A tool and method for inserting an externally threaded object into a threaded receiving hole and removing and externally threaded object from the receiving hole. The tool is provided with an outer body that has a holding portion to hold the externally threaded object during insertion or removal. The holding portion may be a thread that corresponds with the thread of the externally threaded object. The tool also has a tightening body inside the outer body that has an engagement portion for engaging a corresponding engageable portion of the externally threaded body. The tightening body is rotated within the outer body to tighten or loosen the externally threaded body. During insertion or removal, the externally threaded body is securely held by the holding portion of the outer body.