Objective: to evaluate the impact of atraumatic extraction with immediate implantation in preserving the vertical height of bone supporting two implants retaining overdenture. Materials & Methods: Ten people were chosen at random from the Ain Shams University prosthodontics outpatient clinic. For this case, the patient must meet the following criteria: they must be between the ages of 40 and 60, have a totally edentulous maxillary arch, and have extractions advised for both canines in the mandibular arch. All patients in this research were transformed immediately with two implants in fresh sockets at the interforaminal region in the mandible by using two extraction techniques. Group I: immediately placed implants on the right side for canines extracted by a conventional method, and Group II: immediately placed implants on the left side for canines extracted by the atraumatic way (piezo tomes). Digital Radiographic assess the quantity of marginal bone loss throughout 12 months follow-up . Results: there was a significant difference in mesial, distal, and overall. (baseline/12 months) was the highest. At the same time, there was a significant difference between other intervals by using Paired t test. After a year, group II had a noticeable reduction in vertical bone loss when compared to the other one. Conclusion: it can be concluded that atraumatic extraction is a key prerequisite for immediate implant placement with immediate loading, & piezo tomes were the more efficient than conventional extraction.