The success of dental implants is influenced by a multitude of factors spanning patient characteristics, surgical techniques, prosthetic considerations, biomaterials, and post-operative care protocols. This narrative review delves into the comprehensive analysis of these factors to provide a structured understanding of the intricacies involved in achieving optimal dental implant success rates. Beginning with an exploration of the anatomy and physiology of dental implants, including the osseointegration process and factors influencing it, the review progresses to discuss patient-related factors such as systemic health conditions, oral hygiene, and lifestyle habits. Surgical factors such as technique, implant design, bone quality, and timing of placement are scrutinized for their impact on implant success. Prosthetic considerations encompassing design, materials, occlusal forces, and implant-abutment connections are evaluated alongside discussions on emerging technologies like digital dentistry and predictive models. Complications and risk factors, including peri-implantitis and infection, are examined, emphasizing the importance of preventive measures and early intervention. The review concludes with insights into future directions in implant dentistry, highlighting advances in materials, digital workflows, and personalized treatment approaches. Overall, this review provides valuable insights for clinicians, researchers, and patients, guiding clinical practice, fostering innovation, and paving the way for improved dental implant success rates.