Dental implants are an ideal replacement for a lost root, following which they undergo a prosthetic reconstruction once the healing is completed. Oral hygiene status must be evaluated and should be at an acceptable level prior to implant surgery, maintained during the procedure and also following the surgery in order to achieve a successful osseointegration . This review article suggests guidelines for maintenance and care of dental implants. The initial assessment should begin by updating patient’s medical and dental histories. The clinician should evaluate the implant on the condition of the soft tissues, plaque index, clinical probing depth, bleeding on probing, suppuration, presence of keratinized tissue, mobility , peri-implant radiography and occlusion. If the clinical signs indicate the presence of peri-implantitis, radiography of the site is a requisite to confirm the diagnosis and appropriate treatment measures should be followed.