In this lighthearted yet clinically valuable episode of The Full Arch Podcast, Dr. Steven Vorholt and Dr. Aaron Miller kick things off with some April Fools banter, including a hilarious (and slightly terrifying) prank involving Locator Fixed. But beyond the laughs, they tackle an important listener question: What’s the best way to treat full-arch patients with active periodontal disease and poor hygiene? The docs dive into practical advice for handling tough full-arch cases—from flap design and irrigation to communication strategies and knowing when immediate treatment is actually better than delaying.

1️⃣ Locator Fixed? No Thanks. Why the hosts believe this system creates more problems than solutions—and what to do instead.

2️⃣ When the Patient is the Problem Tackling “The Four Horsemen” full-arch cases: inflamed tissue, heavy calculus, poor compliance, and zero maintenance. Learn why a direct approach may be your best move.

3️⃣ Flaps, Debridement, and Setting Expectations Why efficiency, good surgical planning, and clear patient communication are your most valuable tools in chaotic cases.

🎧 Tune in to Episode 112 of #TheFullArchPodcast and find out how to handle unpredictable patients and still deliver predictable outcomes.

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