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Maxillofacial prosthesis are useful in the rehabilitation of patients who have had ablative surgery, have a congenital abnormality, or have been injured. These patients' physical and mental health necessitates good organisation and coordination among the health professionals who are involved in their care. Osseointegrated implant rehabilitation is the first true hope for individuals with such malformations to enhance their quality of life. Using the introduction of current silicones and bone anchorage, the rehabilitation of extra oral defects with implantmaintained prosthesis became more essential. Following Branemark's development of the osseointegration idea of retention, intraoral endosseous implants have become the gold standard, with several studies proving its effectiveness, safety, and predictability. Implants have proven to increase retention, stability, and aesthetics while also lowering the issues associated with other retentive treatments. The key elements of extra-oral implantology in maxillofacial prosthesis are discussed in this article.