What Is a Piezotome Cube?

In this video, Dr. Jack Booth explains how a specialized extraction tool allows teeth to be removed more gently while preserving bone that’s critical for future implants and cosmetic results.

This tool, called a Peizotome, is a small device with a thin blade that’s cooled with water. The blade slides between the tooth and the surrounding bone. Instead of grinding away bone with a bur, the blade gently separates the tooth from the ligament that holds it in place (the periodontal ligament).
 
By slowly working the blade down along the root and moving it up and down, the tooth loosens naturally. Once it’s freed, we simply grasp it and remove it with very minimal force. It’s a much gentler, less traumatic way to perform an extraction.
 
This technique is especially valuable for front teeth, where preserving the bone is critical for aesthetics. It takes a little longer than using a bur, but it maintains far more bone, which is important for implants and cosmetic outcomes.
 
It’s a great tool for cases where bone preservation is particularly important.
 
Contact Big Sky Dentures & Implants in Missoula, MT, for a consultation to learn how our life-changing treatments can enhance your smile, improve your function, and restore your self-confidence.

OUR DENTAL SERVICES

Missoula's Trusted Denture & Implant Specialists

Meet Our Dedicated Team

Dr. Jackson Booth - Big Sky Dentures & Implants in Missoula, MT

Dr. Jackson Booth
Dentist

Learn More
Remi Berube DD

Remi Berube DD
Denturist

Learn More
Kristen Berube DD

Kristen Berube DD
Denturist

Learn More

Hear What Our Patients Are Saying...

Eat, speak, and smile with confidence again

Read The Big Sky Dentures & Implants Blog

Learn about the services we provide, and the latest advancements in general, cosmetic, and implant dentistry.

How a Dental Bone Graft Expands Your Options for Implants

Atrophy refers to the gradual loss of bone over time. In the jaw, that change directly influences how we plan treatment, including when we recommend a dental bone graft. As the bone structure shifts, the level of support available to teeth or implants can change. You may start to notice these changes as they develop. Gums can recede, making [...]

Can Teeth Grinding Damage Dental Implants? What You Should Know

At Big Sky Dentures & Implants, we pay close attention to what happens around your implant, not just the implant itself. Teeth grinding introduces a level of force that can work against the foundation we place. Natural teeth have a slight cushion from surrounding ligaments. A dental implant connects directly to the jawbone. Every clench or grind exerts pressure [...]

How a Roundhouse Bridge Replaces a Full Arch of Teeth [Video Guide]

A roundhouse bridge falls within the implant denture category, yet it rarely resembles what most people expect a denture to look like. That contrast often creates confusion. If it replaces a full arch of teeth and relies on implants for support, why does it appear so different? The difference reflects a rethinking of what a denture should be. Full-arch [...]

Understanding Dental Phobia and a Path Back to Treatment

Dental phobia is a strong and persistent fear of dental treatment, the dental office, or the thought of receiving care. For some people, that fear becomes so intense that they avoid appointments even when they know something is wrong. Pain, infection, difficulty eating, and embarrassment often follow because fear created distance from treatment for too long. At Big Sky [...]

Common Signs You May Need Denture Repair

Dentures work hard every day. Over time, the acrylic can crack, a tooth may loosen, or the fit may change enough to cause discomfort. When that happens, you need someone who understands how the denture was built, how it fits your mouth, and how to restore it so it functions properly again. Denture repair requires careful evaluation and skilled [...]

Dental Implants in Missoula: Understanding the Treatment Process

Dental implants in Missoula, MT, offer a long-term solution for replacing missing teeth and restoring stability. There is a perspective on this treatment that feels especially fitting in this part of Montana. Missoula is widely known as “The Garden City,” a name that grew from its early reputation for abundant orchards, flourishing gardens, and streets lined with mature shade [...]