A device for inserting a threaded dental implant (I) in a patients jawbone as well as for loosening and removing a threaded dental implant (I) mounted and possibly osseointegrated in the alveolus jaw-bone of a patient. An ultrasonic vibration actuator, e.g. a piezoelectric transducer, generates ultrasonic vibrations with a frequency within the range 20-50 kHz, preferably within 24-36 kHz, and preferably in a direction around the longitudinal axis of the dental implant (I). The actuator, being a handpiece (H) structurally connected with a handpiece head (HD). A fitting-means (F), e.g. a socket, is positioned in the head (HD) of the handpiece (H), the head (HD) being arranged for entering the patient's mouth. The fitting-means (F) is shaped to provide a rigid engagement directly with the dental implant (II, I2) or indirectly by an adaptor (AD1, AD2) being rigidly tightened on top of the dental implant (II, I2) platform. The fitting-means (F) thus transmits ultrasonic vibrations to the dental implant (II, I2) for either inserting a dental implant or alternatively loosening the dental implant from the jaw bone.