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Full explanation of MIMI II Minimal Invasive Ridge Splitting In long span edentulous ridges, more horizontal bone loss occurs compared to vertical loss with 5% crestal width loss within 1 year of extraction. These atrophic ridges limit implant placement and lead to problems after placement (Mittal Y, Jindal G, Garg S. 2016). It is generally agreed that elective surgery should not impair the patient’s quality of life, should reduce surgical trauma as much as possible and should confine patient morbidity to a minimum (Cibirka et al. 1997). A technique that seems to be helpful to achieve these goals is transmucosal implant placement. It has been described decades ago for the mandible (Ledermann 1983). Hence, the present study is to compare narrow ridge augmentation using the minimally invasive ridge split with the conventional open flap techniques. Furthermore, we are utilizing specially designed implant system that adopt minimal invasive implantation techniques, allowing single surgical procedure (no need for second surgery for implant exposure), and therefore excluding further surgical trauma and reduce patient discomfort. Various techniques exist to augment these narrow ridges to get at least 1 mm of bone around placed implants. One of such widely accepted technique is ridge split, which utilizes ridge expansion with decreased cost, less surgical morbidity, less treatment duration, and the single surgical site (Jha N et al. 2017).