This presentation will describe the successes and failures of this important therapy that has impacted our entire specialty and changed forever how we practice periodontics. It will examine the validity of currently held dogmas in light of the clinical reality of over 46,000 implants placed by two clinicians in private practice who had the good fortune to be trained by Per Ingvar Branemark in 1983 and have carefully documented the results up to the present.  Immediate implant placement, the ingredients necessary for superior esthetics, and methods to condense treatment time will be discussed.