Alaa, DinaWagdy, ShereenAhmed, Nourhan2023-01-242023-01-242023-012812 - 4944http://repository.msa.edu.eg/xmlui/handle/123456789/5322Background: Tooth loss due to caries and or vertical bone loss are a common phenomenon among middle age Egyptians which require esthetic and surgical management . This case report discusses the management of restoring missing teeth and esthetic smile makeover with vertical bone loss. Methodology: Thorough patient assessment was followed by taking impression, diagnostic casts and radiographic examination including cone beam CT. After patient agreement on the proposed treatment plane, open and close sinus lift surgeries followed by implants and monolithic zirconia full coverage restorations in addition to restoration of carious teeth were carried out. The patient was followed up for one year postoperatively. Conclusion: Esthetics and function were restored successfully with a combination of surgical and prosthetic interventioen-USOpen sinus lift,closed sinus lift, .zirconia,Esthetic rehabilitation,case reportArticle