The lower third molar surgery is the most common surgery performed by Oral and Maxillofacial Surgery. There are various method to do bone guttering or tooth sectioning to facilitate tooth delivery. The piezoelectric surgical technique is a promising method when compared to rotary burs. Unfortunately, there was a sold evidence to support the superiority of this promising technique over the rotary instruments.Thus , We have this evidence based on papers ( a systematic review and meta analysis) to resolve the issue concerning this matter. I am asking here to allow an expert Doctors and my colleagues to discuss this very interesting topic  .