Purpose: Benign paroxysmal positional vertigo (BPPV) is a possible and well-documented complication after the osteotome internal sinus lift technique. But we report a case of unexpected BPPV complication after direct sinus lift by lateral approach for implant placement that was not reported till date.
Methods: A 30-year-old woman had undergone direct sinus lift procedure by lateral window technique to replace her missing right molar with dental implant.