The prerequisites to long term success of dental implants, are healthy bone and gingiva. When a tooth is lost the tissues of the mouth remodel and atrophy preventing the placement of dental implants or lowering long term survival. A group of operations, referred to as pre-prosthetic procedures, have been developed to rebuild the bone height, width, gingiva and connective tissue. In the presence of healthy tissues, a well integrated implant with appropriate biomechanical loads can have long term success rates of 92-96% for the fixture and 10-15 year lifespans for the prosthetic teeth.