Over past several decades, oral rehabilitation of fully or partially edentulous patients with dental implants has become a routine procedure in daily practice. Dental implant supported and retained prosthesis can provide a wide variety of treatment options to patients due to their high predictability and survival rate. While many patients treated with dental implants have had high long term success, they are not completely free of complications. Proper patient selection, treatment planning, surgical and prosthodontic procedures, material selection and routine maintenance around the peri-implant tissues are keys to this long term success rate.