Rehabilitation of edentulous spaces in the esthetic zone is a common situation that clinicians face on a daily basis. These restorations must be prosthetically driven in order to provide patients with a predictable, functional result that meets the patient's expectations, both phonetically and esthetically. This can be a challenging task to restore both the hard and soft tissues.1,2  Implant positioning can be divided into 4 main criteria: buccolingual position, mesiodistal position, apicocoronally position, and implant angulation. Fortunately, with the use of customized abutments, depth and angulation can be corrected to an extent. The choice of material for these customized abutments is generally 1 of 2 materials, titanium or zirconia. Prior to customized milled abutments, the University of California Los Angeles abutment was introduced in 1988 and allowed for a custom waxed metal abutment that directly screwed in to implants.4,6  However, in certain cases,...

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