Implantology is the most developing and promising field of dentistry with high success rates and good long-term results. Contemporarily, many different case types can be treated by implant dentistry safely and successfully. Today, practitioners are not just considering the functional aspects of implantology, they are also trying to achieve the most esthetic results. Their aim is to catch the perfection and to get close to the natural in both ways, both esthetical and functional. Briefly, today “good” is just not good enough. However, every practitioner aims to get the best result, it’s not always a one way road. Sometimes there may be complications, both in the short term and in the long term. Nowadays, dental implants are one of the most popular treatment options in oral surgery but we don’t always get the best outcome. In compatible with its growing number of applications, so its complications. It is time for us to start looking from the other aspect of implantology, how can we approach to cases that don’t have the best outcome? How can we get an esthetic and satisfactory result from implants that are in bad situation? Metaphorically, Is it possible to build a strong castle on poor grounds and weak foundations? The answer to these questions is second generation implantology: To start from the beginning, to refresh, to change the whole foundation. By removing and replacing the complicated implants with better and more suitable planning, by changing the whole ground, we can start over and get the results that we were looking for.

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