The Fixed Podcast

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...

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...

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 ca...

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 pedicle...

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 beh...

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 unp...

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...

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. Al...

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, m...

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...

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...

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 placem...

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....

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 wi...

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 adve...

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 f...

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 re...