Abstract One of the most challenging tasks in implant dentistry is placing an implant in the maxillary posterior edentulous region because of the unfavourable conditions like poor quality and scar quantity of bone. Bone remodelling in the region is further complicated by post extraction bone resorption, pneumatzation of maxillary. To manage and treat these local physiological and anatomic limitations, maxillary sinus floor elevation has become an important preplacement procedure in dental implant treatment planning. This scientific case report presents a clinical case where a Direct Sinus Lift was carried out with placement of autogenous graft and immediate implant placement was done.