Osteotomes have long been used in the formation of osteotomies for the placement of dental implants. Their ability to manipulate and compress existing bone without generating heat makes them particularly useful for expanding narrow ridges, elevating delicate sinus membrane, and increasing relative bone density around the osteotomy. Common concerns with these devices include the traumatic force communicated to the patient during use and difficulty controlling force vectors. A new type of osteotome has been developed that is designed to enable the clinician to eliminate the concerns found with traditional osteotomes yet it preserves the best qualities and functionality of this class of device. This article will present several case reports that illustrate the usefulness of this instrumentation in clinical settings.