Advances in dentistry within the last decade or so have led to incredible technological developments. Dental implants have become the treatment of choice to replace lost or missing teeth, and when done under proper surgical technique, success rates have surpassed 95%. When the concept of osseointegration or fusing titanium with bone was introduced to the dental community in the early 60s by an orthopedic surgeon known as P.I. Branemark, the application of this concept was adapted to dental use; implementing the procedure, however, into a dental setting was seen as risky and unpredictable. Success rates at this point in time rarely approached 55-60%, and many clinicians felt that their introduction into a patient's treatment plan may be too premature for predictable success of a particular prosthesis. To improve success rates, alterations in the design of the dental implant surface were introduced most without sound, clinical evidence to back-up manufacturer's claims of improved success rates. Through years of empirical experimentation, a titanium dental implant was developed that looked much like that of a natural tooth root.