A partially edentulous maxilla is treated with bilateral sinus lifts and implant placement. The maxilla presented with total pneumatization at the right and left molar area and partial pneumatization on the left premolar. Soft and hard tissue anatomy for lower arch was suitable for implant placement, while in the maxilla bone was not adequate for placing the implants. In the maxillary right and left molar areas, a lateral sinus lift procedure was needed before implant placement. While in the

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... t premolar area, an internal sinus lift procedure could be performed immediately before implant placement. Panoramic radiographs were taken on regular basis to document the implant survival and crestal bone levels, which were maintained at 10-year follow-up.