What Dental Implant Screwdriver Fits My Tooth?

What Dental Implant Screwdriver Fits My Tooth?

What Dental Implant Screwdriver Fits My Tooth?

What dental implant screwdriver do I use?dental implant drivers Burbank ramsey amin

Unfortunately dental implant abutment screws come in all different shapes and sizes. Because of that, there are many, many different screws that hold them together. There are also so many different instrument adapters to tighten and loosen dental implant components.

It would be nice if there was a universally accepted system for dental implants so that if a patient moves from France to Burbank, California there would be no problem in finding a dentist that could work on the implant.

implant driver --ramsey amin dds-_l

For most modern, well done dental implants, screw loosening is a thing of the past. But what is increasingly common is using the same implant for another crown or bridge. You may have had for a single tooth crown dental implant to later be used as a connecter to a bridge if you lost a tooth behind or in front of it.

Dental implant screwdrivers come in all shapes and sizes. We have hexes, slots, torques, and many other types. What size is it? Is it a size .035 ,.048 or is it .050 or .062 or .017 slot? What is the shaft length? Is the abutment torqued with a nut driver because it is a solid abutment without a hole? When you see all these tiny parts in a box they all look alike! Yikes!

The list goes on and on.

The problem is often a lack of organization in an average general dental office. The dentist perhaps does not practice implant dentistry often and is just handed a box of screwdrivers and left to figure it out until something fits. If it “kind of fits” but if it doesn’t fit perfectly the screw gets stripped!! The screwdriver also gets rounded out on the corners. After the stripped screwdriver gets sterilized it gets used on another patient and potentially can strip that screw too.

Worse yet, the implant doesn’t get tightened down fully but it is believed that it is screwed down all the way. What ends up happening is the dental implant crown or bridge becomes loose on the abutment level. The crown usually doesn’t come out when that happens, it’s just wobbles and causes gum irritation, pain and bone loss if it is left for too long.

A loose screw will also fracture leaving the broken part stuck inside. It isn’t a lot of fun to dig out!

I use a variety of dental implant systems. I use a universally accepted internally hexed implant that has a .050 hex screw. This is not a proprietary screw like some other implant systems and will make it easy for you should you have a problem in the future or just need to build on your dental implant. An example of building on your dental implant would be a patient that has 4 front teeth implants and they are losing all of their back teeth. The back teeth could be extracted, dental implants placed and a Prettau full arch zirconia screw retained bridge could be connected to the new and old implants.

I find that the wrong screwdriver problem happens more often when the surgical part of the dental implant is being done by one person, and the crown bridge or implant overdenture is being done by another dentist. This leads to a mismatch of parts sometimes if the dentist team or staff is not well aligned with each other.

These custom angulated abutments I made are held in by screws. IMG_6225 Custom Abutments -Ramsey Amin Burbank
My recommendation would be to just make a note somewhere of the type and style of implant screw you have should you ever need it. If your situation is complex I would highly suggest seeing a dental implant specialist for the best results. Their staff should be equally knowledgeable and are a key part of your implant success!

Ramsey A. Amin, D.D.S.
Diplomate of the American Board of Oral Implantology /Implant Dentistry
Fellow-American Academy of Implant Dentistry

19 Comments

  1. Hugo Alvarez Castillo

    Good afternoon. Can you please help me? I got an implant 20 years ago and want to be sure that my dentist use the proper screwdriver for my implant. The implant is a CALCITEK OMNILOC 3.25MM and it was implanted in Mexico, but I live out of the country. I found this as the possible screw driver : https://titanimplants.com/calcitek-integral-external-spline-compatible-3-25mm-implant-titanium-bar-post-with-ti-screw-c-3ca-12/ Hope you can help me and confirm my information.

    December 15, 2020 at 3:17 pm Reply
    1. Ramsey Amin

      yes –they carry parts for it. You can also call Zimmer dental as well but they may not have anything

      December 15, 2020 at 10:05 pm Reply
  2. mike k

    When I got my molar implant in 2016, I asked the dentist for the box that the implant came in so I could show it to a future dentist if the crown needed replacement. He used a “Dentis” brand implant made in South Korea.

    July 19, 2020 at 8:57 am Reply
  3. hoare

    Thank you for your fast positive response.

    It makes Assoc Prof Ho Kee Hai ( coden specialists, singapore ) look technically lacking as he failed to provide this information over a one month plus period.
    However seeing axel kirsch on their list of dentists indicates it all may have been a commercial charade, trying to protect information.

    February 11, 2020 at 4:07 am Reply
  4. richard hoare

    1991 an imz upper front implant was undertaken in singapore. 1997 it was discovered the crown fixing screw was jammed plus the crown rotated. rotation was stopped with composite.
    Today 2020 February, the crown moves in out by 1-2mm in a vertical plane. It also rotates.
    Can u please advise the size of Hex driver for fixing the crown to a 1991 imz implant?

    February 10, 2020 at 8:44 am Reply
    1. Ramsey Amin
      February 10, 2020 at 3:07 pm Reply
      1. hoare

        Thank you for your fast positive response.

        It makes Assoc Prof Ho Kee Hai ( coden specialists, singapore ) look technically lacking as he failed to provide this information over a one month plus period.
        However seeing axel kirsch on their list of dentists indicates it all may have been a commercial charade, trying to protect information.

        February 11, 2020 at 4:07 am Reply
  5. Michael Margolin

    Hi Doc,

    I am a dentist and I have a patient with 6 upper MUA’s and 4 lower MUA’s. The patient would like new upper and lower restorations but I am not sure what components she has in her mouth. Is it possible for you to help me figure out what they may be? I have photos of the MUA’s as well as photos of the screws and X-rays. I was able to remove the screws using an 048 hex screwdriver.

    Thanks,

    Mike

    October 23, 2019 at 9:10 am Reply
    1. Ramsey Amin

      Just now seeing this. Sorry. I would suggest posting this in my dentist only mentor group! https://www.facebook.com/groups/DentalImplantExchange/

      November 30, 2019 at 1:32 am Reply
  6. kenneth wheatley

    Dear Sir,
    Can you supply a .9 [point nine] hexagon dental screwdriver ?
    I have had 6 implants in my upper jaw and a full dental bridge attachment.
    I cannot find a dentist in the UK who has the screwdrivers to remove my teeth for servicing.
    I had the implants fitted in Spain and I am getting rather concerned that I cannot find anyone to supply me with the equipment that I need.
    Kind regards Kenneth Wheatley

    September 3, 2019 at 8:12 am Reply
    1. Ramsey Amin

      What brand of implant? Sounds like an SCS driver

      September 5, 2019 at 1:43 pm Reply
      1. Thanks for replying Ramsey.
        The make is a Microdent implant system 9 mm.hexagon.
        I have been asked by my doctor in the UK to supply this screwdriver. I am getting rather frustrated that no one appears to know where I can buy one in the UK.
        .I may have to try and make one myself, I’m sure it’s not that difficult.
        Regards Kenneth Wheatley

        September 30, 2019 at 9:45 pm Reply
  7. Herb Seigler

    My wife’s implant from the 1990’s is loose and we can’t find the surgeon who did the work. Our current dentist doesn’t know the size/proper tool. What should we do?
    Thank you.

    April 1, 2018 at 12:26 pm Reply
  8. Sarah Jones

    Hello ….My name is Sarah Jones, and I am in the process of getting a top denture or an implant, I was wondering which is best when it comes to chewing steaks or eating an apple, and also worry about if the denture or implant is it gonna slip or pop out and cause pain?

    July 25, 2016 at 6:05 pm Reply
    1. mike k

      sarah, i am not a dentist. implants are much better than dentures. dentures cause your jaw to gradually “melt” which makes your face look sunk in. the implant is sturdy for chewing after it heals for several months because your jaw bone fuses to the implant

      July 26, 2020 at 2:11 pm Reply
  9. Hillary

    Dear Dr. Amin,

    thank you for riding this post. I lived in a small town with only one dentist. I was having a problem with my implant so I showed him this article.

    He told me he attended one of your lectures many years ago! I will leave his name out of this but he told me he emailed you!

    Thanks for your help. The fact that you answer questions for people around the whole world is really awesome.

    January 31, 2014 at 7:09 am Reply
    1. Ramsey Amin DDS

      Hi Hillary,

      Yes, what a small world! I know your dentist. I coached him on what would be the best way to treat your particular dental implant screw problem.
      Thank you for your very flattering words. I am glad to have helped.

      Ramsey A. Amin, D.D.S.
      Diplomate of the American Board of Oral Implantology /Implant Dentistry
      Fellow-American Academy of Implant Dentistry

      February 5, 2014 at 6:43 pm Reply

Write a Comment

Monica D.
Monica D.
December 29, 2020.
There aren't enough words (and I have a lot of words) to tell you how grateful I am to have found Dr. Ramsey Amin and his wonderful staff. I had an enormous amount of bone loss and I was hopeless after being treated by a different doctor for two years. I had multiple procedures such as gum graft, extractions, and a sinus lift. After all of that, the doctor released me and told me he could not help me any longer. He sent me to a large teaching hospital - who also had no idea how to help me. I was terrified and embarrassed. I had been missing teeth due to those procedures since 2017. That sent me out on a journey of meeting with no less than five different dentist/oral surgeons. Most of them shamed me for the bone loss and wondered what I had done to cause this. In reality, I had done nothing. The bone loss is my body's immune system fighting me, as well as hereditary traits. In fact not only was I having difficulty being able to have implants, I also had so much bone loss that I was also not a candidate for dentures. I researched "what to do when you have bone loss and can't get implants" and I found Dr. Amin's website. Then I researched him, read his reviews, watched every one of his You Tube videos. I called and got an appointment, and kept going to consultations with other providers. I had long since stopped smiling and being social. Missing teeth and the shaming was affecting my life so adversely. When I met with Dr. Amin for my consultation he was ready. He had all of my records and had already reviewed my scans. But more than that, he genuinely wanted to get to know about my life. He was/is authentic, kind and extremely professional with so much success and experience in difficult cases like mine. He worked up a treatment plan & I came back two weeks later to discuss my options...and the journey began. I have had three procedures under IV sedation, no pain, no narcotics needed for aftercare. Dr. Amin is a consumate, experienced oral surgeon who cares about your health & understands your fears. He communicates every step of the way and will provide you with all the information you need to make a decision to improve your health. I am still working toward my end goal, and we had to zig from traditional implants and zag to zygomatic implants instead...which is the reason I chose him in the first place. If there was nothing else that could be done to get me healthy & smiling again, I knew he would have that option to help me. And of course 2020, the year of CV-19. Don't worry, Dr. Amin & his staff follow all health & safety protocols. This review is long, because it is important you know my journey, so you might understand how fortunate I feel to be healing. I'm torn, because this place is like a great restaurant, I want to shout from the rooftops how great it is, how great he is. And at the same time, I want to keep this all to myself. I come 75 miles each way to see him. I know people travel from all over the world for his expertise. Do yourself a favor, have a consultation. You won't regret it. Dr. Amin is amazing and so is his staff.
Jennifer B.
Jennifer B.
December 18, 2020.
I cannot speak highly enough of Dr. Amin and his professional staff. I have to start off and say that I am absolutely TERRIFIED of the dentist due to several past experiences. I found myself putting this off for YEARS until I was referred over to Dr. Amin. I was petrified on my first visit... but he along with his WONDERFUL staff made me feel so calm and at ease. I had quite a bit of work that needed to be done, but we found the perfect plan that worked out for me, and I couldn't be happier. Words cannot express my gratitude to each and every staff member that made me feel safe and comfortable. Dr. Amin was always so attentive in asking if I was ever in pain... and I never was. These are truly remarkable individuals, and I'm so lucky to have a dentist that I can trust. I ABSOLUTELY LOVE each and every one of you! Thank you,
D M.
D M.
December 17, 2020.
I cannot say enough positive things about Dr. Amin and his staff. I originally found them on Yelp about two years ago. I needed an implant, front tooth of all places, and was extremely nervous not only about surgery but about how it would turn out. Let me just say I just adore the staff. Everyone is crazy friendly and the whole office has a very positive vibe. The staff is adorable and always has me smiling by the time I leave. They are all thorough and on-point about what they do, and I truly appreciate it. They are quick to respond to my emails no matter the question, and their appointment reminders are great too. Dr. Amin is very thorough and reassuring, and answered any questions my husband or I had. My regular dentist had questions about the procedure and Dr. Amin's office even reached out to them at my request (my dentist said they never received a call, but Dr. Amin's staff had date, time and notes - love the thoroughness!). After surgery the Dr. called to leave me a message about how it went. Very minimal pain during healing, never any pain during any visits. It took a few tries to get everything just right for the permanent crown (color, etc), but the end result is beyond fantastic! At one point during healing I thought I was experiencing some looseness or wiggling but unfortunately couldn't make it to the office. When I was finally able to make it in the Dr. was so relieved, bless his heart. Luckily it was just a false alarm and everything checked out ok. They're a bit further out from me, but I wanted the best. I sure found it! I wish they were my regular dentist, and I'm looking forward to seeing them again for my check-up which was delayed due to COVID.
Melissa E.
Melissa E.
December 9, 2020.
I found Dr. Amin a few years back after I hadn't been to a dentist in a decade. Many traumatic dental experiences in childhood have made me so phobic that even getting a cleaning was a knee-knocking, heart-pounding trial. But finally I couldn't put off some things any longer. During my first anesthesia session, Dr. Amin replaced five old metal fillings, and during the second he did three more plus a crown. I was completely comfortable, and never felt a thing. Because they were extra-long sessions, I did sleep for about 12 hours after, but the next day I felt just fine. This past week, my back top tooth cracked in half and fell out of my mouth, and a couple days later the crown on the remainder of the tooth fell out too! Despite being nervous about Covid 19, I had to get it taken care of, so I called and quizzed the staff about precautions, which turned out to be even above and beyond what I would have expected. So yesterday I went for the tooth extraction and plug. After they put on the blood pressure cuff and put in the IV, I gradually got a little tired and closed my eyes. I sat there for about 10 minutes and thought Gee, I wonder if they're going to get started any time soon, and a minute later Dr. Amin said "Wake up, you're all done!" That was a short session, and I didn't have the kind of fatigue I did my first time. I stayed up most of the evening. Today, everything is good! I'm taking my antibiotic and eating soft foods, and there is surprisingly little pain now that the numbness has worn off. The tooth site and my cheek are a little sore, and the corner of my mouth, and I have a very slight headache, but nothing to any great level--I'm not even taking the acetaminophen. I feel good, and wide awake. Thanks to everyone at the office for a comfortable and professional job! I really REALLY appreciate you for giving me painless dental experiences!
Tanya S.
Tanya S.
December 3, 2020.
What can I say about Dr. Amin he is the best! I'm so grateful for him. He has literally changed my life and given me the confidence to smile more. I had major restorative dental work done and everything went smoothly. Dr. Amin is very compassionate and he really cares about his patients he made me feel comfortable and cared for. He is very knowledgeable and has a great sense of humor. His office is very clean and they take the patients health and safety very serious. His staff is also amazing they made me feel very welcomed and important. I'm so happy I did my research and found Dr. Amin.  Thank you Dr. Amin and team.
Sheila S.
Sheila S.
November 6, 2020.
Two implants done! Finished all procedures and I couldn't be happier. It's the first time in years I looked forward to going to the dentist. Even during Covid life the staff and Dr. Amin took care of me. There is a possibility I may move to Long Beach but I would still travel to keep Dr. Amin as my dentist.
Allison S.
Allison S.
November 4, 2020.
I could not ask for a more caring, exceptionally knowledgeable dental care provider. He's not just a dentist, but someone who looks after your immediate dental needs and helps you plan and prepare for the future.
Julia R.
Julia R.
October 8, 2020.
I've been going to Dr. Amin since I turned 16 and have been going since. Before going to Dr. Amin's dental office, I had 4 crowns that I was not happy with and dealt with it until finally I asked Dr. Amin and because I  feel comfortable and because I trust him with his work I recently had my crowns fixed and worked on by  Dr. Amin and have never loved my smile the way I do now, I can actually enjoy my pictures, I can enjoy my smile from either angle and that really mattered to me. Thank you so much Dr. Amin still and will be in love with MY smile
Aaron D.
Aaron D.
October 6, 2020.
I've been coming to Dr. Ramsey for about five years and I have to say, he is by far the best dentist I've had - ever. The staff is professional and kind, the office is exceptionally well maintained, and Dr. Ramsey is careful and extremely knowledgeable about current developments and research in dentistry. I recently had a dental implant which was a long process but well worth it. I required a sinus lift as well as a bone graft. The surgery went off without a hitch, I was comfortable and the healing process was quick and without complication. Highly recommend!!
Flo O.
Flo O.
September 21, 2020.
This is my 1st review of Dr. Amin, and in my over 17 years of being with him, my experiences with Dr. Amin and his staff have always been positive.  I don't recall a bad experience with the several implant procedures i have had.  They run an efficient office.  I like that they are proactive and reach out to their patients to remind us of routine care needed.  Dr. Amin's bedside care is impeccable.  They are also technologically up to date in terms of sending out texts as reminders, ability to incorporate any appointment into your mobile phone.  That is certainly a plus.  Keep up the great care!!!