Over the past decades dental implant with 90-98% success rate has become an integral part of reconstructive dentistry. As the supporting tissues of the implant have different structure and circumstance with natural teeth like less vascularity and different collagen fibers arrangement and amount, dental implants are more susceptible to infection and bone resorption, thereafter an extensive and careful Maintenance protocol should be followed. However, the attraction of patient to implant treatment is growing up, the Maintenance protocol following treatment is ignored. This neglect or maybe lack of awareness can lead to peri-implantitis, bone resorption and finally implant failure. Although there are some risk factors for periimplantitis like: smoking, history of periodontitis, limited oral hygiene, systemic disease and poor plaque control. The awareness and periodic recall of the patient by dentist (every three months in the first year and every six months thereafter) play a great role in prevention of implant failure. This study is aimed to review the Maintenance protocol which is divided into two main category called professional (sonic and ultra-sonic scaler, plastic or Teflon coated curettes, oral irrigation and occlusal adjustment) and home care (manual tooth brush, mechanical tooth brush, dental floss, interproximal brush and antimicrobial). An electronic search for article in English language literature from the past 5 years about implant Maintenance was performed using a systemic search process. Nowadays implant treatment has become a main part of dentistry which involves different specialties from periodontology to surgery and prosthesis, the point here is the behavior of the patient after treatment following the principle to keep the implant in a best situation to avoid failure and additional costs.