The risk of having a problem could be greater than that of a patient who does not have osteoporosis but that doesn’t necessarily mean you cannot have dental implants. Of most importance is to know whether or not you are taking bisphosphonates. Second, we need to learn more about your specific circumstances regarding the osteoporosis. Third, we need to evaluate your specific dental needs as well as expectations you have regarding the implants. Assuming that you have been cleared for treatment, the surface of the implants should be highly advanced for bone integration. Most modern surface are but this must be confirmed. One of the things we do is “wet” the implant surface in the patients own growth factors (isolated from the blood plasma) just seconds before placing it to aid in the bone to surface integration. Because most of the load or force occurs in the top third of the implant once integrated, wider is better. The length of the implant will influence the initial stabilization and healing period. Immediate or early loading of the implants should be avoided and more time than usual should be given for healing and integration before the teeth are attached. Once the teeth are attached, it would be beneficial to “tie” or splint the implants together with the prosthesis or by connecting the crowns to help dissipate the chewing forces