The aim of this study is to compare the effectiveness of the Tenting Grafting Technique and the Khoury Technique for horizontal augmentation of atrophic alveolar ridges in mandibular molar and premolar regions in dental implant procedures.
Hypothesis:
We hypothesis that the tenting grafting technique is more effective for augmenting atrophic ridges with horizontal bone deficiency, whereas the Khoury technique will yield superior results for severely atrophic ridges, where both vertical and horizontal bone augmentation is required.
Age ≥ 18 years.
Both sexes.
Cooperative and likely to maintain good dental health.
Adequate bone height for placement of implants with a minimum length of 10 mm.
Presence of any local or systemic factors that might contraindicate oral surgery.
Poor oral hygiene. Conditions that complicate wound healing such as uncontrolled diabetes, smoking (10 cigarettes a day), pregnancy, a history of drug or alcohol abuse, and an inability or unwillingness to return for follow ups after occlusal loading
Pathological lesions in the defect site.
Patients with habits that may jeopardize the implant longevity and affect the results of the study such as alcoholism or para-functional habits.