Patient-friendly guide from The Implant Clinic at The Gardens Dental Practice
When people think about dental implants, they usually picture the titanium post in the jaw or the natural-looking crown on top. But there’s another small, hidden part that’s just as important — the implant screw. It might be tiny, but it plays a big role in keeping your new smile strong and stable.
What Is an Implant Screw?
A dental implant is made up of several connected parts that work together:
- Implant fixture: the titanium post placed in the jawbone
- Abutment: the connector that joins the implant to the tooth or bridge
- Implant screw: the precision screw that holds everything securely in place
These screws are made from medical-grade materials designed to handle years of biting and chewing. When tightened to an exact level, they create a strong “clamping” force that keeps your new tooth perfectly stable.
Why Tightening Matters
Each screw must be tightened to a very specific level (known as the torque) using professional tools. This ensures it’s tight enough to stay secure — but not so tight that it could distort or weaken the metal. It’s one of the reasons implant dentistry requires such care and accuracy.
Can Implant Screws Come Loose?
Occasionally, yes — though it’s uncommon when regular reviews are kept up to date. A screw might loosen over time due to:
- Strong or uneven biting forces
- Missing maintenance appointments
- Minor settling of components over the years
- Wear or contamination at assembly
If this happens, you might notice a slight movement, clicking sound, or change in bite. Don’t worry — it’s usually a quick fix. Your dentist can retighten or replace the screw easily if it’s caught early.
How Often Should Implant Screws Be Checked?
Just like a car or a watch, implants need periodic maintenance to keep them working perfectly. At The Implant Clinic, we recommend:
- After fitting: optional re-check at 1–2 weeks
- At 6 months: comfort, bite, and hygiene review
- Every 12 months: full implant maintenance visit
During these reviews, we verify that the screws are secure, clean around the implants, and make sure your bite remains balanced.
Do Implant Screws Ever Need Replacing?
Implant screws are extremely strong, but over many years they can wear slightly or lose tension. We sometimes replace screws after 5–10 years, especially if the restoration is being refurbished or the screw has been used multiple times. Replacing worn screws protects the implant connection and keeps your bridge or crown feeling as solid as the day it was fitted.
The Key Message
Implant screws might be small, but they’re the hidden heroes that keep your new teeth feeling secure and natural. By attending regular reviews and hygiene visits, you’ll help ensure the screw connection — and your entire implant — stays healthy for years to come.
Keep Your Implants in Top Condition
If it’s been a while since your last review, now’s a great time to book your annual implant maintenance visit.
Implant Screw FAQs
Will I feel an implant screw?
No — the screw is hidden within the restoration and implant components. You shouldn’t feel it at all in daily life.
What are the signs a screw may have loosened?
A slight movement, a clicking sound when chewing, or a change in your bite. Contact us promptly if you notice any of these.
Can a loose screw damage my implant?
If left untreated, movement can stress the connection. Tightening or replacing the screw early prevents problems.