A coned-beam computerized-tomography study was performed with the i-CAT 3-D imaging technology (Imaging Sciences International) while the patient wore an imaging guide. The imaging guide was constructed with radiopaque restorative pins seen in (A) the panoramic slice and (B) the cross section. These pins represent optimal prosthetically driven access holes and trajectory for teeth 30 and 31. Residual bone trajectory and the mandibular canal were also used as guiding basics for implant trajectory, depth and length, and diameter. By utilizing ImplantMaster (I-Dent Ltd, Hod Hasharon, Israel), a 3-D reconstruction of a patient's anatomy was achieved and a surgical guidance template (C) was designed and computer manufactured with precise drilling-hole distribution and trajectory