Implant hardware surfaces are often treated to help promote osseointegration and the overall success of the implant. Some implants are textured and others have substances applied to the outside of them. Each periodontist has their preference, and some periodontists may choose different types of treated hardware for different patients. One available type of implant is an ion-beam aluminum oxide textured implant. Although in clinical studies the aluminum oxide did not produce a marked difference in how the dental implant performed, it was noted that the implant size helped to increase the chances of implant retention. Ion-beam aluminum oxide is safe and biocompatible, and can help increase BIC, or bone-to-implant contact. Ultimately, it is up to the treating periodontist to discuss goals and options with the patient to determine the best course of treatment and which type of dental implant suits that patient’s particular needs best.