TITAN G Implants should not be placed if there is insufficient jawbone width and height to surrounding implants. Placing in the maxilla should not perforate the sinus. Lack of the availability of the bone 2mm epical and 1mm circumferential. Poor patient oral hygiene use of heavy chewing tobacco or smoking or poor bone quality and generalized diseases such as hyperthyroidism, bruxism, oral infections or malignancies or uncontrolled diabetes or blood disorders etc which causes implant failure or lack of osseointegration may occur as a result. It is advisable not to use 3.5×8.0mm size implant, since it is not designed to withstand lateral loading as a single tooth replacement, either splinted and unsplinted nor should be used with over denture attachments. Its sole use is as a pier abutment for fixed bridgework in conjunction with multiple implants. Medium Blast Surface Treatment Medium Blast surface treatment is available for all straight, tapered, and transgingival implants. All Media Blasted implants are $190.00 each. Implants can be surface treated until top two threads, collar height, or Fully sandblasted. It is economical and equally reliable as other surface treatments.