Graft, Graftless and Graft Less Approaches to Managing Ridge Deficiencies Bone augmentation is often required to place an adequate number of dental implants in ideal positions for prosthetic support. In addition to improving biomechanics, bone enhancement can improve esthetic outcomes. The use of autogenous bone is still a mainstay in our surgical techniques but growth factors can be used as an alternative. Inherent disadvantages of bone grafting techniques include increased morbidity, surgical time, costs and treatment length. As such a trend has developed towards alternative augmentation procedures with fewer morbidity and more minimally invasive approaches that avoid the need for bone grafting including shorter and narrower implants, angled implants and/or fewer implants for prosthetic support. Rather than surgically reconstructing esthetic zone defects, many clinicians opt to replace the missing hard and soft tissue with the prosthesis. This presentation will guide clinicians on implant rehabilitation with grafting and non-grafting approaches.