Assessment of Stability Using Satellite Implant for Immediate Loading in Posterior Mandible

Inclusion Criteria: * Patients requiring implants for the posterior mandible. * Patients aged between 18-45 years old. * Implants must be at least 8mm in length. * A sufficient quantity and distribution of implants to enable cross-arch stability. * Implants must have good initial stability, with insertion torques ranging from 35 to 50 N/cm. * Sufficient bone for implant placement and plate fixation. * Patient able to give informed consent. * Sufficient inter-arch space. Exclusion Criteria: * Contraindications to implant surgery in general. * Bruxism. * Immunosuppression. * History of radiation to the head and neck region. * Uncontrolled diabetes. * Heavy smokers (more than ten cigarettes per day). * Poor oral hygiene. * Current or previous bisphosphonate therapy. * Substance abuse. * Mental illness. * Failure to complete 6-month follow-up. * Pregnancy or breastfeeding. * Insertion torque of less than 35 N/cm. * Removal of interim repair during the osseointegration stage. * Patients suffering from parafunctional behaviors.