Efficacy of Different Osseodensification Techniques

Inclusion Criteria: * · Adult osteoporotic female patients confirmed by CBCT grey values ranging from 290 to 420 HU, with age range 45-60 years. * Patients should be free from any other systemic diseases, according to ASA classifications (American society of Anesthesiologists). * Patients of single or multiple missing teeth in the posterior mandible. * A ridge width of 4mm and a height of \> 8mm above the roof of Inferior Alveolar canal. * No buccal concavities were present at the planned implant site Exclusion Criteria: * · Poor oral hygiene. * Heavy smoker (more than 20 cigarettes /day),or alcoholic abusing patients. * Radiation therapy to the head and neck region, or chemotherapy in the last 6 months prior to the implant placement.