Numerous studies have examined the factors associated with implant survival however there is a paucity of data regarding the management of implant failures and whether retreatment is associated with an increased risk of implant failure. Previous studies have investigated the role of implant surface characteristics on the outcome of implant retreatment. The purpose of this study was to evaluate the survival rates of dental implants placed as part of a retreatment protocol in a population of patients with a history of implant failure. A retrospective review of all failed dental implants placed between July 1, 2002 and June 30, 2006 at the Washington Hospital Center was performed. Implant failure was defined as removal of the implant. The survival rate of implants placed in a retreatment protocol was then analyzed. The criteria for secondary implant survival was determined based on clinical and radiographic evidence of implant osseointegration over a minimum six month follow-up period. (Frequency reporting of implant survival as a percentage of implants placed in a retreatment protocol.) A total of 31 failed implants out of 598 total implants placed were identified during the specified interval. According to a retreatment protocol, 22 implants were replaced in 13 patients in the same location as the failed implant and followed for a minimum of six months after surgery. Among implants placed as part of our retreatment protocol, 20 implants in 12 patients survived and were loaded with a prosthesis. This corresponds to a 91% survival rate for implant retreatment. Management of implant failures poses numerous challenges and evidence regarding the survival rates of dental implants placed as part of a retreatment protocol is lacking. Here we report a survival rate for implant retreatment that is comparable to primary implant placement and suggests that implant retreatment is a predictable option for patients with a history of previous implant failure.