An implant for anchoring a tightly fitting prosthesis includes an externally threaded implant body configured to be screwed into bone using an insertion tool, the body having a first end and a second apex end, said first end being provided with an internal open ended axial bore, the implant being tapered such that the apex end is smaller in diameter than the first end where the taper is not greater than 2°. The implant is also provided with an incremental cutting face.