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Restoring edentulous site using dental Implants is more and more suggested, requested and performed as treatment of choice in the last few decades. Initial definition of success evolved and differentiated between success and survival. Criteria of success measurement expanded and discussed in thousands of publications. Current literatures show dental implants have very good long term prognoses and according to several publications report high survival rate of over 90-95%. Comprehensive knowledge about success, survival, limitations and complications of this elective and costly treatment is beneficial for both patients and practitioner. Clinical application of research outcomes will help us in case selection, connecting patients’ expectation and reality, better consent, more predictable results and finally higher success rate leading to both patients’ and practitioners’ satisfactions.