Asymmetry in the size and shape of the sinus is common. Placing dental implants with maxillary sinus floor pneumatization can be challenging. Implant placement is rarely difficult in the anterior maxilla due to insufficient bone volume below the maxillary sinus.The indications and methodology of implant treatment for patients are dependent on the planning of endosseous implant treatment in the esthetic zone with implant therapy and should be based on careful diagnosis.Knowledge and understanding of maxillary sinus floor pneumatization is important to achieve an accurate diagnosis and realize appropriate treatment and management
