(A) Diagram of atrophic maxilla. (B) Clinical photograph illustrating inadequate alveolar ridge for reconstruction. (C) Three segments of bone are secured in place. (D) Stabilization of the onlay grafting with rigid fixation. Small defects are filled with cancellous bone and bone morphogenetic protein. A resorbable membrane is then placed over the graft prior to tissue closure. (E) Postoperative result demonstrating improved alveolar ridge height and contour.