After thorough clinical and radiological examination, Maxillofacial Surgeon Dr. S. M. Balaji planned to reconstruct her mandibular defect using costochondral rib graft following which dental implants will be fixed into the newly formed bone. Intraorally, the infected mobile mandibular reconstruction plate and screws placed elsewhere were removed and reconstructed using costochondral rib graft along with the titanium mandibular reconstruction plate. Incision was closed in layers. Patient feels very happy to have complete reconstruction in a single surgery. Following new bone formation fixed dental implant replacement will be done for her missing teeth.