Following trauma or tooth extraction, the alveolar bone undergoes a remodeling process that may result in considerable vertical and horizontal bone loss [1,2]. These alveolar bone defects can significantly influence dental implant placement and its long-term stability. In the anterior esthetic zone, such bone deficiencies represent a major clinical challenge, as they can compromise both functional rehabilitation and the patient’s appearance, leading to unfavorable aesthetic outcomes and patient dissatisfaction [3,4]. Reconstruction of the esthetic zone requires not only adequate bone volume but also precise three-dimensional architecture to support soft tissue contours, smile harmony, and long-term implant survival.

Augmentation of alveolar ridge defects in the esthetic zone is therefore essential for predictable implant placement and for achieving stable, natural-looking results. Autogenous bone graft (ABG) has been proven to be the most effective graft for recreating a stable bone width and height in augmented bone defects, thereby optimizing successful long-term aesthetic outcomes, especially in Class IV and Class V bone defects [[4], [5], [6]].

A wide spectrum of digital devices,such as intraoral and extraoral scanners, facial scanners, and low-dose cone beam computed tomography (CBCT) combined with advanced processing software, including CAD/CAM design systems and implant surgery planning tools, has transformed diagnostic and treatment possibilities. Alongside these, the introduction of innovative aesthetic materials and powerful manufacturing technologies, like milling machines and 3D printers, is driving a profound change in dental practice. Together, these advancements are redefining workflows, enhancing precision, and opening new horizons for the profession [[7], [8], [9]]

CAD/CAM technology enables precise and controlled surgical procedures [6,7]. Today, surgical cutting guides have been well reported and documented, controlling the harvested graft volume, avoiding anatomical structures, and reducing surgical postoperative complications throughout the entire treatment process [6,9]. However, stabilization and fixation of ABG at the recipient site in conventional procedures are still challenging, as they mainly depend on the operator's experience [[10], [11]]. Unstable seating of the graft during fixation will prevent its precise positioning, resulting in a deformed bony area, a deformed future implant position, and unpredictable aesthetic outcomes.

This article presents a novel technique, a full digital guide (FDG), for ABG positioning, aiming to control the size of the desired graft, plan the optimum location for harvesting the graft, and facilitate precise positioning with controllable, stable seating during fixation in the anterior esthetic zone.