Oral Implantology has developed and progressed into a central core of the art and science of dentistry. This field, over the course of its existence, has transformed from a modality on the fringes of the profession to being embraced by virtually every component and aspect of our discipline. However, as with any clinical dental or medical discipline, patient outcomes continue to drive improvement of diagnoses, techniques and therapies. Improved management of patient clinical variations to treatment and unexpected results fortunately are a product of adverse experiences. Simply put, the tough cases and negative clinical situations are the best teachers, and we are wise to grow as clinicians from them.