After three years of debating online and on main stages across the nation, this engaging conversation between Leroy Horton and Gerald Niznik delves into the intricacies of dental implants, discussing the evolution of implant design, the importance of education in the field, and the paradigm shift towards accommodating bone loss. Niznik shares his insights on the N1 implants, critiques subcrestal placement, and emphasizes the need for a smooth neck design for better soft tissue attachment. The discussion highlights the significance of training and education for general practitioners in implant dentistry, aiming to elevate standards and minimize risks.