For many decades, dental implants have been one of the most desirable ways to replace one or more missing teeth. Their outcomes are generally predictable, and the failure rate of dental implants is low overall. However, failure can still occur both in the short and long term. Screw fracture, or the fracture of the screw implanted into the bone to hold the dental prosthetic, is a common reason dental implants fail within the first 10 years. Although nearly half of dental implant patients suffer a screw fracture, removing it is a complex procedure, especially if the screw is fractured or broken in more than one place. Considered a mechanical complication, the fracture of a dental implant screw is often caused by high occlusal loads. In cases of bruxism, where there is constant pressure on the teeth from clenching or grinding them (usually at night), screw fractures are more common.