The implant therapeutics for management of edentulous span has revolutionized dentistry. This is accompanied by many complications as well. Peri implant interface as well as the tissues are not immune to complications arising from poor surgical, prosthetic or long/short maintainance resulting in the peri implant destruction of soft and hard tissues. This peri implant breakdown surfaces as Peri implant mucositis and Peri implantitis. The management of these complications is feasible if timely and correct diagnosis is established resulting in the success of implants. This article attempts to assess the risk factors for peri implant diseases, establish a thorough diagnosis that could act as a blueprint for management of peri implant lesions. The prophylactic measures to prevent the beginning of the lesion is also highlighted in this review.