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Add in any of these factors and youre in territory where you need someone with significant experience: History of gum disease (active or treated) Significant bone loss Previous failed implants Diabetes or other metabolic conditions Smoking or history of smoking Medications that affect bone density (bisphosphonates, etc.) Grinding or clenching (bruxism) History of poor healing If you have multiple risk factors, you need a dentist who has handled cases like yours before