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Oral implantology has become a very safe and predictable procedure. Although implant placement and augmentative procedures are routine procedure nowadays, many pitfalls can adversely affect long term satisfaction of the patient and the surgeon. Today the dentist's challenge is to select the appropriate technique and material for the given task while the options and the medical obstacles grow constantly. The literature and nowadays social media boast high success rates and satisfied patients but reality sometimes offers a different picture. This presentation will focus on implant failures of various origin and give an insight into repair and rehabilitation protocols