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Some self-tapping screws are also self-drilling, which means that, in addition to the tap-like flute in the leading threads, there is also a preliminary drill-like fluted tip that looks much like the tip of a center drill. These screws combine a thrilling-like action and the fastener installation itself into only one driving motion (instead of separate drilling, tapping, and installing motions); they are thus very efficient in a variety of hard-substrate applications, from assembly lines to roofing.
Self-tapping screws are used in a variety of applications ranging from DIY carpentry to surgery. Many dental implants and orthopedic bone screws are examples of self-tapping screws used in surgery.