Over the past decades, implant dentistry has advanced significantly, particularly for the treatment of patients who are completely edentulous.With today's "Graftless concept", individuals who are edentulous or have "terminal dentition" no longer need to undergo grafting or endure lengthy waiting periods before having their dentition rebuilt. Many of our colleagues now handle their patients differently than they always did because of the ability to remove the patient's deteriorating dentition, put implants and create a fixed, instant load prosthesis.Compared to the 2-stage, delayed loading procedures, the graftless technique has the same or occasionally superior long-term outcomes, according to a large body of literature. This has improved patient care and increased patient acceptance of therapy while retaining long-term success rates.