An increasing number of adult patients are seeking orthodontic treatment to enhance their smile or their masticatory function. In this fast-paced and self-conscious society, time and esthetics have become increasingly important. One of the biggest challenges an adult orthodontic patient faces is the time spent wearing brackets. Over the years, several surgical techniques have been developed to address this issue and reduce overall treatment time. Although very effective, these techniques have proven to be quite invasive. A new, minimally invasive procedure (piezocision) is presented that combines microincisions and localized piezoelectric surgery to achieve similar results rapidly and with minimal trauma.