Clinical Research Directory

Inclusion Criteria: * Patients with maxillary residual alveolar bone height not less than 8 mm. * Alveolar bone width from less than or equal 5 mm. * Both genders. * At least missing single tooth. * Previous Failed Implants. * Previous Failed Grafting. Exclusion Criteria: * • Heavy smokers more than 20 cigarettes per day. * Patients with alcohol abuse * Patients with narcotic abuse. * Patients with bone disease that may affect normal healing, example; hyperparathyroidism. * Patients had radiotherapy and chemotherapy in head and neck. * Patients had neoplasms in sites to be grafted. * Patients with Metabolic diseases uncontrolled diabetic patients, Glycated hemoglobin (Hb A1c) more than 7 mg\\dl. * Pregnant females. * Patients with Para functional habits, apprehensive and non-cooperative. * Bone pathology related to the site to be grafted. * Psychological problems, stress situation (socially or professionally), emotional instability, and unrealistic patients' expectations. * Intraoral soft and hard tissue pathology. * Systemic condition that contraindicate implant placement. * Under the age of 18 years.