Qualitative and Quantitative Assessment of Marginal Bone Loss Following Flapless Guided Versus Conventional Implant Placement

Inclusion Criteria: * Patients aged 20 years or older. * Patients requiring at least two dental implants within the same arch. * Patients with good general health and able to undergo oral surgery. * Patients willing to participate in the study and provide informed consent. * Patients with adequate bone volume for implant placement as determined by preoperative radiographic assessment (e.g., cone beam computed tomography). Exclusion criteria: * Patients with systemic diseases that could compromise healing or implant success (e.g., uncontrolled diabetes, immunocompromised conditions). * Patients with a history of radiation therapy to the head and neck region. * Patients with active periodontal disease or untreated oral infections. * Patients who are pregnant or breastfeeding. * Patients with a history of bisphosphonate therapy or other medications that may affect bone metabolism. * Smoker Patients with a history of smoking or heavy alcohol consumption. * Patients with unrealistic expectations or inability to comply with postoperative care instructions. * Patients with significant facial trauma or anatomical deformities affecting the implant site. * Patient who requires Immediate implant placement * Thin gingival biotype