Figure 2.

A and B. Photographs show approach to expose fibula bone, placement of four OIIs using a surgical splint and dermis graft of less than 0.5 mm thickness. This was placed in the area of the periosteum of the fibula bone to facilitate subsequent development of periodontal tissue in the reconstructed oral region. C. Radiograph of the fibula, front and lateral projection, showing the four dental implants inserted in the fibula bone base later transferred for oral reconstruction as a vascularized flap. D. Right hemimaxillary approach, with a flap raised to expose the area of the impacted canine and zygomatic apophisis of the maxillary bone, the site of sinus elevation with lateral approach as described by Caldwell-Luc. The image also shows the titanium mesh fixed by osteosynthesis screws. E. Orthopantomograph taken after the first surgical session showing dental implants placed simultaneously to sinus elevation in the first quadrant and extraction of the impacted canine.