The evolution of dental implant designs is driven by scientific research aiming to successfully integrate artificial structures into biological systems. Surface roughness and composition play crucial roles in promoting osseointegration-the connection between implant and bone. Clinicians must carefully select implants based on bone quality, site considerations, and biomechanics to ensure optimal outcomes. Collagen-coated implants show promise in enhancing biocompatibility and reducing inflammation. Future advancements will likely focus on improving surface topography, surgical techniques, and collaboration among specialists to enhance implant success rates.