The dental implant is getting more popular in dental daily practice nowadays. Although the successful rate is relatively high, in compromised ridge bone is still challenging to the dentist. All healing process is revolving around the implant surface. A good treated implant surface can offer an environment for fibrin attach, provision matrix forming, bone forming cell (osteoblast) adherence, proliferation, differentiation, and finally, bone formation. Rough surface concept launched in 90’s last century. Since then, varieties of surface treatments have been raising in dental market. Of them, SLA, beyond all questions, is the most popular one. However, the residual chemicals and particles on the surface might affect the healing result. 2010, The Biomate Medical Devices Technology launched an innovative laser surface treatment, Precision Dimensional Laser ( PDL ), which creates a high oxygen level surface with unique micro-nano complex 3D pores. This surface can achieve higher hemocompatibility, higher cell proliferation rate, higher cell density, and higher BIC. In this lecture, Prof. Dr. Chiang will briefly review the healing process around the implant, and then introduce update researches of our patented Precision Dimensional Laser (PDL) which creates the unique microchannel with micro-nano complex 3D pore and the novel cell/implant interaction on the laser treated implant surface. Most importantly, I will present those several PDL implants using in the compromised ridge cases. Through the unique follow-up clinic performance, the possible factors /and or mechanisms involved in this unique laser treated implant healing would be discussed.