“…[1][2][3] When fit is unsatisfactory, tensile, compressive, and bending forces may be introduced into the system that may result in the loosening of the prosthesis, loosening of abutment screws, 2,4-6 distortion or breakage of the restoration, and microfractures of the implant body. 7 Even the loss of osseointegration may occur. 8 In the tightening process, the screw elongates, bringing the implant/abutment and/or abutment/prosthetic cylinder together, creating a clamping force, [9][10][11][12] also known as preload, which is generated by the rotational torque force.…”