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A large portion of the US population today is edentulous. It is estimated that over 23 million individuals are completely edentulous and 12 million are edentulous in one arch. In addition to that, we have a growing population with terminal dentition conditions. It is our responsibility as a profession to provide solutions. As clinicians we all share the same goal which is providing our patients the best treatment available and achieving the best outcome possible. Whether our surgery is done guided or free handed, utilizing digital workflow for implant reconstruction will significantly increase predictability, precision, and reduce treatment chair side time which overall increases patient satisfaction. Throughout the entire process from treatment planning, incision and flap design, Implant position, loading and conversion, to definitive prosthesis and implant maintenance, it is essential to remember that each case is unique and it is not a one size fits all. Regardless of the protocol we have in place, not all patients are created equal, not all arches are created equal, and the same patient is not the same all the time. Customizing our approach to each patient is the key for better long-term prognosis.