A manually-operated, adjustable dental implant torque wrench employs a screw holding sheath for placing a dental screw in a mouth of a patient. A handle offset to avoid opposite teeth to the work area is provided with a bevel gear and pinion set to translate the turning motion from a straight turning shaft in the handle to a perpendicular screw turning head. An assortment of replaceable snap-fit screw turning heads fits the various types of dental screws. An easy turn T-shaped handle with a pivotable turning knob is controlled by a torque limiting device.