A bone foundation guide system has a bone foundation guide including a body that is contoured to reversibly affix to a bone segment of a dental implant surgical site, the body being further contoured accept and to guide the cutting of a portion of the bone segment from a dental implant surgical site and as well as to alternatively support a dental implant surgical guide; the dental implant surgical guide; and a bone foundation guide prosthesis as an alternative to the dental implant surgical guide. The bone foundation guide prosthesis combines with the body to accommodate the bone segment portion as placed through the body prior to the bone segment portion being removed from the dental implant site through the use of the body.

In some aspects, dental drill guides can include a body defining an outer surface and an interior hole for receiving and positioning a dental drill; a first end of the body defining a tapered lead-in portion of the outer surface; a second end of the body opposite the first end defining at least one lip feature configured to be gripped by a handling tool; an outer circumferentially formed recess around the outer surface; and a seating feature extending from the outer surface.