Dental implants are widely used to replace missing teeth. 1 In direct-to-implant restorations, implant and abutment are joined by the preload obtained through the tightening torque applied to the prosthetic screw 2 as illustrated in Figure 1, providing the necessary structural integrity to the restoration. [3][4][5][6][7][8] The recommended torque value is provided by manufacturers based on different implant design factors. 9 Clinical studies suggest that the failure of implant restorations is often induced by fatigue because of the variable load conditions during their life span. [10][11][12] These failures typically occur in the prosthetic screw, with abutment or implant failures being less common. 13,14 The screw fracture is usually located at the first thread engaged with the implant. 15,16 Under given loading conditions, the number of cycles to fatigue failure depends on several parameters, including component dimensions, screw metric, material, manufacturing processes, and preload level. 17 Most prosthetic screws are made of pure or alloyed titanium, as these are less expensive than gold alloy screws while having excellent biocompatibility, corrosion resistance, machinability, and desirable physical and mechanical properties. 18,19 Two processes are widely used for screw thread manufacturing in industry: cutting and cold rolling. In thread cutting, material is removed from a cylindrical blank by machining, and in thread rolling, a matched set of dies displaces material of the manufacturing part to produce external threads on the