your dental practice to the next level.

What if you could revolutionize your approach to dental implantology with a single protocol? Join us on the Fixed Podcast as we welcome Dr. Samy, a full arch implant dentistry virtuoso, who will unravel the intricacies of the PATZI protocol. From his robust training in Chicago to establishing his own practice in Austin, Texas, Dr. Samy shares his journey and the methodical steps behind the development of this groundbreaking protocol. This episode is designed to elevate your understanding of full arch surgery, whether you're a seasoned practitioner or new to the field.Throughout our enlightening discussion, we dive deep into the non-clinical facets of the PATZI protocol, underscoring the significance of standardization, classification, and intraoperative algorithms. Discover how a unified approach can enhance global communication among dental professionals, leading to consistent treatments and predictable revisions. We also touch on the future implications of the rising demand for dental implants and the essential need for planning long-term revisions, illustrated with a compelling real-life case from Dr. Samy's residency days.In the final segments, we tackle the complex challenges of placing dental implants in scenarios with insufficient alveolar bone, and the innovative solutions like transnasal implants that can be employed. Dr. Samy outlines an algorithmic approach for these difficult cases, emphasizing the need for specialized training and international standardization. We also explore the potential complications of remote anchorage implants and the critical role of dental labs, such as JB Dental Lab, in ensuring successful outcomes. Tune in for an episode brimming with practical insights and expert advice that will significantly advance your practice in implant dentistry.

Ready to transform your approach to implant dentistry? Join us as we unpack the critical pitfalls and invaluable lessons from the first hundred full-arch implant cases, ensuring you sidestep common errors and refine your technique. We'll delve into the delicate art of alveoplasty and the precision required in drilling to safeguard against bone damage. Are you torn between sticking with analog workflows or embracing digital methods? We'll weigh the pros and cons, advising newcomers to master analog basics before transitioning.Gaining confidence in advanced procedures like pterygoid implants takes time and experience. With insights from our guest Clark, we share practical advice on building surgical skills incrementally. Learn why extending incision lines and practicing safe drilling techniques are crucial steps in preparing for more complex cases. We'll also discuss the importance of patient interactions and managing expectations when complications arise, sharing personal journeys to highlight the need for patience and mastery in advanced implant techniques.Ethical considerations are at the heart of implant dentistry, and this episode emphasizes long-term patient care and trust-building. Clark shares how the Texas Implant Institute can further hone your skills, with special courses designed for advanced techniques like engaging the nasal cortex. We discuss the significance of ethical practices, such as not charging for replacement of failed implants, to foster patient trust and positive word-of-mouth. Join us for a comprehensive discussion that aims to elevate your practice and enhance patient care, backed by the educational opportunities available through the Texas Implant Institute.

Ever wondered what it takes to become a master in implant dentistry? Join us as we sit down with Dr. Clark Damon, a leading expert who transitioned from running a denture clinic to managing a high-production practice. Dr. Damon walks us through his journey and outlines the essential steps to advance from handling removable overdentures and single implants to mastering fixed treatments and All-on-Four cases. He emphasizes the importance of hands-on experience and specialized training, shedding light on how visual aids like x-rays and CT scans can be pivotal in enhancing your learning curve.Discover the transformative power of cadaver training in dental education. Dr. Damon shares his experiences with advanced cadaver courses offered by the Texas Implant Institute, highlighting invaluable mentorship and the collaborative spirit fostered by professionals like Rick Klein and Juan Gonzalez. These immersive courses are more than just a learning opportunity—they are a gateway to forming lasting professional relationships and accelerating skill development, especially in full arch procedures. We also dive into the nitty-gritty of guided implant surgery and patient education. From the crucial need for comprehensive training and effective communication with staff, to transparent discussions with patients about procedural and financial aspects—Dr. Damon covers it all. Learn about the benefits of using six implants to reduce cantilevers, the importance of anatomical landmarks, and essential preventative measures for patients who have undergone head and neck radiation. Equip yourself with the knowledge to navigate complex medical considerations and ensure patient safety and successful outcomes in your practice. Don't miss this episode packed with insights and practical advice to elevate your implant dentistry skills!

Ever wondered how to achieve optimal torque and stability in implant dentistry? Join us, Dr. Tyler Tolbert and Dr. Soren Paape, as we lead you through the intricate steps of implant placement, from selecting the right drill sizes to executing precise osteotomy adjustments. We delve into the specifics of pterygoid implants and explore the art of choosing and angling multi-unit abutments for flawless restorations. Our deep dive ensures you never settle for inadequate resistance, offering insights into achieving the perfect alignment and stability critical for successful outcomes.Efficiency and precision are the cornerstones of effective surgical procedures. We emphasize the mantra "slow is smooth and smooth is fast," underscoring the importance of a well-coordinated surgical team. Discover how standardized systems and incremental improvements can drastically minimize complications and elevate patient care. We provide practical tips on honing surgical techniques, highlighting the collective expertise required to refine and streamline your practice for better results and smoother processes.Finally, we tackle the complexities of full arch surgery, offering strategies to improve both efficiency and quality. Learn how to manage patient movement and utilize full-thickness mucoperiosteal flaps to reduce surgery time and risks. We break down advanced techniques for multi-unit implant placement, shedding light on how to avoid common pitfalls and achieve perfect prosthetic outcomes without over-reliance on guides. Plus, find out how you can get involved with the Fixed Podcast, giving us feedback and contributing your expertise to make our show even more interactive and valuable. Join us for an episode packed with actionable insights and expert advice to elevate your implant dentistry practice.

Unlock the secrets to efficient implant dentistry with actionable insights from Dr. Tyler Tolbert and Dr. Soren Paape. Discover how Dr. Paape completed an astounding double arch surgery in merely an hour and a half, using innovative techniques and the six-handed dentistry approach inspired by Dr. Matt Krieger. You’ll gain expert advice on maintaining surgical efficiency, transitioning to digital protocols, and documenting each step meticulously to enhance outcomes.Explore the protocols and workflows that streamline denture and CT-driven full arch cases, emphasizing the use of pre-designed dentures for superior visualization and alignment. Navigate the complexities of using fiduciary markers versus segmenting CTs with our expert tips, and learn how thorough preparation and team coordination can make or break your surgical process. Dr. Paape also shares invaluable tips on pre-surgery planning and the six-handed approach to ensure everything runs like clockwork.Get an in-depth look at the surgical protocols and anesthesia techniques that underpin successful dental procedures. From pre-operative photos to anesthesia administration and the surgical flap reflection techniques, we cover it all. Learn how to effectively use tools and methods for optimal visibility and efficiency, and follow detailed steps for preparing and executing osteotomies. This episode is packed with practical insights and personal preferences designed to elevate your practice in implant dentistry. Tune in to elevate your surgical precision and efficiency.

Join us, Dr. Tyler Tolbert and Dr. Soren Paape, as we recount our unique journeys into implant dentistry. In our first episode, you'll discover how Tyler's unexpected dental issues in college sparked his passion for dentistry and how Soren's summer job on charter fishing boats, and an encounter with dentists, shifted his career from computer science to dental care. We'll share our backgrounds, extensive training, and how our paths converged to shape our vision for this podcast.We dive into our hands-on experiences and the educational paths that shaped our expertise in full arch dentistry. Hear about our rigorous training, including 600 hours of continuing education, has led to impressive surgical milestones. Dr. Paape reflects on his transformative experiences at the University of Wisconsin-Madison, shadowing dentists, and serving at a local free clinic.As we transition from the Full Arch Podcast to The FIXED Podcast, we're excited to introduce new interactive features designed to engage and educate our listeners. From a dedicated website for submitting questions and cases to leveraging Instagram and TikTok for visual learning, we aim to make implant dentistry more accessible. We'll share personal cases, including those with multiple revisions, to prepare general dentists for the complexities of implant dentistry. Whether it's managing over-dentures, single implants, or grafting techniques, we hope to equip you with the skills and knowledge to excel in your practice.