I typically what 4-6 months before letting my restorative dentist restore the implants. What is the besr way to determine if the Implants are Osseointegrated and ready to be restored?

I have a patient with missing molars on the right side of the maxilla. I did a Cone Beam CT I discovered a lesion that looks mucous retention cyst.
The lesion occupies over 40% of the right maxillary sinus. I referred the patient for surgical removal of the lesion with ENT specialist. The ENT refused to do the surgery. He stated that according to ENT guidelines this kind of lesion does not require any treatment if asymptomatic, and that success of sinus graft will be decreased due to this lesion. He reommended not doing the implant.
What should I do?

I want to offer laser periodontal treatment in my office. I saw some info on LANAP. This looks like it is pretty easy to do.

What do periodontists think of this treatment? Which laser are you using?

I have a patient with a nonrestorable tooth #14. After extraction there will not be enough bone for implant placement but I would like to bang up the septum and do my sinus lift at the time of extraction in order to have my site prepped for the implant in 3-4 months.
Is it possible to do the extraction, and the sinus lift using summers FT technique all at the same time?
Does anyone do the future site technique anymore?
I think this would allow me to avoid doing a lateral window and speed along the case.

I just got back from the Boston IJPRD meeting and have more questions then answers. It seems like there is a trend of leaving behind root tips for pontic sites as David Garber presented or now there is the Socket Shield that the Swiss are doing. The socket shield consists of leaving behing the facial aspect of the tooth being extracted and placing the implant in the bone behind it. They claim that the implant withh get bone and cementum on the surface and you will loss less bone in the socket. Anyone doing this?

During an extraction of tooth #14 the sinus was perforated for about 3mm in diameter in the mesiobuccal root area.
How do i close it? What material should i use? Should I graft it at all?
What is the best way to handle a sinus perf during an extraction? What is the risk of infection or complications?

With the advent of extreme makeovers and everyone wanting a model smile. I see more and more people who want to treat their excessive gummy display.
What are the best techniques to do this? GV or Crownlenghtening?
What do you do with a patient with a high smile that removing gum isnt enough?
Please describe the lip pulldown technique,and pitfalls to look out for?
Thank You

I recently placed an implant into good bone. There is good BIC and good primary stability. The only problem is the angulation on how it was placed. It it in close proximity to an adjacent live tooth, about .5mm distance between the tooth and implant.
What could and will happen to the implant and/or to the natural healthy tooth? Should I take it out?  Thank you!

I have read a variety of articles about mixing antibiotics with your graft material for sinus and GBR grafting.
Is it more successful then no antibiotics, does it enhance results and minimize infections? What is your protocol? Why do it? What are the inidcations? Does it make a difference? What are the downside risks?
Where can we buy 0.5% metronidazole IV solution for reconstituting the grafting material for sinus lift in US?