Unfortunately, all dental implants carry a risk of failure and a periodontist’s primary job is to use a wide variety of available tools and techniques to reduce that risk. A dental implant can include one or more teeth, either separate or joined together. They are generally made out of alloplastic materials like titanium or titanium alloy, but ceramics, bioglass, hydroxyapatite, and aluminum oxides may also be used. Osseointegration, or fusing to the bone, is the measure of success for a dental implant and what material the implant is made from and its surface texture plays a significant role in that success. Other factors for dental implant failure include but are not limited to: the location of the implant in the mouth and its placement in bone; what kind of implant screw is placed over the implant body, and the type of abutment used and how it is placed.