Nine years before she attended our department a 63-year-old woman had a left hemimandibulectomy and reconstruction with a free fibular graft. She was rehabilitated with an implant-retained lower denture. A second primary squamous cell carcinoma (SCC) was identified around the implant in the symphyseal region (Fig. 1), which necessitated a mandibular resection and a right neck dissection. Preoperatively a nickel—silver connecting bar was fabricated to link the two remaining proximal implants. The bar was contoured to follow the alveolar crest closely. During the operation after intercanine resection of the mandible the connecting bar was attached to the implants, thereby maintaining the preoperative position of the proximal mandibular fragments. The harvested fibular graft was then secured with a combination of 2mm miniFigure 1 Second primary SCC adjacent to middle implant.