The object of this report was to provide further data supporting the use of short (primarily 7-mm-long) dental implants with a sintered, porous-surface geometry to treat the posterior maxilla using the indirect, osteotome-mediated, localized sinus elevation procedure. Records were available for 104 Endopore implants (Innova) in 70 patients, for whom the majority of implants had been placed in the location of the maxillary first molar. The mean initial subantral bone height before implant placement was 4.2 mm, with a range of 2 to 6.7 mm, and all implants were placed using hand osteotomes and a graft of bovine hydroxyapatite. After an average time in function of 3.14 years, only two implants had been lost, both as a result of unusual circumstances. It is concluded that the use of short, sintered, porous-surfaced implants and localized indirect sinus elevation is a predictable and minimally invasive approach to manage the posterior maxilla with minimal preoperative subantral bone height.