The Fixed Podcast

Dr. Soren Paape and Dr. Tyler Tolbert

Welcome to the The FIXED Podcast, your ultimate source for everything related to implant dentistry! Whether you're a dental professional looking to stay at the forefront of the industry, a student aspiring to specialize in implants, or a patient curious about advanced dental solutions, this podcast is for you. Join us as we bring together leading experts, innovative practitioners, and passionate educators to discuss the latest trends, technologies, and techniques in the world of All-On-X dental implants. Each episode dives deep into various aspects of implant dentistry, from cutting-edge surgical procedures to patient care strategies, ensuring you get a comprehensive understanding of this revolutionary field. What You'll Discover: Expert Interviews: Hear from top dental professionals and innovators as they share their insights, experiences, and tips for success in implant dentistry.Latest Innovations: Stay updated with the newest advancements in implant technology and materials that are transforming patient outcomes.Case Studies: Gain valuable knowledge from detailed discussions of real-life cases, highlighting challenges and solutions in implant dentistry.Educational Segments: Enhance your skills with in-depth explorations of best practices, from diagnosis and planning to execution and maintenance. Whether you're looking to expand your professional knowledge, learn about the latest industry developments, or simply explore the fascinating world of implant dentistry, the The FIXED Podcast is your go-to resource. Tune in and join the conversation as we uncover the future of dental implants, one episode at a time.

  1. 53 min ago

    Fixed x Dr. Pallotto: Streamlined Success: Modern Approaches to Digital Dentistry: Part 1

    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 center, Tony shares the operational decisions that separate a smooth surgery day from an exhausting one. We dig into analog versus digital dentistry workflows, why scan-based systems can be great for provisionals yet risky when you push them into finals, and what it really takes to become fluent in Exocad. Tony makes the case that “design” is the hardest problem in full-arch implant dentistry because it sits at the intersection of tissue, phonetics, hygiene, esthetics, implant position, and biomechanics. We also talk AI in dental CAD design, where it’s genuinely useful today, and why knowing what an ideal prosthesis should look like matters more than knowing every click path to build it. You’ll also hear a thoughtful shift toward conservative treatment planning: when a patient wants a double-arch, but the smarter long-term play is a combination case that saves restorable teeth. We wrap with Tony’s current same-day workflow preferences, why he has doubled down on CBCT-based alignment for efficiency, and how he thinks about PMMA, early zirconia, and timing finals around tissue stability. If you’re building a full-arch implant workflow, refining your digital process, or debating in-house design versus outsourcing, this one will sharpen your playbook. Subscribe to The FIXED Podcast, share this with a colleague, and leave a review with the biggest workflow change you’re making this year.

    46 min
  2. 15 Jun

    From Dental School to Smile Now: A Journey in Full Arch Dentistry with Dr. Aaron Berger: Part 2

    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 and how patient factors like smoking and anxiety meds can change the way local anesthetic behaves.  From there, we get practical. We share a simple anesthesia protocol that can prevent a bad day before it starts: get the patient numb and wait a full ten minutes before you begin. That “boring” pause can improve hemostasis, reduce breakthrough pain, and keep you from chasing anesthesia late with too many carpules and tough decisions like stopping after one arch. We also connect patient comfort to something most clinicians underestimate, team workflow. When assistants understand implants at a fundamental level and can anticipate the next step, your surgery time drops, organization improves, and outcomes get more predictable.  We also zoom out to scaling a busy full-arch clinic: staffing turnover, when an associate actually makes sense, and why restorative troubleshooting can create the majority of downstream problems. Finally, we get real about business transparency and equity, and why clinicians must verify numbers and leadership competence in an industry where clinics can close fast and patients can be left stranded. If you found this helpful, subscribe, share it with a colleague in full-arch, and leave a review with your biggest sedation or staffing challenge.

    37 min
  3. 1 Jun

    From Dental School to Smile Now: A Journey in Full Arch Dentistry with Dr. Aaron Berger: Part 1

    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 execution. We talk about the unglamorous skills that make or break All-on-X results: efficient full-mouth extractions, flap control, hemostasis, alveoloplasty, and the removable prosthodontic principles that still run the show when you move into fixed full arch. Aaron shares why the “1% better” mindset matters, how mentorship changes your learning curve, and why mental rehearsal before surgery helps when the case gets messy and time pressure hits. Then we get practical about digital dentistry. Analog-to-digital transitions can be painful, scanners can double-scan, and labs can only work with the data you capture. We walk through VDO records, what to do when a patient forgets their denture, and how to build a workable bite using mush bites, photos, measurements, and multi-unit healing cap captures. Finally, we zoom out to Reno: what a month of 19 arches looks like, how you scale capacity, and how Nevada’s CRNA limitation impacts sedation planning and patient comfort. If you care about full arch implants, digital workflow reliability, and long-term surgical outcomes, hit subscribe, share this with a colleague, and leave a review with the skill you’re working on next.

    37 min

About

Welcome to the The FIXED Podcast, your ultimate source for everything related to implant dentistry! Whether you're a dental professional looking to stay at the forefront of the industry, a student aspiring to specialize in implants, or a patient curious about advanced dental solutions, this podcast is for you. Join us as we bring together leading experts, innovative practitioners, and passionate educators to discuss the latest trends, technologies, and techniques in the world of All-On-X dental implants. Each episode dives deep into various aspects of implant dentistry, from cutting-edge surgical procedures to patient care strategies, ensuring you get a comprehensive understanding of this revolutionary field. What You'll Discover: Expert Interviews: Hear from top dental professionals and innovators as they share their insights, experiences, and tips for success in implant dentistry.Latest Innovations: Stay updated with the newest advancements in implant technology and materials that are transforming patient outcomes.Case Studies: Gain valuable knowledge from detailed discussions of real-life cases, highlighting challenges and solutions in implant dentistry.Educational Segments: Enhance your skills with in-depth explorations of best practices, from diagnosis and planning to execution and maintenance. Whether you're looking to expand your professional knowledge, learn about the latest industry developments, or simply explore the fascinating world of implant dentistry, the The FIXED Podcast is your go-to resource. Tune in and join the conversation as we uncover the future of dental implants, one episode at a time.

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