Peri-implant diseases have been classified into clinically distinct types based upon underlying etiology and disease progression. These distinct types of peri-implant disease have differing microbiota. Utilizing targeted implant wavelengths Early recognition of clinical signs and symptoms of peri-implant disease are critical to the overall success of treatment and allow for the most cost-efficient method of treatment. To facilitate diagnosis and treatment of peri-implant diseases, a decision matrix was formulated to allow for identification and treatment for ailing/failing implants. More studies are needed to quantify best treatment options in the varying clinical scenarios seen in practice.