Medicine and dentistry have recently sought to provide patient care through standardized treatment algorithms based upon historic norms of wound healing. While this would make life far easier for us as clinicians, a significant number of our patients are being treated with techniques such as immediate implant placement into extraction sockets or delayed implant placement into grafted areas such as the maxillary sinus that don’t follow traditional guidelines for healing. Even at routine sites, it seems as though a number of our patients have failed to have read the textbooks and articles that we have written about them as to how they will heal. Without objective data, we are following preconceived paths of care that may do harm to a number of our patients as to when they should be restored. This lecture will review dental implant patterns of wound healing which will include the dip, the bungee dip, and the bump. This will reinforce the need for Osstell use and why a more personalized approach to treating all of our patients is needed if we are to provide optimal clinical results.