One possible embodiment of the invention could be a combination of a bone foundation guide and a dental implant surgical guide and a method of use, the guide comprising a body having a buccal wall and a lingual wall that is continuously connected by a first end and second end forming an open surgical space connecting a top of the body with a bottom of the body, wherein the bottom is further contoured to receive and rest upon at least a portion of a bone segment of a respective patient's alveolar ridge to guide the surgical alteration of a respective patient's alveolar ridge; a dental implant surgical guide that is capable of locating and securing one or more implants upon the respective patient's alveolar ridge; wherein the dental implant surgical guide fits upon the top, the top being contoured to receive and support the dental implant surgical guide.