A surgical instrument for use in a sinus lift procedure and methods for performing sinus lift procedures. A surgical instrument includes a shank having a body portion, a first end, an opposite second end, and a neck portion disposed between the body portion and the first end. The shank body portion defines a first longitudinal axis and the neck portion defines a second longitudinal axis. The shank further defines a head coupled with the first end. The head includes a flat proximal surface that extends radially outward of the neck portion and a domed distal surface opposite the first proximal surface. The second longitudinal axis is perpendicular to the proximal surface.