In todays time people are very much concerned with the esthetics problem which occurs due to loss of permanent tooth or teeth either they are congenitally missing or either due to trauma . Rehabilitation of lost tooth or teeth can be done with various prosthetic modalities which includes removable prosthesis , fixed prosthesis with the help of adjacent teeth and with the help of fixed implant prosthesis . To achieve the support with the use of implant is based on the phenomenon of osseointegration . There are various factors that affects the process of osseointegration and that finally leads to the failure or success of the fixed prosthesis supported with the help of the implant.