Treatment outcomes for implant therapy can be less than optimal if protocols for achieving and maintaining peri-implant health are not followed. As a result, the dental hygienist not only provides implant maintenance for healthy implants but also frequently encounters patients with peri-implant disease. This course will review the process of obtaining peri-implant health, the etiology of implant complications and how to manage implant disease. To facilitate a better understanding the good, the bad and the ugly in implant outcomes, the program will discuss peri-implant disease classification, disease surveillance, implant maintenance, surgical placement, bone grafting, prosthetic contours, anatomical concerns and systemic factors.