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. Jun 15

    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
  2. Jun 1

    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
  3. Mar 2

    Navigating Full Arch Challenges: A Talk with Dr. Sean Lan: Part 3

    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.

    54 min

Ratings & Reviews

4.6
out of 5
11 Ratings

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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