A bone foundation guide system and method, the system could includes a bone foundation guide including a body forming an open surgical space, the body further having a bottom contoured to reversibly affix to exposed bone of a dental surgical site and a top contoured to match a bottom side of a dental implant surgical guide； at least one anchoring strut that removably attaches to the body with an apex of the anchoring strut further denoting one or more indentations for matching up with and receiving one or more portions of one alveolar ridge that opposes another alveolar ridge supporting the dental surgical site； alternatively to the anchoring struts and a tissue spacing gasket, the dental implant surgical guide that removably connects to the body； and alternatively to the anchoring struts or the dental implant surgical guide, the tissue spacing gasket that removably connects to the body.
