This article reviews the development of staple bone plates for mandibular reconstruction over the past 25 years. A case study utilizing the Smooth Staple Implant System in a severely resorbed mandible is presented. Benefits of this system include reduction of the surgical operating and reconstruction time, elimination of the need to harvest a bone graft, the ability to create a functional prosthesis within 24 to 48 hours of the implant surgery, and increased cost-effectiveness.