Achieving implant osseointegration is no longer a challenge; however, how to achieve predictable implant esthetic, maintain implant long-term stability, and avoid implant complications remain the main tasks for all implantologists. To achieve these goals, careful planning and proper implant placement based upon a six (6) dimensional implant positioning (e.g., bucco-lingual, mesio-distal, apico-coronal, timing, angulation and soft tissue consideration) as well as proper prosthesis fabrication are required. This presentation will address how the implant should be placed and how soft and hard tissue procedures will be able to help in achieving this optimal goal. Furthermore, ideal prosthesis designs that are needed for implant longevity will also be presented. At the end of this lecture, the participants will have a detailed understanding of how implants should be placed, restored, and maintained in their daily practice to achieve long-term stability.