Radiographic guides are essential for optimal implant positioning. Surgical guides permit implants to be placed in preselected positions and at proper angulations. This article describes a procedure for combining the functions of radiographic and surgical guides in a single device. The radiographic component is easily separated from the surgical component after the necessary radiographs have been made. This procedure results in less paraphernalia and reduces costs since only 1 basic guide with an add-on component is fabricated.