Objective To fabricate a surgical template to solve the problem of the precise positioning and orientation in the process of dental implant. Methods Following a comprehensive oral examination and precise measurement by CT and Photoshop, the shape of the basal alveolar bone of the planed implant area was transferred onto the plaster sectional model. Then the site and orientation of the fixtures could be designed in the range of dentoalveolar and matrix bone and positioning template could be made. With this template, 27 implant caves of one pair skeletal and mandibular bone were prepared. Results A satisfied result was achieved by using t paired test. This template could enhance the accuracy of placement in an efficient way to achieve predictable esthetic results. Conclusion The underlying basal alveolar bone can be used most effectively with this template. Also, it can extend the precision of dental implantation. This method showed better clinical treatment effects and it is suitable for widespread use in clinical practice.