**1. Introduction**

The dental implant market value globally is expected to increase at a Compound Annual Growth Rate (CAGR) of 11% from 2021 to 2028 [1]. This increase in demand for dental implant market size could be attributed to the numerous applications of implants along with the patient acceptance for implant prostheses. Despite the multitude of advancements made in surgical and technical fields of implant dentistry, the complications faced are still too high [2]. In an observational study that was conducted to evaluate the patient's perception towards implant treatment and maintenance, it was concluded that most people were made aware of the importance of implant oral hygiene measurements and recall, however, the knowledge about implant-related complications and failures was dissatisfying. Although the patients were instructed about the importance of maintaining oral hygiene around implants, only 40.4% had reported having tried cleaning tools for maintenance [3].

We must acknowledge that implant placement requires a multidisciplinary treatment approach wherein a Maxillofacial surgeon, Prosthodontist, Periodontist, Oral Radiologist, Dental Hygienist, and the patient must work as a team to achieve

long-term implant success. Hence, patients are considered as co-therapists in maintaining and achieving long-term implant success [4].

As the ideology of long-term implant success has taken a paradigm shift from attaining primary stability to implementing and ensuring periodic recall and maintenance, it is the responsibility of the dental team to convey the importance of oral hygiene maintenance and regular recall visits to the patients which can help them achieve long-term maintenance health of implant and the peri-implant structures.

Although there is scarce information available in the literature about dental implant maintenance protocols, in this chapter, we intend to compile in toto a detailed description of the various parameters which need to be examined and the measures to be implemented for achieving long-term implant success.
