Abstract: A dental instrument for installing and removing dental prostheses which includes both a speed wrench and a ratchet wrench, each being independently geared to a row of teeth on a screwdriver mounted in the dental instrument. The dental instrument includes a housing having a first and a second chamber. The screwdriver is partially mounted within the first chamber and the speed and rachet wrenches extend into the second chamber. The speed and ratchet wrenches are coaxially mounted within a handle that extends outwardly away from the housing. The speed wrench is rotatable about the longitudinal axis of the handle. The ratchet wrench is slidable along the longitudinal bore of the handle and is rotatable about the handle's longitudinal axis through 180°. The screwdriver is mounted in such a manner that the driver bit is oriented substantially at ninety degrees to the wrenches.