the goal of this clinical trial is to learn if the new osseo-densification technique works to provide enough bone width and quality prior to implant placement in the upper jaw the main question it aims to answer is: Is the use of osseo-densification protocol better than the standard alveolar ridge widening techniques; regarding efficiency and comfort in obtaining sufficient alveolar ridge width in horizontally atrophic alveolar ridges?

a new osseo-densification protocol using specially designed Densah burs was compared to conventional hand Osteotome technique to test its efficiency in providing sufficient bone quantity and quality in cases of horizontally deficient maxillary edentulous alveolar ridge sites that require expansion prior to dental implant placement

Inclusion Criteria:

• Age ≥18 years old.
• In cases of an initial ridge width ≤ 5mm that contains ≤ 2mm of trabecular bone core.
• Alveolar ridges with narrow crest and wider base.

Exclusion Criteria:

• Uncontrolled diabetic patients
• Heavy Smokers
• Patients suffering from osteoporosis
• Patients receiving chemo or radio therapy
• Patients suffering from bleeding disorders
• Patients suffering from intraosseous lesions at the proposed site of implant
• Patients with insufficient alveolar bone hight less than 10 mm.
• Resorbed ridge with a narrow base.

all IPD that underlie results in a publication

within 6 months from publication

IDP will be shared with researchers and clinical investigators who require them for further systematic review or retrograde studies via contacting the principal investigator through email