Dental implants are the only artificial true replacement for lost natural teeth. Titanium implants are screwed or tapped into the bone with Bone Grafts if indicated, and prosthetic re-construction allows for replacement of lost teeth in esthetics and in function. The long term durability of modern implants is excellent , but favorable and detrimental factors require careful consideration. Good Healthy bone and tissues, good occlusion, and good hygiene are important. Systemic diseases , poor hygiene, smoking , poor bone quality and bruxism are unfavorable.