Objective The present study aimed to introduce the manufracture process of the suction tube special for the Piezoelectric surgery and explore its effect in the surgical extraction of impacted lower third molars. Methods The sample consisted of 114 patients undergoing surgical third molar removal. The special suction tube was periodically used during the whole process of Piezoelectric surgery. Results The suction tube can quickly clear the mouth, essentially vacuuming up the excess liquid, splatter particles and aerosol away from the area of concern, offering a clear surgical field for the dentists. Meanwhile, the tube can be used as a retractor to raise the mucoperiosteum flap, to expose the operation field more clearly. Conclusion The suction tube special for the Piezoelectric surgery can be a simple and practical tool for the Piezoelectric surgery.