The lack of adequate bone volume complicates the rehabilitation of the posterior edentulous maxilla with dental implants. Various surgical procedures have been developed to increase the bone in the atrophic upper jaw. The transcrestal sinus floor elevation is recommended to reduce the invasiveness of the bone grafting. This method is indicated mainly when is not needed an extensive augmentation procedure. Some studies have been published good results without bone grafting materials. The autor presents a 10 years experience diminishing the use of augmentation materials in the posterior maxilla.