The mandibular staple implant, also known as the transmandibular implant, is a form of transosseous dental implant in which a plate is fixed at the inferior border of the mandible. Retentive pins are placed partially into the inferior border with two continuous screws going transcortically and penetrating into the mouth in the canine areas and used as abutments. A mandibular staple implant is a good choice in patients who have experienced severe atrophy of the alveolar bone and allows for the attachment of a lower denture. The mandibular staple implant has high rates of success as well as high rates of patient approval and satisfaction. However, the nature of the implant and the procedure required for its placement do not always make it a first choice among practitioners. There are other, less-complex procedures that are often capable of achieving the same results and are therefore used more often.