This article reviews the use of a new mechanical surgical instrument, the D'Granulator, designed to quickly and easily remove granulation tissue while maintaining a blood-free field during periodontal and endodontic surgical procedures. A technique for minimally invasive periodontal bone grafting is also given. This technique allows for minimization of soft-tissue trauma and the removal of granulation tissue from periodontal defects using a much smaller surgical incision than that used in standard bone graft techniques.