Ultrasonic has been used in periodontics for many years to unfasten tartar, root surface debridement, and to degranulate the periodontal defects. In the past 10 years revolutionizing maxillofacial bone surgery have been carried out by a novel family of ultrasonic powered devices that have been developed. Comparatively, Piezo surgery is a modern technique that was introduced by Tomaso Vercellotti in 1998 with the idea to use an ultrasonic device for abscission fitted with a sharpened insert, like a scalpel blade, to perform peri radicular osteotomy and to extract an ankylosed root. To achieve an optimum recovery, that mainly relies on gentle soft and hard tissue handling, the surgical damage has to be minimal. The degree of the surgical invasiveness is very consequential for the tissue healing consistency and it may be influential on whether the wounds heal by the reconstruction or regeneration. Secondly, more traumatizing surgeries commonly conduct greater inflammatory responses with slow healing and this may pilot repair and scarring instead of regeneration. Therefore, it is recommended for any surgical procedure to use the least traumatic surgical instruments and methods for any surgical procedure.