This study will compare clinical and radio graphic outcomes of two minimally invasive different treatment modalities for atrophied unilateral distal extension maxillary ridges these modalities include 1. Medially placed implant and Implant retained distal extension removable partial denture 2. Sinus lift and long implant to support fixed screw-retained prosthesis
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Plaque index evaluation
Timeframe: one year
Gingival index evaluation
Timeframe: one year
Probing depth evaluation
Timeframe: one year
Implant stability evaluation
Timeframe: one year
Radio graphic evaluation
Timeframe: one year
Patient satisfaction
Timeframe: one year