An osteotome for sinus lift procedures includes a body interchangeable with various handles. The body includes a shaft that is releasably received into the handle, and a tip portion. The tip portion may be directly utilized for ridge expansion/bone compression, or a succession of tip members may instead be received thereon to provide suitable diameter escalation to create the socket. A conduit in the tip portion interconnects with a conduit in a hydration port and a conduit in a tip member. A hose couples the hydration port to a syringe, to deliver fluid out the tip member to lift the membrane. Graduated syringe markings permit delivery of measured fluid quantities to control the amount of lift. A second hydration port is coupled to a graduated cylinder through a valve, which is opened after lifting is complete, to measure the fluid released. A loss of fluid measured indicates a sinus tear.