Full-arch implant dentistry can feel like two jobs at once: delivering precise clinical outcomes while also running a business that swings month to month. We talk through a deceptively simple question that affects everything downstream: should the patient be awake, lightly sedated, or deeply sedated when you’re doing big full-arch work? The answer isn’t about our preference, it’s about nerves, chair time, communication, and protecting occlusion so the final prosthetics start on the right foun...
A patient walks in asking for full arch dental implants, but their teeth are not quite “terminal.” Another patient has one arch that is clearly headed for All On X, while the other could be saved with a full mouth rehabilitation. Those are the moments where implant dentistry stops being a procedure and becomes a decision making framework. We talk with prosthodontist Dr. Ryan Sloan of Smile Now Boise about how a prosthodontist plus surgical GP team expands options without overwhelming patients...
Your full-arch case can look perfect in CAD and still land in the mouth with a crooked bite and hours of adjustment. We get specific about why that happens and what to change, starting with a simple discipline that pays off fast: retorque multi-unit abutments before phase two photogrammetry and before you commit to the next prosthetic step. When insertion torque is low, we talk through the most underused tool in implant dentistry, waiting longer, so stability drives your timeline instead of y...
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 f...
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 ...