Salam alikum good afternoon my dear colleagues (Maneuver Technique) A 41 years old male showed at surgery to replace missing upper central incisors and lower right first molar. Teeth were extracted several years ago and two upper centrals were replaced with a removable spoon acrylic denture. Clinical examination and radiographic examinations were performed. Clinical examination showed grade 3 mobility at the upper left lateral incisor and upper right first premolar. Radiographic examination revealed crestal bone resorption at teeth #22 and #14. Radiographic examination revealed also buccolingual bone width of 4.6mm, 4 mm, and 9mm; and bone height of 15mm, 15mm and 16mm at areas of teeth #11, #21 and #46 respectively. Patient was informed with procedures needed to place dental implants and installation of restorations to restore missing teeth. Topical anesthesia gel was applied 3 minutes prior to local anesthesia injection. Local anesthesia injection was administered buccally. Roott Compressive implants (Trate, Bäch, Switzerland) with sizes of C3516 (3.5mm diameter and 16mm height) were chosen to replace teeth #11, #21, #22. Area of teeth #11 and #21 were prepared with single drill with speed of 800rpm. Compressive screws were used to prepare the sites, then implants were inserted and torque was checked with torque wrench. Torque exceeded 50Ncm in both sites. Tooth #22 was extracted. As was checked in radiographs, there was buccal bone dehiscence around the tooth; so implant was inserted in palatal direction. Toque was checked where it exceeded 60Ncm. The 3 three implants angulations were corrected into palatal direction by using the torque wrench to bend the implants. Tooth #14 was extracted. A granulaoma was observed around the roots, so implant placement was postponed to more than 2 months later. Area of tooth #46 received Roott Compressive implants (Trate, Bäch , Switzerland) with size of C5014 (5mm diameter and 14mm height). Patient was instructed for use of (Augmentin 625 mg tab t.d.s.) and Ketolac 10 mg tab bis (KETOROLAC TROMETHAMINE, Surav Chemicals limited, Cairo, Egypt)) for six days. Immediate postoperative periapical radiographs were recorded. Impression transfer caps were placed and impressions were taken. Casts were prepared and burning caps were placed. Patient received temporary PFM crowns within 72 hours and cemented with glass ionomer cement.