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Purpose: Present the UCLA experience with these devices as well as describe how the design of the retention apparatus has evolved through the years.Methods: UCLA clinical experience & Literature review.Results: Osseointegrated implants have been used effectively during the past 30 years.Auricular & Nasal implant supported prostheses have proven to have good success,while orbital implants have proven to have a lower overall implant success rate.Conclusion: Implant restorations are an integral part of the present as well as the future of maxillofacial prosthetics Implant retained prostheses have shown a higher survival for auricular defects,with the lowest survival found in orbital defects.Implant retained prostheses in irradiated patients have shown as lower survival rate.Potential increase in survival rate for orbital & nasal prostheses may be found in the use of intra-oral longer implants.