Dentistry, is an art in science and tranquilizer in medicine, has seen many challenging surgeries. Procedures over years. In starting it began with using the traditional tools. To overcome the disadvantage of the traditional tools, nowadays new device has been in rule such as, Piezosurgical device. It is one of the best innovations in the modern dentistry, in periodontics it is used in various applications such as bone grafting, curettage, crown lengthening, Ridge expansion, and in many departments such as implantology, conservative dentistry, oral and maxillofacial surgery. It leads to the safe and precise bone incision without damaging the associated structures. It creates the bloodless field during the surgical procedures. In ostectomy and osteoplasty, it is widely in use. Healing process in piezosurgery is very shorter. It is safe to use for surgeons and also creates the comfort zone to the patient. It is three times more powerful than the conventional ultrasonic units. The piezosurgical device consists of a novel piezoelectric ultrasonic transducer powered by an ultrasonic generator capable of driving a range of resonant cutting inserts. Piezosurgery can be defined as a saw characterized by the versatility particularly in perform osteoplasty and Ostectomies. This article aims to review piezoelectric surgery and its role in periodontics, it’s mechanism, equipment, applications, ostectomy and osteoplasty tips finally advantages and disadvantages.

Keywords : Piezosurgery, Ostectomy, Osteoplasty.