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Full arch management has its challenges in itself not only from a surgical point of view but also under a prosthetic stand point. Diagnosis and treatment plan properly these cases play a pivotal role for the final successful outcome. In fact, CBCT software analysis together with all the prosthetic evaluation in needed prior to the surgical day will be highlighted, bringing then the focus of the presentation specifically on the diagnostic, surgical, and prosthetic procedures that can improve the predictability of the overall procedure. Which implant geometries are to be used? Which is the rationale behind the choice of placing straight or tilted implants? How many implants are needed and where? Abutment selection? Space requirements? Material selection? Bone quality issues and how to best incorporate new digital software and planning tools.