Severe bone loss leads to a condition known as atrophic jaws. In such cases, the placement of standard dental implants is limited owing to the risk of damaging critical anatomical structures, such as nerves. When this occurs, the solution, in most cases, is bone augmentation to build bone so that dental implants can be placed. Dental bone augmentation is not uncommon and it includes a variety of procedures such as sinus lifts, bone graft procedures either using patient’s bone or processed bone and finally, manipulation of bone using an osteotome or osteotome mallet.