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All In ALL ON X podcast!

Author: Adam Hogan

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Welcome to ALL IN with ALL-ON-X, the official podcast of the Atlantic Implant Institute — created for implant practice owners who are ALL IN on building high-performing, full-arch-focused practices. Hosted by Dr. Adam Hogan, and weekly TOP voices in full-arch dentistry. We’re talking everything that matters to running and scaling a successful implant practice: 🦷 Full-Arch Clinical Systems 💼 Business Strategy & Operations 👥 Team Building & Culture 🛠️ Surgical Protocols & Efficiency 📈 Growth Mindset & Leadership This podcast is your behind-the-scenes pass to real conversations, proven frameworks, and the insights driving today’s most elite full arch practices. If you're ready to go ALL IN on your practice, your team, and your outcomes — hit follow and join us on Spotify, Apple Podcasts, or wherever you listen.

17 Episodes
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In Episode 17 of the All In | All-On-X Podcast, Dr. Adam Hogan sits down with prosthodontist and educator Dr. Safa Tahmasebi for a high-level clinical conversation on documentation, surgical decision-making, and the realities of full-arch rehabilitation.This episode moves beyond surface-level technique and into philosophy, preparation, and professional accountability. From balancing family life with a demanding implant career to navigating complications in complex cases, Dr. Tahmasebi shares practical insight grounded in surgical experience and mentorship.A major theme: educational honesty. Not every case is full arch. Complications happen to everyone. The difference is preparation, documentation, and having a backup plan.You’ll hear deep clinical discussion on:The discipline of treating every case as if it will be publishedWhy photography is one of dentistry’s greatest teachersThe shift in patient demographics and treatment expectationsFP1 vs FP2 debates and case selection criteriaThe necessity of backup plans in full-arch surgeryPterygoid implants for posterior fixationZygomatic implant evolution and complication reduction protocolsThe critical role of model surgery in complex rehabilitationPhonetics, the neutral zone, and prosthetic customizationThe importance of technicians and collaborative workflowsMentorship and continuous learning in modern implant dentistrySound bites from this episode:“Not every case is full arch.”“Always have a backup plan.”“Pterygoids are a game changer.”This conversation is essential listening for clinicians placing implants, transitioning into full-arch rehabilitation, or refining advanced surgical protocols involving pterygoids and zygomatics. It’s a candid discussion about complications, preparation, documentation, and delivering prosthetic outcomes that respect biology, phonetics, and long-term function.Whether you’re early in your implant journey or managing complex full-arch cases, Episode 17 reinforces a core principle: excellence in implant dentistry requires preparation, humility, and relentless refinement of technique.
In Episode 16 of the All In, All On X Podcast, Dr. Adam Hogan sits down with Dr. Alex Nguyen for an unfiltered conversation on the realities of oral surgery, implant dentistry, and building long-term stability in a competitive market.This episode goes far beyond technique. Dr. Nguyen shares hard-earned insights on analog versus digital workflows, managing complications honestly, and why survival rates alone don’t define true clinical success. They break down patient compliance, treating smokers, bone health considerations, and the importance of understanding prosthetics as a surgeon to improve restorative outcomes.But the discussion doesn’t stop at surgery.Dr. Nguyen speaks candidly about cultural perspectives on privilege, blocking negativity in the age of social media, and why discipline—not hype—drives real progress. The conversation shifts into business strategy, diversification, financial security, navigating economic downturns, and competing in saturated urban markets.This is a conversation about mastery — clinically, financially, and personally.If you’re serious about full-arch dentistry, surgical growth, and building a practice that can withstand both complications and recessions, this episode delivers practical insight you can apply immediately.Listen now and join the conversation.
In Episode 15, we sit down with Dr. PeyRay for a raw and thought-provoking conversation that goes far beyond dentistry. From building a lean, digitally driven implant practice to navigating sobriety, self-awareness, and global realities, Dr. PeyRay shares hard-earned insights on what it truly means to grow—both professionally and personally.This episode explores the power of authenticity, disciplined systems, and mindset as the foundation for sustainable success. Dr. PeyRay reflects on practice ownership, leadership, mental resilience, and the evolving dental landscape, while offering candid perspectives on life, purpose, and truth in an increasingly complex world.Whether you’re a dentist, practice owner, or simply striving for a more intentional life, this conversation delivers practical takeaways and meaningful reflection.What You’ll Learn in This EpisodeWhy systems and consistency matter more than passion in long-term successHow to build and manage a lean, digitally focused implant practiceThe realities of practice ownership, private equity, and maintaining autonomyLessons from sobriety, self-awareness, and mental resilienceThe future of dental education, courses, and digital workflowsInsights on in-office labs, lab development, and efficiencyLeadership, team culture, and effective marketing strategiesReflections on identity, purpose, and living an honest, meaningful lifePerspectives on global issues, including Iran’s current situation and human rightsThe role of truth and authenticity in both business and life
The conversation delves into the world of full arch dentistry, covering topics such as career transitions, occlusion training, patient communication, and the impact of technology on dental workflows. It also explores the importance of faith, work-life balance, and patient psychology in dentistry. The conversation covers a wide range of topics, including the challenges and opportunities of full arch dentistry, the impact of social media on professional relationships, the importance of team culture and communication, and the role of diversity in practice for stability and growth. It also delves into the significance of passion and purpose in dentistry, the impact of words and communication, and the preparation and investment required for marketing and business success.TakeawaysFull arch dentistry requires a deep understanding of occlusion, prosthetics, and patient management.Digital workflows and technology have made full arch dentistry more accessible and efficient.Patient communication and expectation management are crucial in full arch dentistry. Diversifying Practice for StabilityImportance of Team and SystemsMarketing and Business PreparationResidency Experience and GrowthChapters00:00 Introduction to Full Arch Dentistry and Course Modules07:31 Importance of Attached Tissue and Implant Maintenance17:27 Incorporating Faith and Purpose in Dentistry24:44 Patient Consultations and Follow-Up Care32:05 Technology and Workflow in Full Arch Dentistry46:03 Navigating Social Media and Professional Relationships52:02 Handling Online Interactions and Trolls01:02:24 Understanding the Complexity of Broken Screws01:08:07 The Importance of Passion and Purpose01:19:08 The Impact of Passion and Purpose
In Episode 13 of the All In, All On X Podcast, Adam Hogan, DDS sits down with Dr. Bruce Smoler—a legacy clinician and modern operator who’s been practicing since 1987—to unpack what it really takes to build a durable practice and stay relevant in a rapidly changing world of implant dentistry.This conversation blends real-world practice ownership with high-level implant dentistry strategy: leadership, mentorship, and systems that scale—plus the clinical philosophies that separate “headline dentistry” from long-term, consistent results. Dr. Smoler shares how he transitioned out of day-to-day general dentistry while maintaining a multi-decade community legacy, and how he’s structuring the next generation of growth through mentorship, training, and culture.You’ll hear practical insights on:All-on-X / full-arch implant dentistry mindset: purpose-driven care, transforming lives, and building trust-based patient relationshipsHiring and developing associates in implant dentistry (mentorship, training ROI, and building a “resident-style” pathway)The reality check on DSO promises vs. real-world implant dentistry growth and competencyDigital workflow myths: why buying tech doesn’t magically create a full-arch practice (CBCT, facial scanning, photogrammetry, in-office milling)Guided and dynamic tech in implant dentistry: dynamic navigation (X-Guide / X-Nav) vs static guides, and Dr. Smoler’s experience with robotic implant surgery (Yomi, haptic guidance)Advanced anchorage discussions in implant dentistry including pterygoids, zygomatic implants (zygotes), trans-sinus concepts, and having “more tools in the toolbox”Managing mental bandwidth as a practice owner: vision boards, idea capture systems, prioritization frameworks, and keeping the team alignedA hilarious and surprisingly effective patient engagement “Queen Treatment” prescription—plus how small moments can create massive word-of-mouth marketingIf you’re serious about implant dentistry, All-on-X, full-arch workflow, and building a practice that lasts decades—this episode is equal parts entertaining and deeply useful.
In Part 2 of this in-depth conversation, Adam Hogan continues his discussion with Dan Holtzclaw, shifting deeper into the business realities, clinical misconceptions, and long-term sustainability of modern dentistry—with a strong focus on implant dentistry and full-arch care.Dr. Holtzclaw draws from extensive experience in corporate dentistry, private practice, academia, and implant education to break down what truly drives success (and failure) in dental practices. From understanding overhead and scaling responsibly to navigating acquisitions, valuation, and post-sale challenges, this episode offers unfiltered insight into the operational side of dentistry that most clinicians are forced to learn the hard way.The conversation also addresses common misconceptions in implant dentistry, including why many perceived implant or full-arch failures are misattributed to implants rather than diagnosis, treatment planning, or restorative decisions. Dr. Holtzclaw explains how experience, mentorship, and real-world exposure are critical for predictable outcomes in full-arch implant cases, All-on-X workflows, and complex rehabilitations.
In this wide-ranging and candid episode of the All In, All On X Podcast, Adam Hogan sits down with Dan Holtzclaw to explore the realities shaping modern dentistry—clinically, financially, and philosophically—with a forward-looking focus on full-arch implant dentistry.Dr. Holtzclaw brings decades of experience spanning military service, academia, corporate dentistry, and private practice ownership. Together, they unpack what today’s dentists are rarely taught in school: retirement planning, financial discipline, scaling practices responsibly, and building a sustainable career in an increasingly competitive dental landscape.The conversation dives deep into the evolution of implant dentistry, including how misconceptions around implant failures—particularly in full-arch and All-on-X cases—often stem from misdiagnosis rather than true surgical error. Dr. Holtzclaw shares insight into how experience, mentorship, and real-world training play a critical role in long-term success with fixed full-arch restorations, immediate-load protocols, and complex implant cases.Listeners will also gain perspective on:Why many dentists never truly plan for retirement—and how that impacts career longevityThe strengths and shortcomings of modern dental education, including the role of digital dentistryHow corporate dentistry influences business systems, efficiency, and scalabilityWhy location, marketing strategy, and competition analysis are critical to practice growthHow dental journals and continuing education shape (and sometimes mislead) clinical decision-makingThe future of full-arch dentistry, implant specialization, and emerging dental technologiesThis episode blends clinical insight with real-world business strategy, making it especially valuable for implant dentists, full-arch clinicians, practice owners, and dentists considering All-on-X workflows. Whether you’re early in your career or planning your legacy, this discussion offers hard-earned lessons on adapting, evolving, and building a practice—and life—that lasts.If you’re serious about full-arch implant dentistry, implant practice growth, and the future of fixed full-arch care, this is an episode you won’t want to miss.
In this episode of the All In, All On X Podcast, Dr. Adam Hogan is joined by Brandon Kofford, founder of Smart On X and Smart Denture Conversions, for an in-depth discussion on what truly drives success and sustainability in full arch dentistry.Rather than focusing on products alone, this conversation explores the underlying systems, principles, and decision-making that separate scalable full-arch practices from those constantly fighting complications. Hogan and Kofford break down why variability—not skill—is often the biggest threat to predictability, profitability, and long-term enjoyment in full arch workflows.A central theme of the episode is the importance of reducing friction in immediate-load dentistry. From provisional fractures and component selection to inventory management and chair-time efficiency, the discussion highlights how small inefficiencies compound into major operational and emotional costs for clinicians. The goal, they argue, is not perfection—but repeatability under real-world pressure.The episode also tackles a critical educational gap in modern implant dentistry: the tendency to chase digital solutions without mastering foundational analog principles. Hogan explains why understanding prosthetics, occlusion, and “teeth in space” is essential before digital workflows can truly deliver their promised efficiency. Kofford reinforces that analog competency doesn’t slow clinicians down—it prevents costly mistakes and makes digital systems work as intended.Beyond clinical workflows, the conversation addresses the corporate realities of innovation in dentistry, including resistance to change, economic incentives, and the challenges faced by clinician-led solutions that disrupt established revenue models. Kofford shares insight into navigating these pressures while staying focused on improving outcomes for both doctors and patients.The episode concludes with a preview of the upcoming Dental Implant Face-Off, a unique live event bringing experienced clinicians together to openly discuss why they choose specific implant systems. The goal is not brand promotion, but transparency—helping doctors understand the real-world tradeoffs, logic, and biases behind implant selection.This episode is a candid, experience-driven discussion for clinicians who want fewer complications, better systems, stronger fundamentals, and a clearer path forward in full arch dentistry.
In this episode of the All In, All On X Podcast, we sit down with Dr. Zack Brown, a dual-degree oral and maxillofacial surgeon, for a real-world conversation on full-arch implant dentistry beyond the highlight reel. From hospital-based surgery (TMJ, orthognathics, trauma, reconstruction) to advanced implant anchorage, Dr. Brown explains how surgical fundamentals—planning, hemostasis, flap management, and vigilance—translate directly into predictable long-term outcomes.We get into what actually drives failures and complications in full-arch cases, including occlusion, clenching, and the “it’ll buff out” mindset that can turn into serious problems over time. Dr. Brown shares hard-earned lessons from humbling cases, and he offers a clear perspective on when to avoid aggressive treatment, how to choose the right patient, and why expectation setting is often more important than the surgery itself.The conversation also goes deep on medical risk: thorough histories, hidden comorbidities, A1C/diabetes considerations, airway evaluation, BMI thresholds, and why sedation is often the most dangerous variable in the dental office. Finally, Dr. Brown speaks candidly about lifestyle, burnout prevention, and how prioritizing fitness, mental health, and family supports high performance in a demanding surgical career.Topics include: All-on-X decision-making, zygomas vs pterygoids vs transnasals, complication management, occlusion strategy, patient selection, medical history/A1C, sedation safety, mentorship, and continuous learning.
In this episode of the All In, All On X Podcast, Dr. Adam Hogan sits down with one of the most respected full-arch minds in the Lusophone world, Dr. Marcelo Zamperlini. Practicing between Brazil and Portugal, Marcelo is known for his precision in zygomatic surgery, mastery of digital workflows, and his ability to simplify complex concepts for clinicians worldwide.What begins with tech struggles, head colds, and friendly banter quickly turns into a powerful conversation about the evolution of full-arch dentistry, the influence of the pioneers, and the philosophies that guide Marcelo’s work. From his beginnings under giants like Brånemark and Migliorança to teaching thousands of surgeons across borders, Marcelo brings humility, clarity, and decades of experience to every topic.In This Episode• Origins & InfluencesMarcelo shares how he unexpectedly entered dentistry, the mentors who shaped him, and the early days of zygomatic implants—long before the world accepted them. He reflects on working with Brånemark, Migliorança, and Malo, and how those experiences created the foundation for his global impact.• Evolution of Full-Arch ConceptsThe two discuss the shift from “just place implants” to understanding bone reduction, smile lines, prosthetic space, hygiene, and proper treatment planning. Marcelo explains how much has changed since the early 2000s—especially after Malo introduced All-On-4 principles.• Mistakes, Growth & HumilityMarcelo openly revisits a 12-year-old failing case he once performed, emphasizing the importance of acknowledging mistakes, learning, evolving, and correcting complications with modern tools and techniques.• Zygos vs. Transnasal ImplantsMarcelo shares his real-world opinion: transnasal implants are primarily a rescue technique, not a first choice. They discuss anatomy limitations, bleeding risk, medico-legal concerns, and why quad zygomas are typically more predictable. Both stress that mastering complications—not just placing implants—is essential.• Soft Tissue, KG & Long-Term StabilityMarcelo calls himself “a maniac with KG,” stressing that incision design dictates long-term peri-implant success. They explore mechanical complications, prosthetic considerations, and why proper soft tissue management is non-negotiable.• Dentistry, Business & BurnoutThey discuss the realities of running a business, the three pillars every dentist must master (marketing/sales, administration, and clinical skills), and the myth of a “9–5 dental career.” Marcelo and Adam reflect on working long hours early in their careers—and the shift toward protecting their health, energy, and families.• Family, Purpose & PerspectiveBoth doctors talk about fatherhood, travel, and how being away from their kids is the hardest part of international teaching. Marcelo speaks about living between two countries, the instability of Brazil’s economy, and building a life and business abroad.• Teaching & Giving BackMarcelo describes his hands-on All-On-X and zygoma programs in Brazil and Portugal—high-volume, practical courses with real patients. He shares success stories from international students and emphasizes the joy of giving your gift away to the next generation.Connect with Dr. Marcelo ZamperliniFind Marcelo on Instagram at @marcelozamperlini or @zygomaticacademy. The link in his bio connects directly to his coordinator on WhatsApp for course information.Upcoming Atlantic Implant Institute EventsFull Arch Continuum – Bootcamp (Module 1) beginning in January with Dr. Athena Goodarzy and Dr. Brandon Coford (Smart On X)
In this special bonus Episode 7 of Unscripted Influence, recorded live at the AAID in Phoenix, Arizona, Dr. Hogan sits down with two major forces in the dental world: Julieanne O’Connor and Michael Keeter of Influential Dental.This is not your typical podcast. It's an unfiltered, laugh-filled, wildly engaging conversation that showcases not only their humor and sharp wit—but also the undeniable significance and professional credibility both Julieanne and Michael bring to the table.Julieanne O’Connor, known for her commanding presence, depth of experience, and ability to see straight into the heart of human behavior, brings a level of validity and influence that few in the industry can match. Her work spans leadership, team development, communication, and personal growth, making her a sought-after voice in dentistry and beyond. Her authenticity and intelligence shine throughout this episode—whether she’s delivering profound insight or firing off perfectly timed sarcasm.Michael Keeter complements that energy with his own expertise, grounded perspective, and a unique ability to translate human behavior into real-world leadership and practice success. Together, their dynamic is unmistakable—they don’t just understand elite team performance; they live it, teach it, and inspire it.This conversation blends depth and humor in a way that only Julieanne and Michael can deliver. What starts with lighthearted banter evolves into meaningful discussions about how personal stories, early experiences, and human behavior shape who we become—as clinicians, leaders, parents, partners, and people.Recorded in the buzz of AAID, this episode captures the spontaneity and chemistry that happens when three passionate professionals drop the script and simply talk. It’s fun. It’s real. It’s honest. And it’s full of insights that hit harder than expected.In this episode, you’ll hear:The unmistakable presence Julieanne brings to every conversation—and why she’s so respected in the professional worldMichael’s grounded wisdom on leadership, communication, and human behaviorThe blend of humor, sarcasm, and truth that makes Influential Dental… influentialHow a Super Bowl commercial “fluke” turned into a bigger lessonWhy networking and real relationships shape careers more than strategy ever willThe complexities of human behavior—explained with both depth and comedyCandid conversations about childhood trauma, PTSD, and personal developmentParenting with awareness and breaking generational patternsThe importance of authenticity in leadership, coaching, and dentistryThe reality that even the best coaches need their own coachesThe power of mindset, presence, and reverse engineering your goalsTons of humor, sarcasm, and truth bombs that land harder than expectedThis episode doesn’t shy away from the hard stuff—but it also doesn’t take itself too seriously. It’s educational without trying, heartfelt without forcing it, and hilarious without apology. That balance is exactly what makes Julieanne and Michael such significant voices in the professional world and such beloved figures among dental teams and leaders.Whether you're in the All-on-X space, leading a team, trying to understand people better, or simply craving a conversation that feels alive and genuine, this bonus episode delivers.Welcome to Unscripted Influence—live from AAID in Phoenix, featuring two of the most impactful, authentic, and influential leaders in the dental world.
In this engaging episode of the "All in All On X Podcast," Dr. Adam Hogan and Juan Gonzalez dive into the intricacies of dental surgery, sharing personal anecdotes and professional insights. From the challenges of residency to the evolution of implant techniques, they explore the importance of continuous learning and adaptation in the field. Join them as they discuss the balance between work and personal life, the significance of mentorship, and the ever-evolving landscape of dental technology. Tune in for a conversation filled with humor, wisdom, and practical advice for both seasoned professionals and aspiring dentists.
In this crossover episode, Dr. Adam Hogan sits down with the hosts of The Fixed Podcast (Smile Now Dental Group) for a real, unfiltered conversation about full-arch implant dentistry.They dive into:Scaling to nine implant-focused offices without sacrificing clinical qualityWhy “people first” beats rapid, reckless expansion every timeThe truth behind “fully digital” claims, photogrammetry buzzwords, and bargain-bin $9,999 archesAI receptionists, call centers, and why the human element still matters—especially for a 65-year-old calling at 5 a.m.Condylar-centric VDO, alveoplasty, FP1 vs. zygos, remote anchorage, and why most complications start with poor fundamentalsThe future of biomaterials, why printing will win over milling, and how AI will reshape design and lab workDr. Hogan also talks about burnout in the analog era, how photogrammetry and facial scanning made full-arch fun again, and why young docs need mentorship, not shortcuts. If you’re in the full-arch world—or thinking about jumping in—this episode is a masterclass on doing it responsibly and playing the long game.
In this episode of the All In All On X podcast, Dr. Adam Hogan interviews Dr. Daniel Domingue, a distinguished implantologist. They discuss the evolution of implant dentistry, advancements in technology, and the importance of collaboration and education in the field. Dr. Domingue shares his journey, the challenges he faces in complex cases, and the significance of building a positive team culture. They also delve into the innovations brought by the Vortex screw and the future of implant dentistry. Dr. Domingue is the youngest recipient of the ABOID Diplomat honor Advancements in technology have made implant procedures easier and more efficient. Collaboration among dental professionals is crucial for success. Building a strong dental lab requires investment and dedication. Family support plays a significant role in a dentist's career. Professional organizations like AAID provide valuable resources and networking opportunities. Education and continuous learning are essential in dentistry. Burnout can be managed through personal growth and stress relief techniques. Creating a positive team culture enhances patient care and staff satisfaction. Innovations like the Vortex screw are changing the landscape of implant dentistry.
In this episode of the All-In All-on-X podcast, Dr. Adam Hogan sits down with Dr. Tyler Twiss, a seasoned general dentist and practice owner from Colorado, to explore how he transitioned from a high-volume, insurance-based GP practice to a purpose-driven, full-arch-focused model. They talk about the realities of burnout, building a team around systems, shifting to fee-for-service, and the mindset needed to go “all in” on full-arch fixed implant dentistry. Tyler also shares insights from two decades in dentistry, his digital workflow goals, and how family, freedom, and fulfillment are now the core of his career.Whether you're an experienced dentist or just beginning your implant journey, this conversation is packed with wisdom, laughs, and a real-world look at the path toward full-arch success.
In this engaging conversation, Dr. Adam Hogan and Dr. Naif Sinada explore the multifaceted world of dentistry, focusing on the importance of balancing professional life with personal well-being. They discuss the evolution of FP1 prosthetics, the significance of mentorship, and the need for continuous education in the field. The dialogue also addresses common myths surrounding FP1 procedures and emphasizes the importance of understanding patient needs during consultations. In this engaging conversation, Dr. Adam Hogan and Dr. Naif Sinada delve into the complexities of dental work, discussing the challenges of failures, patient expectations, and the importance of longevity in treatments. They explore the role of FP1 in dental reconstruction, the significance of teaching and learning in dentistry, and the myths surrounding bone reduction. The dialogue emphasizes the need for humility and continuous learning in the field, encouraging practitioners to treat every case as if they will revisit it in the future.
In our very first episode of ALL IN with ALL-ON-X, Dr. Adam Hogan shares the personal and professional journey that led to the creation of Full Implant Choice and the Atlantic Implant Institute. From military roots to dental legacy, he breaks down what “All-On-X” really means — beyond just implants — and why this podcast exists.This episode dives into:The deeper purpose behind full-arch dentistryThe difference between doing the procedure and living the missionBuilding a practice with integrity, impact, and intentionThe vision for future episodes, guests, and what’s coming nextThis isn’t just about teeth — it’s about transforming lives.
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