The extraction of impacted dental elements is often referred to maxillofacial surgeons. However, it can be handled as routinely as any other type of extraction. Piezoelectric surgery of impacted teeth, which involves reproducible procedures using a step-by-step approach in all types of cases, also allows dentists who approach the extraction of impacted elements less frequently to carefully prepare for the procedure and perform it, thereby minimizing possible postsurgical issues for the patient, such as biological risks. Using the most innovative techniques, including the application of ultrasound in oral surgery and piezoelectric surgery, the author provides an indispensable tool to train and update dentists who intend to perform all types of extractions.