Clinicians face many challenges which may compromise successful implant outcomes. Systemic conditions, various medications, and nicotine use may create situations which decrease implant success. Sites where implants have previously failed may be particularly problematic.

• Describe the increased failure rate and complications of implant placement in patients with a history of periodontitis and other comorbidities.

• Understand the attributes of an implant which may be beneficial in these challenging clinical situations.

• Describe the step-by-step protocol for the removal of failed implants and replacement of Trabecular Metal® Implants.