Truness of Full Arch Impressions in All on x Cases

Inclusion criteria

• Adults aged 45-65 years.
• Fully edentulous or partially edentulous maxilla requiring full-arch rehabilitation.
• Sufficient maxillary bone volume to support at least four implants according to the All-on-X protocol.
• Systemically healthy patients with no contraindications to dental implant surgery (ASA I-II classification).
• Demonstrated ability to maintain adequate oral hygiene
• Willingness to participate in the study and comply with follow-up visits and required maintenance protocols.
• Patients seeking a fixed, implant-supported prosthesis for the maxilla due to missing teeth and inability to use removable prostheses effectively.
• Acceptable radiographic findings with no signs of pathology, infection, or significant anatomical limitations.

Exclusion criteria

• Uncontrolled systemic diseases (e.g., uncontrolled diabetes, osteoporosis, immunosuppressive disorders)
• History of radiation therapy to the head and neck region
• Active periodontal disease or untreated caries
• Maxillary cysts, tumors, or pathologies
• Poor oral hygiene or inability to maintain postoperative care
• Insufficient bone volume for All-on-X without extensive grafting
• Maxillary sinus pathology or oroantral fistula
• Psychiatric illness or cognitive impairment affecting compliance
• Bruxism or parafunctional habits
• Pregnant or lactating women
• History of implant failure or titanium allergy
• Use of bisphosphonates or antiresorptive medications
• Heavy smoking (>10 cigarettes/day)
• Inability or unwillingness to attend follow-up visits
• Diagnosed or symptomatic temporomandibular joint disorders (pain, clicking, locking, limited opening)