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. Autogenous bone from routine alveolectomy, collagen membrane support, and smart use of PRF can minimize biomaterials while preserving volume. On the soft-tissue side, we show how palatal thinning and simple CTG/FGG techniques create protective keratinized bands that make hygiene easier and complications rarer. The goal isn’t “least possible” work; it’s the right amount of work—optimally invasive treatment planning that respects biology and the prosthetic you’ll be maintaining for years.

We also tackle the reality of emergencies and team culture. ACLS refreshers, mock codes, and clear role assignments turn chaos into a practiced script when vitals dip or syncope hits. That same clarity belongs in consent: immediate load versus heal-first, conventional implants versus zygomatic rescue, and how each path affects risk, cost, and reversibility. When patients choose knowingly, your surgeries run smoother and follow-ups reveal wiser decisions instead of lucky breaks.

If you’re ready to replace shortcuts with fundamentals, integrate regenerative tactics you can use Monday morning, and have cleaner consults that earn trust, this conversation is your playbook. Subscribe, share with a colleague who does full arch, and leave a review telling us which regenerative move you’ll add next.

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-first approach condensed years of progress into months. Literature fluency, surgical fundamentals, and an environment for high-quality reps created a slingshot effect—turning complex surgeries into predictable systems.

You’ll hear a visceral case study: an anterior nasal spine fracture mid-surgery and the clear-headed salvage that followed. Instead of forcing a graftless solution, Sean reframed the event as an unintentional ridge split, stabilized with allograft and PRF, tightened closure, and staged the implant for success. The message is simple and timely: regeneration isn’t a last resort, it’s strategic insurance. Even when cases go smoothly, smart augmentation protects prosthetics, preserves options, and keeps the door open for future revisions.

We also tackle the often-ignored foundations of longevity: fitness and posture that let you operate with a clear head and steady hands, plus leadership and communication that prevent small issues from becoming practice-threatening problems. From seated surgery and core bracing to crucial conversations and books that sharpen your voice—How to Win Friends and Influence People, Crucial Conversations, The Courage to Be Disliked, The Anger Trap—we share the tools that keep teams aligned and patients confident. If you’re serious about full arch, this is your blueprint to move from technician to doctor: case logs and debriefs, regeneration readiness, and the people skills that preserve your nights.

If this conversation helped you rethink your process, subscribe, share with a colleague, and leave a review with your favorite takeaway—we read them all. What’s one change you’ll make before your next arch?

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.

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?

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.

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.