Implant planning and placement in the completely edentulous maxilla can present challenges both surgically and prosthetically whether a removable or fixed approach is planned. Placement of implants freehand does not take the osseous anatomy and its structures into consideration and may lead to problems such as nerve or blood vessel impingement as well as implant extension into the sinuses or nasal cavity. Guided placement has become the standard practice whether treating the completely or partially edentulous arch. While printed surgical guides are the standard practice, there may be circumstances where they are not possible.