Missing anterior teeth, requiring grafting and implant placement. (A) Preoperative patient profile. Note the midface deficiency. (B) Anterior maxilla after extraction of nonrestorable teeth. (C) Lateral cephalometric radiograph. Note the maxillary deficiency compared with the mandible. (D) Panoramic radiograph. (E) Surgical exposure of mandibular symphysis. (F) Bone harvest from mandibular symphysis. (G) Fixation of symphyseal bone harvest to the facial wall of the anterior maxilla.