The Fixed Podcast

The fastest way to lose a case is to treat a consultation like a transaction. We talk through how a simple shift in environment and language can change everything in implant dentistry, from case acceptance to patient trust. Privacy matters more than most practices admit, and we share practical ways to create it even if you don’t have a dedicated consult room, plus why patients open up when the door closes and they feel safe e...

Full-arch implant dentistry can feel like two jobs at once: delivering precise clinical outcomes while also running a business that swings month to month. We talk through a deceptively simple question that affects everything downstream: should the patient be awake, lightly sedated, or deeply sedated when you’re doing big full-arch work? The answer isn’t about our preference, it’s about nerves, chair time, communic...

A patient walks in asking for full arch dental implants, but their teeth are not quite “terminal.” Another patient has one arch that is clearly headed for All On X, while the other could be saved with a full mouth rehabilitation. Those are the moments where implant dentistry stops being a procedure and becomes a decision making framework. We talk with prosthodontist Dr. Ryan Sloan of Smile Now Boise about how a prosthod...

Your full-arch case can look perfect in CAD and still land in the mouth with a crooked bite and hours of adjustment. We get specific about why that happens and what to change, starting with a simple discipline that pays off fast: retorque multi-unit abutments before phase two photogrammetry and before you commit to the next prosthetic step. When insertion torque is low, we talk through the most underused tool in implant dentistry, ...

A full-arch case can look “digital” on paper and still fall apart on the day that matters. We bring on prosthodontist Dr. Tony Pollotto to get brutally specific about what makes All-on-X predictable and what quietly creates chaos, especially when you’re trying to deliver same-day teeth and keep the bite right. From his early years in a high-volume ClearChoice model to launching his own implant and prosthodontic ce...

The uncomfortable truth about full-arch implant dentistry is that the hardest moments often have nothing to do with placing implants. They happen when a patient isn’t getting numb, oral conscious sedation starts to feel thin, and you’re working in a state where CRNAs aren’t an option and anesthesiologists are booked out or priced out. We talk candidly about why certain markets (like Reno) can be a different animal...

Teeth don’t get predictable just because you bought better tech, and full-arch dentistry doesn’t get safe just because someone watched a few surgeries online. We’re joined by Dr. Aaron Berger, lead surgeon at Smile Now Reno, to tell the full story of how he went from a specialty-heavy dental school background with limited extraction experience to doing high-volume full arch dental implants with calm, repeatable ex...

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...

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. Aut...

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-fi...

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 o...

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 t...