Atieh MA, et al. - In this systematic review, the researchers compared the use of conventional drills (CDs) to piezoelectric devices (PEDs) for implant site preparation (ISP) with regard to implant stability values, marginal bone level changes, operating time, and dental implant failure rate. For ISP, PEDs appeared to be a viable alternative to traditional drilling techniques. Both techniques were comparable in terms of the marginal bone level changes and the risk of implant failure with the exception of prolonged operating time associated with the use of PEDs. Future studies were required to confirm the favorable influence of the implant stability pattern related to the use of PEDs on the predictability of immediate and early loading protocols.