Since 1960 the technological evolution in dentistry have contributed to a greater demand for dental care. The success of dental implantology depends from several factors, one of which is the health of the gingiva microcirculation status. Due to the dental implant location, direct monitoring of the health of the gingiva is a complex task requiring specialized tools. In this paper we report an overview of the state of the art of implant health monitoring techniques and present our work on development of novel device for non-invasive direct gingiva health monitoring. Our technology is based on the pulse oximetry principle and allowing assessment into the microcirculation level of gums. This work is being supported by cooperation with the specialists as an advanced innovative device for routine clinical purposes.