Full-arch dental implant treatment encompasses restoring the patient’s function as well as esthetics. A critical component of a patient’s ability to “function” post-operatively is the ability to speak clearly and without any impediments. Speech is a highly sophisticated and dynamic physiological process that is heavily affected by dental reconstruction. Although some research has been done on this topic, the majority of it is of observational studies based on complete denture prosthodontics. Speech, as it relates to implant prosthodontics, is still a dynamic and growing topic that needs further study. This presentation will demonstrate a combination of existing dental literature, as well as my personal clinical observations. I will discuss how to diagnose and classify speech patterns, how to preserve critical landmarks, and how to troubleshoot if a speech impediment occurs post-op prosthodontic reconstruction with dental implants.