The Fixed Podcast

Dr. Soren Paape and Dr. Tyler Tolbert
  • 5.0 (10)
  • EDUCATION
  • UPDATED BIMONTHLY

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. 12/22/2025

    FIXED x Dr. Simon Oh: Ending Toothlessness: Orca’s Mission In Full-Arch Care

    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.

    43 min

  2. 12/08/2025

    Learning from the Giants: Dr. Jerik's Insights on Subperiosteal Implants: Part 3

    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?

    40 min

  3. 11/24/2025

    Learning from the Giants: Dr. Jerik's Insights on Subperiosteal Implants: Part 2

    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.

    36 min

  4. 11/10/2025

    Learning from the Giants: Dr. Jerik's Insights on Subperiosteal Implants: Part 1

    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.

    35 min

  5. 10/13/2025

    The Fixed Podcast Meets 3 on 6: Insights into FP1

    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.

    34 min

  6. 09/29/2025

    Advancements in Implant Techniques: Sinus Crushing and Pterygoid Implants with Dr. Clark Damon: Part 2

    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.

    57 min

  7. 09/15/2025

    Advancements in Implant Techniques: Sinus Crushing and Pterygoid Implants with Dr. Clark Damon: Part 1

    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.

    51 min

  8. 08/18/2025

    Navigating Transnasal Implant Techniques with Expert Dr. Zelig ft Dr. Damon: Part 2

    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.

    59 min
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Ratings & Reviews

5
out of 5
10 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.

Information

  • Creator
    Dr. Soren Paape and Dr. Tyler Tolbert
  • Years Active
    2024 - 2025
  • Episodes
    39
  • Rating
    Clean
  • Copyright
    © 2025 The Fixed Podcast
  • Show Website
    The Fixed Podcast

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