Piezoelectric surgery was first explained by French Jacques and Pierre Curie in 1880. Since then ultrasonics have been widely known as a treatment modality for cutting bone. It was in 2006 that Tomaso Vercellotti developed an instrument for osseous surgeries in various dental procedures. The fine microvibrations produced by the piezoelectric instrument allows for paramount fineness, bloodless surgical field, minimal damage to the surrounding soft tissues, nerves, vessesls and osteocytes. All this in turn adds to excellent healing with minimal postoperative complications. Angular defects formed as a result of periodontitis can be bridged by the use of bone grafts. Piezosurgery allows for clean and smooth harvesting of autogenous intraoral bone grafts during surgical procedure. Osteoplasties and various bone splitting procedures can be done precisely due to its highly selective action on soft tissues. This article aims to review the clinical calibre of piezosurgery in the field of periodontology and implantology. Keywords: Autogenous; Microvibrations; Osteoplasties; Ultrasonic.