What is most important before starting a complete denture?

Correct answer: A. Patient expectations

• A. Correct. Establishing and managing realistic patient expectations (esthetics, function, adaptation period) before beginning complete denture treatment is critical for treatment success and patient satisfaction.
• B. Impression material selection is a technical step that comes later in the process, not the first/most important consideration.
• C. Shade selection is a later esthetic step, not the most important initial consideration.
• D. Articulator selection is a technical/laboratory decision, secondary to understanding patient expectations.