Dental Screw in Implants: Procedure, Benefits & Costs

Dental implant screws are small, screw-shaped prosthetics used to anchor artificial teeth for dental restorations and individual tooth replacement. These screws are a crucial component of dental implants, providing a secure and stable foundation for the replacement tooth. Typically made of titanium or ceramic zirconia, dental implant screws are biocompatible with the human body, meaning they are designed to be accepted without adverse reactions.



Titanium is the primary material used for dental implant screws due to its remarkable strength, durability, and its ability to integrate seamlessly with the jawbone through osseointegration. This integration ensures that the dental implant screw becomes a permanent part of the jaw, providing a stable base for the artificial tooth. Zirconia, a metal-free alternative, offers significant aesthetic benefits with its tooth-like color and is also known for its durability and resistance to plaque accumulation.

The design of dental implant screws closely mimics the natural root structure of teeth, allowing them to absorb and distribute biting forces effectively. This design is crucial for the long-term success and stability of dental implants, making them a reliable solution for those needing tooth replacements.

Materials Used for Dental Implant Screws

Dental implant screws are predominantly made from two materials: titanium and zirconia. Titanium has long been the standard material for dental implants due to its exceptional strength and corrosion resistance. Its biocompatibility ensures that the human body accepts it without adverse reactions, and it is approved for safety by the FDA.

Zirconia, on the other hand, is a metal-free alternative that offers significant aesthetic benefits. Its tooth-like color makes it an excellent choice for patients concerned about the appearance of their implants. Zirconia implants are also known for their durability, being much stronger than natural tooth enamel, and they are less likely to accumulate plaque compared to titanium implants.

Both materials provide reliable and safe options for dental implant screws, catering to different patient needs and preferences.

Placement of Dental Implant Screws

The placement of dental implant screws is a meticulous process that often involves a team of specialists, including oral surgeons, periodontists, and prosthodontists. The procedure begins with a thorough examination and planning phase to determine the best approach for each patient. During the surgery, a small hole is drilled into the jawbone at the site of the missing tooth, and the dental screw is carefully inserted.

Accurate placement in terms of location and angle maximizes bone contact and prevents damage to vital structures. Dental screws come in various sizes and shapes, chosen based on the type of implant and the condition of the jawbone. This customization ensures that the implant is securely anchored and can withstand the forces exerted during chewing and biting. Selecting the right abutments, including abutment screws for both straight and angled abutments, is crucial to the success of the implant procedure.

Throughout the procedure, advanced techniques such as digital scans and 3D-printed surgical guides are often used to enhance precision. These technologies ensure optimal placement, reducing complications and enhancing the success of dental implant surgery.

The Importance of Dental Implant Screws

Dental implant screws play a pivotal role in anchoring the artificial tooth securely in the jawbone, ensuring stability and functionality. They act as the foundation for the entire implant structure, which is crucial for the implant's success. Strategically placing these screws maintains stability during the dental implant procedure.



One of the significant benefits of dental screws is their ability to prevent bone loss by stimulating the jawbone, which is essential for maintaining oral health. Osseointegration, the process of the jawbone integrating with the implant, ensures effective load-bearing and stability. This process typically takes several months, during which the screw becomes securely anchored in the jawbone.

The use of titanium screws, known for their high survival rate, further supports bone health and contributes to the long-term success of dental implants.

Steps Involved in Dental Implant Surgery

Dental implant surgery involves several critical steps, each contributing to the overall success of the procedure. From the initial consultation and planning, through bone grafting and preparation, to the actual placement of the implant screw and the osseointegration period, every phase plays a vital role.

The dental implant screw, also known as a prosthetic screw, is surgically embedded into the jawbone.

Finally, the attachment of the abutment and crown completes the process, restoring the patient’s smile and functionality.

The journey towards dental implants begins with an initial consultation and planning phase. During this stage, a thorough examination and panoramic scan are conducted to assess the patient's dental condition and determine the best treatment plan. Various specialists, including oral surgeons and general dentists, may be involved in this process to ensure a comprehensive approach.

This phase also involves discussing the patient's medical history and treatment options, allowing the dental team to tailor the implant procedure to the individual's needs. The goal is to develop a precise and effective plan that maximizes the chances of success and addresses any potential challenges.

Bone Grafting and Preparation

In some cases, bone grafting may be necessary before placing the dental implant. This procedure is essential when the jawbone lacks the density or strength to support the implant. Bone grafting helps build a solid foundation for the implant, ensuring its long-term stability and success.

The bone grafting process involves adding bone or bone-like materials to the jaw, promoting new bone growth and strengthening the implant site. This preparation provides a robust base for the dental screw, crucial for the subsequent steps of implant surgery.

Placing the Implant Screw

Placing the implant screw is a critical step in the dental implant procedure. Utilizing a 3D-printed surgical guide and digital scans, the oral surgeon ensures precise placement of the implant. The procedure typically lasts about one to two hours, depending on the individual needs of the patient.

Abutments play a crucial role in ensuring the correct placement and stability of the implant screw.

During the surgery, an incision is made in the gum to expose the jawbone, where holes are drilled to accommodate the implant screw. In some cases, minor bone grafting can be performed simultaneously to enhance the implant’s stability. This meticulous process ensures that the implant screw is securely placed, ready for the osseointegration period.

Osseointegration Period

Following the placement of the dental implant screw, a crucial osseointegration period begins. This phase involves the jawbone growing and forming a solid connection with the implant, ensuring its stability and longevity. Proper integration of the dental screws with the jawbone is essential to prevent bone loss and maintain the implant's success.

Osseointegration typically takes several months to complete, during which the implant screw must be left undisturbed to fully integrate with the jawbone. Successful osseointegration forms a robust foundation, enhancing the artificial tooth's durability and functionality.

Attaching the Abutment and Crown

Attaching the abutment and crown marks the final step in the dental implant procedure. The abutment serves as the connection point where the crown attaches, completing the restoration process. Local anesthesia is used during the abutment placement surgery to ensure patient comfort.

Once the abutment is securely in place, impressions are made to craft the crown, which is then affixed to the abutment. This step restores the patient's smile and functionality, providing a natural-looking and fully functional artificial tooth.

Benefits of Dental Implant Screws

Dental implant screws offer numerous benefits that contribute to the overall success and longevity of dental implants. One of the primary advantages is the stability they provide, ensuring that the implant remains securely anchored in the jawbone. This stability ensures implant success, especially in long-span applications like bridges, where greater durability is required.

Another significant benefit is the high success rate of screw dental implants, which exceeds 95%. They also simplify the restoration process by eliminating the need for messy cement, making maintenance easier and more effective. Additionally, screw-retained implants allow for easier replacement of the crown, which is beneficial for long-term care.

Potential Complications and Risks

Even with a high success rate, dental implants come with potential complications and risks. Infections at the implant site can occur, posing a risk during the healing process. Nerve damage may also arise if the implant is positioned too close to nerve pathways.

Implant failure can result from improper fusion with the jawbone or excessive pressure, while bone loss around the implant can jeopardize its stability and success. Allergic reactions to implant materials, though rare, can lead to inflammation and discomfort.

Symptoms indicating potential complications include persistent pain, swelling, and gum recession. It is important for patients to understand these risks and discuss them with their dental professionals.

Post-Surgery Care and Maintenance

Post-surgery care and maintenance are vital for the success of dental implants. After dental implant surgery, patients are monitored to ensure stability before being discharged. It is advised to avoid rinsing or brushing teeth for the first 24 hours to protect the surgical site.

Swelling and bruising can occur post-surgery, and applying a cool pack can help manage these symptoms. Smoking should be avoided for at least ten days after surgery, as it can disrupt healing and increase the risk of infection.

Maintaining a soft food diet for at least four weeks following the procedure is also recommended to avoid irritating the surgical area. Weekly massage of the soft tissue around the implant helps reduce chronic bacteria accumulation.

Costs Associated with Dental Implant Screws

The costs associated with dental implant screws can vary significantly based on several factors. The total cost for a dental implant procedure, including the implant, abutment, and crown, typically ranges from $3,100 to $5,800. Patients replacing multiple adjacent teeth may spend between $6,000 and $10,000 by utilizing fewer implants to support a bridge.

Replacing all teeth individually can be quite expensive, with costs ranging from $60,000 to $90,000, while implant-supported dentures typically range from $24,000 to $50,000. Factors such as the complexity of the procedure, the location of the dental practice, and the need for additional treatments can affect the overall cost.

Insurance coverage for dental implants has been improving, with reimbursement averaging about $1,500 per implant per year. Discussing the complete pricing structure with the dentist upfront helps avoid any surprises.

Next Steps

If you are considering dental implants, it is essential to consult with a qualified dental professional to determine the best course of action for your specific needs. Your dentist will assess your oral health and discuss the implant procedure, including the use of dental implant screws. They will also explain the benefits and risks associated with the treatment and answer any questions you may have.

During the implant procedure, the dental implant screw is surgically embedded into the jawbone, where it will remain for the rest of your life. The screw acts as a placeholder for the artificial tooth, which can be placed after the implant has healed. The dental implant screw is designed to fuse with the jawbone, creating a securely anchored tooth-replacement system.

It is essential to follow the post-implant surgery instructions to ensure the dental implant screw has the best chance of success. Maintaining good oral hygiene practices, such as regular brushing, flossing, and professional cleanings, is also crucial for keeping the implant healthy and functioning properly.

In the unlikely event that a dental implant screw falls out, it is essential to contact your dental implant specialist as soon as possible. They will assess the situation and determine the best course of action to restore the dental implant’s stability and functionality.

By understanding the role of dental implant screws in the implant procedure, you can make informed decisions about your oral health and achieve a natural-looking and functional smile.

Dental implant screws are a revolutionary solution for those suffering from missing teeth, offering stability, functionality, and a natural appearance. From the initial consultation and planning to the final attachment of the abutment and crown, each step in the dental implant procedure is crucial for ensuring success. The materials used, the meticulous placement process, and the osseointegration period all contribute to the long-term success of dental implants.



By understanding the benefits, potential risks, and costs associated with dental implant screws, patients can make informed decisions about their oral health. Dental implants provide a reliable and effective solution for restoring smiles and improving quality of life. If you are considering dental implants, consult with a dental professional to explore your options and embark on the journey to a healthier, more confident smile.