Major atrophies of the mandible corpus are a significant challenge to implant insertion. Depending on the situation, there are a variety of surgical techniques that can be used to rebuild the corpus and to provide an easy way to insert implants. In cases of normal or reduced prosthetic space, grafts are not possible and reconstruction is performed using a nerve lateralization. In cases of increased prosthetic space there is the possibility for reconstruction using distraction or an onlay bone graft.