We design in house bone level and tissue level custom implant abutments in both zirconia and in titanium. We design these abutments to replicate the shape and function of natural dentition. With the proper use of healing caps and temporary abutments, we can contour the base of the abutment to fill the sulcus and maintain mesial and distal papilla. These abutments can be crowned or bridged with e.max or zirconia.