This case series evaluates the use of rib grafts and titanium mandibular prostheses/reconstruction plates for managing fibro osseous lesions. Ten patients underwent surgical resection followed by rib graft placement and mandibular reconstruction plate. The outcomes showed favorable results with minimal complications. Parameters like implant exposure, malocclusion, mouth opening, and contour restoration were assessed postoperatively. Facial asymmetry was corrected in 7 out of 10 patients, and functional outcomes were restored in 6 patients. This approach provides excellent aesthetic and functional results with limited donor site morbidity and low risk of infection.