Clinical and Radiographic Evaluation of Implant Stability in Healed Maxillary Posterior Sites Comparing Osteotome, Osseodensification and Conventional Drilling Implant Placement Techniques

Inclusion Criteria: * Patients with an age range of 25-70 years * Patients with systemic health * Patient with missing teeth in the upper posterior area * Patients with D3 or D4 type of alveolar bone * Healed bony sites with sufficient dimension for implant placement * Vertical height (≥ 10 mm) * Bucco-lingual dimension (≥ 5.5 mm) * Mesio-distal width (≥6.5 mm) * Patients with periodontal health (PD \< 4mm, BOP \< 10%) * Inter-arch space of 7.5 to allow implant restoration * Good oral hygiene * Cooperative patients who accepted the trial follow up period and sign the informed consent Exclusion Criteria: * Pregnant females * Smokers * Patients with habits that may compromise the longevity and affect the result of the implant as alcoholism or parafunctional habits * History of radiotherapy or use of bisphosphonates