Fixed x Dr. Pallotto: Streamlined Success: Modern Approaches to Digital Dentistry: Part 2

ull-Arch Implant Workflow Pearls: Retorque Timing, Phase 2 Scanning, and CBCT Alignment On the FIXED podcast, Dr. Tyler Tolbert and Dr. Soren Paape interview Tony about making full-arch implant workflows more predictable, focusing on torque and record-taking. They discuss retorquing protocols (including waiting longer when insertion torque is low), and a phase-two scanning sequence that avoids scanning the prosthesis in the mouth, instead 360-scanning the prosthesis extraorally to use the intaglio as a stable fiducial marker, then retorquing multi-units, scanning with scan caps, taking photogrammetry, and capturing only the bite intraorally to reduce occlusal adjustments. Tony explains a CBCT alignment workflow using segmented skulls as the fiducial, radiopaque scan caps, and timing postoperative CBCT with anesthesia recovery. They also cover equipment preferences (Trios, MicronMapper vs iCam), 3D printers/resins, and design considerations from printed temps to zirconia, plus FP1 vs FP3 considerations and their Arch Nemesis course. 00:00 Meet the Hosts 00:09 Retorque Timing Basics 01:43 Phase Two Records Overview 02:22 360 Scan Intaglio Method 05:56 Merging Data in Exocad 08:30 Why Intraoral Alignment Fails 09:56 Clinic Sequencing and Delegation 11:54 CBCT Workflow Explained 14:50 Radiopaque Markers and Caps 16:43 Sedation and Post Op CBCT 20:30 Office Tech and Scanner Picks 21:58 Photogrammetry Tools and Fit 25:18 Manufacturing Variables 25:56 ICAM vs MicroMapper 26:14 Getting Into 3D Printing 27:41 DentaFab vs Formlabs 28:38 Speed vs Accuracy Limits 30:43 Resin Selection Strategy 31:39 Designing for Zirconia Strength 33:10 FP1 Restorative Debate 35:08 Segmented vs Splinted FP1 38:07 Arch Nemesis Course Breakdown 40:54 Avoiding Bad Bites 45:48 Final Thanks and Wrap