Dentistry has undergone significant advancement and has seen several changing concepts over a decade. One such novel innovation is piezosurgery. Piezoelectric bone surgery or otherwise known as piezosurgery is a novel technique invented by Vercellotti in 1988 to overcome the limitations of traditional instrumentation in oral bone surgery by modifying and improving conventional ultrasound technology. Piezosurgery’s patented, controlled three dimensional ultrasound vibrations open up a new age for Periodontology, Implantology, Endodontics and Surgical orthodontics. The absence of macrovibration makes the instrument more manageable and allows greater intraoperative control with a significant increase in cutting safety in the more difficult anatomical cutting zone. Therefore the aim of this review is to describe peiezosurgical devise and its use in the field of periodontology and implantology in detail.