Today, osseointegration alone is no longer enough. Implants must not only be stable but in the correct esthetic position. The excuse, “well that is where the bone was,” is no longer acceptable. The position that creates the most beautiful and functional prosthesis dictates the location of the implant, not the ridge morphology. Bone can be regenerated or preserved if necessary. Techniques that are now available to augment hard and soft tissue at the various phases of treatment will be shown. These include particulate bone grafting, guided bone regeneration with bio-absorbable and non-resorbable membranes and the use of ridge expanders. The sequence and timing of implant placement and regeneration will vary depending on the situation. Implant placement may be immediate or delayed up to nine months depending on the quality and quantity of bone. The advantages and disadvantages of each of the treatment modalities will also be discussed. Four grafting timing possibilities will be discussed: 1) at the time of extraction (site preservation); 2) post extraction (ridge augmentation); 3) simultaneous with extraction and implant placement (Immediate implantation), and 4) post extraction with simultaneous implantation and ridge augmentation (peri-implant GBR).