Completing the initial research regarding the progression of MRONJ and visualizing the presentation of the pathology with practice tissue studies meant that I could begin drafting thumbnails for my final composition. Dr. Shelley Wall, my Professor and supervisor for the project, stressed that the root of pathology—pathos—means to appeal to the emotions of the audience and invoke a sense of sadness, and that this was something our final pieces should accomplish. For this reason, I knew that I wanted a central aspect of my piece to highlight an elderly woman, the main demographic affected by MRONJ, while also showing the discomfort the condition can cause. As another main goal of the piece was to demonstrate the temporal progression of MRONJ, I opted to adapt and reuse my earlier tissue cubes as they presented a clear, discrete method of showing the effect of MRONJ over time. Once I drafted several compositions that accomplished these goals to varying degrees of success, I settled on a near-final composite sketch that guided the viewer diagonally across the page, starting with the human-level effects and moving to the tissue level changes that occur over time. At this point, I also completed the accompanying text for the final piece based on my initial research and sequential report. Once the composite sketch was finished, I did several rough colour studies to help determine what look I wanted to achieve in my final renders.