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CASE #48 A severely atrophied maxilla presents serious limitations for conventional implant placement. This presents challenge to the surgeon for implant placement in harmony with the planned prosthesis. Survey of various literatures using internet sources, manual searches, and common textbooks on dental implants shows, that a thorough knowledge of conventional augmentation procedures such as bone augmentation techniques, guided bone regeneration, alveolar distraction, maxillary sinus elevation techniques with or without grafting and contemporary techniques of implant placement provide effective long-term solutions in the management of the atrophic maxilla. CASE REPORT: A 44 yrs old female came to clinic asking for lost teeth - due to failure in veneers- replacement . MEDICAL HISTORY: Medically fit. CLINICAL EXAMINATION AND DIAGNOSIS: Reveals a severely atrophic maxilla. On radiographic x-rays (OPG-3D) a bone atrophy was detected . TREATMENT DONE: Using a surgical guide 4 implants were placed in areas of #25 , #23 , #13 , #15, then exposing the bone and the implants with muco-periosteal flap was mandatory for bone grafting the atrophic maxillae using both ( particle and paste) bone grafts covered with collagen membrane . Post-surgical suturing ,opg , medications and instructions were given and patient was told to follow-up in 1 week. Implant Rehabilitation For Atrophic Maxilla BY Dr.Anwar Al-Abdullah dr.anwar