When fabricating a complete denture, what is the most important factor to consider above all else?

Patient expectations are the most critical factor in complete denture satisfaction and success. Research consistently shows that objective factors (retention, stability) do not always correlate with patient satisfaction. Patients who have unrealistic expectations of complete dentures may be dissatisfied even with technically perfect prostheses, while patients with reasonable expectations often adapt well. Understanding and managing patient expectations through thorough consultation, education, and informed consent is essential for successful prosthodontic outcomes. This concept is particularly important in geriatric dentistry.