Modifications for inserting the mandibular staple implant, which have greatly streamlined the operative procedure, are presented. The first procedure involves a method of mucosal grafting around the transosseous pins in situations where attached gingivae is needed. A second procedure describes a method of placing the mandibular staple implant intraorally by degloving the symphysis of the mandible. Staples placed intraorally and in place for two years with extremely low morbidity are discussed.