Introduction: The general 10-year survival rate of implants supporting dental crowns was found to be outstanding, reaching 95.2%, regardless of the material used. Nonetheless, the overall 10-year survival rate of the crowns themselves was slightly reduced, standing at 89.4%.

Objective: Analyze the literature about rehabilitation of dental implants, complications and factors to consider. The esthetic complications, problems with the prosthetic implant screw, ceramic chipping and available prosthetic space will be analyzed.

Methodology: An electronic search of articles published in the last 5 years was carried out through PubMed and Google Scholar, using the terms “esthetic complications”, “implant screw”, “ceramic chipping”, “implant prosthetic space”.

Results: When rehabilitating dental implants, it should be considered: esthetic complications, ensuring a minimum soft tissue thickness of 2 mm is essential to maximize overall implant success. Problems with the prosthetic implant screw: factors like bruxism, framework support, and screw loosening significantly impact the longevity of implant-supported prostheses. Ceramic chipping: is less frequent in monolithic or partially veneered fixed dental prostheses compared to those with complete veneers. Implant prosthetic space: impacts the mechanical stability of restorations, with both increased and reduced heights presenting specific challenges.

Conclusions: Achieving peri-implant tissue architectures that mimic natural periodontal tissues is crucial. Proper implant placement and management of soft tissue quality are essential for optimal outcomes. Comprehensive planning, including occlusal force management and ensuring adequate vertical space, is vital for implant prostheses' success. Monolithic reconstructions, present fewer complications and are promising alternatives to veneered ceramics.