The following represents a clinical case report of a maxillary insufficiency implant and tooth-retained maxillary overdenture. The case required surgical and prosthetic treatment and was successfully completed over a 2-year time. A combination of dental implant techniques were utilized to achieve form, function, comfort, and aesthetics. These techniques included ridge modification with bone grafting, endosseous root and blade form implant surgical placement, and the construction of a bar-retained overdenture on a severe hypoplastic maxilla.