Having adequate bone and soft tissue in an implant site have been found to be key factors affecting overall implant success. So much so that the current approach to dental implant placement focuses on using a “Restorative driven placement protocol” involving placing dental implants in optimal locations for implant restorations in sites that have adequate bone and soft tissue support. The goal of implant therapy involves correcting deficiencies in bone and soft tissue prior to dental implant placement. A number of other factors are also paramount to dental implant success such as anatomy of the dental implant site and optimal positioning of the dental implant in the alveolar ridge. The objective of this course is to review implant site development in the maxilla and mandible, as well as the esthetic zone and posterior maxilla, and procedures that can be used to correct deficiencies in bone and maximize bone and soft tissue volume necessary for implant survival and success.