What are screwless dental implants?

Last updated on: 5 Aug, 2026

A missing tooth is much more than just an aesthetic problem, as it affects chewing function, speech and even the shape of the face. Seeking a reliable solution is a natural step, and modern dentistry offers an increasing number of options. 

Among these are screwless implants, which offer a gentler procedure and a shorter recovery period. Are they suitable for everyone? And how do they differ from the traditional solution? Read on to find out.

Image: freepik

What are screwless dental implants?

Screwless dental implants are a type of titanium implant in which the implant body is not screwed in, but is fixed by being driven with controlled force into a pre-prepared socket in the bone. The principle is known as ‘press-fit’ – the implant is positioned tightly, and the horizontally arranged ridges on its surface allow the bone to grow between them and stabilise it permanently.

These are predominantly short implants used in specific clinical cases, particularly where the available vertical bone volume is limited and a longer implant cannot be safely placed. The method is not new, and among the pioneers of this technology is an American company that has been working with these systems since 1985. 

Despite their proven potential, screwless implants account for a relatively small share of the overall market for implant solutions.

What are their advantages and disadvantages?

Before making a decision, it is important to have the full picture. Screwless implants have real advantages, but also specific limitations, which the specialist will explain to you in advance.

Advantages

The main advantage of the screwless implant is that it allows treatment in cases of limited vertical bone height without the need for a bone graft. Where a conventional threaded implant cannot be placed safely due to insufficient height of the alveolar ridge, the short screwless option offers a viable solution.

The horizontal ridges on the implant body provide mechanical stability immediately after placement, with bone gradually growing between them – a process that strengthens the fixation over time. In suitable cases, this allows for earlier loading of the implant compared to some conventional protocols.

Disadvantages

Regardless of the advantages, screwless implants also have certain limitations that are important to be aware of before making a decision. With these implants, it is more difficult to adjust the angle of placement after fixation, unlike two-piece conventional variants, where the upper part is separate and adjustable. Long-term effectiveness is still the subject of ongoing clinical observation.

How do they differ from classic screw implants?

The procedure for placing conventional implants requires surgical drilling into the bone and screwing. The osseointegration period for these usually lasts between 3 and 6 months, after which the permanent crown is fitted. The screwless option eliminates the screw thread, but the process of integration with the bone is necessary for both types and cannot be skipped.

The conventional solution offers greater flexibility in positioning and has a more extensive global clinical data base. The screwless option better meets the needs of patients seeking minimal invasiveness. Proper implant planning is key for both types, and the choice is made following clinical assessment and diagnosis.

Image: freepik

How is a screwless implant placed?

The procedure is less invasive than the traditional one and, in most cases, takes less time. Here are the main steps involved in placing a screwless implant.

Preliminary examination and diagnosis

Every successful implant placement begins with a detailed diagnosis. The specialist performs 3D imaging or X-rays to assess the volume and quality of the bone, the position of the nerve canals and the general condition of the oral cavity. Based on this information, a personalised treatment plan is drawn up, tailored to the patient’s specific case.

Preparation and anaesthesia

The treatment area is numbed using local anaesthesia. If necessary, medication-based sedation is also administered. It is important for the patient to inform us in advance of any medications they are taking, chronic conditions or allergies, as this information directly influences the choice of treatment protocol and the safe conduct of the procedure.

Implant placement

The screwless implant is positioned using sufficient pressure to ‘drive’ the implant into the bone or by gently screwing it in. The implant body is positioned in the bone and secured by mechanical locking. 

The procedure takes a similar amount of time to the conventional method, and tissue trauma is minimal. Precise positioning is crucial for the long-term stability of the result.

Temporary crown and healing period

Depending on the clinical case, a temporary crown can rarely be fitted immediately after placement, providing aesthetics and functionality during the healing period. The dental restoration is completed with the fitting of the final crown once the specialist is satisfied with the full stability of the implant following a follow-up examination.

In which cases are screwless implants recommended?

Screwless implants are not a one-size-fits-all solution for every patient, but under certain conditions they are the preferred choice. They are particularly suitable when there is a lack of vertical bone and a short implant is required, onto which a crown longer than the implant itself can be placed.

Screwless solutions are used for tooth restoration in patients for whom a conventional metal implant is not recommended, and for those seeking a minimally invasive approach. Individual treatment options with this type of dental implant may include single crowns, fixed bridges and implant-supported dentures in cases of extensive tooth loss.

In cases of active infection, severe periodontal disease or significantly reduced bone volume, screwless implants are not recommended. In these cases, the specialist may suggest alternatives, such as other types of dental implants, including cortico-basal implants, or implant-supported dentures or partial dentures, whilst the appropriate next course of action for the specific patient is determined.

Conclusion

Restoring your smile with a screwless implant is a medical decision based on your individual clinical situation. Recommended implant care includes regular check-ups and good oral hygiene, which are essential for the long-term success of the implants.

The way to find out if a screwless implant is suitable for your case is to consult a specialist. At Dentatime Clinic, you will receive a personalised approach – the team will explain all the options to you and help you choose the path to a healthy and confident smile.

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