Various bone screws configured to be implanted into bone and methods of use are provided. In an exemplary embodiment, a bone screw (100) is provided with an elongate shank (102) having at least two threads (130) thereon, and having a distal facing surface (115) with at least two cutting edges (122). The cutting edges can be configured to cut bone as the bone screw is rotated into bone, thereby forming a path for the threads.
