The use of ITI implants for rehabilitation of the edentulous patient has sh
own predictable results not only in the standard sites but also in cases of
advanced alveolar ridge atrophy. Preoperative analysis, including clinical
and radiological evaluation, implant selection, and determination of impla
nt number and distribution in the edentulous maxilla and mandible, is descr
ibed in this article. The surgical procedures used in standard sites are pr
esented, the benefits of a nonsubmerged surgical approach in these cases ar
e emphasized, and a protocol for postoperative management is recommended. A
ugmentation procedures in advanced osseointegration surgery call for submer
ged ITI implants when a simultaneous approach is chosen, Several types of a
dvanced implant surgery that can be used are described, including membrane
technique, sinus lift procedures, vertical ridge augmentation with iliac bo
ne grafts, and correction of sagittal jaw relationship.