Prefabricated composite grafts were introduced in reconstructive oral and maxillofacial surgery in the mid-1990s. The purpose of this report is to introduce a novel technique - the iliac prefabricated composite graft-for reconstruction of the alveolar ridge simultaneously with masticatory attached gingiva and integrated implants in a single procedure. Clinical and immunohistologic results are reported and reveal this technique to be an attractive alternative in dentoalveolar surgery and implant dentistry. Keywords: dentoalveolar reconstruction, iliac crest, keratinized attached gingiva, prefabricated composite grafts, severe maxillary atrophy