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Step-by-step sequencing is essential in the treatment of generalized advanced periodontitis. Mutilated skeletodental malocclusion, muscle imbalance, and loss of dentoalveolar ridges are major complicating factors. The need for osseous ridge augmentation provided an opportunity to address the patient’s facial imbalance. Concomitantly, genioplasty camouflaged the vertical facial excess and deficient chin. At the outset, a prosthetic commitment was essential.