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I case report Fig. 1_Occlusal view of the maxilla, tooth #24. Fig. 2_Diagnostic panoramic radiograph at the time of presentation. Fig. 3_Diagnostic CT scan sections, left maxilla: sinus floor and alveolar ridge height. _Introduction In the past, it was a significant challenge for cli- nicians to achieve implantation in the alveolar ridge oftheposteriorzonewithrestrictedboneheight,for which the alternative treatment choices were lim- ited. However, procedural and technological devel- opmentshaveenabledimplantationinmostcasesof severe bone resorption through the use of complex bone-augmentation techniques, such as bone transmission, sinus lift, distraction and nerve trans- position, and the use of bone substitute, membrane and nail fixation, which might increase the risk of complication and failure. Generating new bone in a free-end saddle in the vertical dimension is very difficult to achieve and some patients are unwilling to go through such a protractedtreatmentplan,consideringthepossible impact on their general health and psychological condition, as well as the cost. This scenario means that we have to find a good solution for those pa- tients who cannot undergo such a difficult proce- dure, bearing in mind that the use of short implants alone is not advisable in many cases. The onus is on us to come up with a simple and standard means of implantation to save time and pain and to minimise the risk of complication and failure. The principle of the new technique proposed here—the extraction plus technique—is the extraction and sacrifice of the adjacent natural tooth, followed by the inser- tion of a long implant to support shorter implants that are inserted where bone height is limited. Throughthisnewtechnique,wecanconvertacom- plicated procedure (guided bone regeneration— GBR) into a simple standard procedure with less pain, saving time and costs, and minimising the risk of complications. _Conclusion for surveys The extraction plus technique was considered by therespondentsasoneofthebetteralternatives,es- pecially when the tooth to be extracted was un- healthy, but less so when it was healthy. Using the short-implant technique in the mandible was pre- Consideration of an uncommonapproachinthe atrophiedposteriorzone Part II: Extraction-plus technique Authors_Drs Maen Aburas, UAE & Ralf Gutwald, Germany 14 I implants1_2012 Fig. 2 Fig. 3Fig. 1