The deficient alveolar ridge has been an impediment to the placement of dental implants in the past. A greater comprehension of bone biophysiology and biotechnology has greatly increased the surgical options available to rehabilitate these patients. Technology and regenerative science has also allowed clinicians to simplify some of the approaches to these patients. This article presents the authors’ perspective on the current surgical treatment methodologies that have been most beneficial in reconstructing atrophic alveolar bone.