Speech difficulties are common complications that patients experience during the restorative process of full-arch All-On-4 hybrid cases. The bulk of the prosthetic places a strain on phonetics, and the restorative dentist must work to find the best compromise among dental implant positions, framework bulk for strength, adequate volume of acrylic to support the denture teeth, and the patient’s ability to speak clearly. John A. Hodges, DDS, FICOI, has designed this article to be a reference guide in diagnosing the source of speech complications after the hybrid provisional has been fabricated. Believing all clinical and emotional issues involving the provisional should be solved prior to fabricating the final bridge, Dr. Hodges offers advice to help make the transition a smooth one.

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