The Fixed Podcast

The Fixed Podcast Meets 3 on 6: Insights into FP1


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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.

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The Fixed PodcastBy Dr. Soren Paape and Dr. Tyler Tolbert

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