ABSTRACT-Initially when dental implants were first introduced their success was assumed to be dependent mostly on the surgical technique and later their placement. However, without a regular program of clinical reevaluation, plaque control, oral hygiene instruction, and reassessment of biomechanical factors, the benefits of treatment often are lost and inflammatory disease in the form of recurrent periodontitis or peri-implantitis may result. Maintenance of the periodontal health is a critical factor in the long-term success of dental implant therapy. This article reviews the goals, types, and appropriate frequency of periodontal maintenance in dental implant therapy, as well as the incidence and etiology of peri-implant disease and strategies for management when recurrent disease develops during the maintenance phase of treatment.