message board toofache32 Member Since: 10/08/04 Post: 1 of 49 Specimen removed. Going to the leg and marking our landmarks. Fibula is raised with a skin paddle to replace the missing gingiva. We keep a cuff of muscle on the bone because the blood supply comes through the periosteum. Bolt in the fibula. The implants were placed freehand at this point. Four implants were in the fibula and two in the native mandible. This is the view from the neck before we start closing everything up, which will take another couple of hours to put everything back together. The skin paddle will be folded over the plate and into the mouth. 28/3/2018 22 APRIL 2018 // dentaltownuk.comhttp://www.dentaltownuk.com