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Custom abutments are suitable for either bone level or tissue level implants and may be waxed or milled into precisely the right shape relative to the crest of the tissue. There are several different types of custom abutments that may be made from titanium or zirconia, or will be fabricated from zirconia with a titanium base. When placing a custom abutment, the use of delivery jigs helps ensure the restorative process is smoother and more accurate, saving valuable chairside time. One aspect to consider with custom abutments is that although they are more expensive, they can provide more predictable esthetics and superior tissue management. They can be suitable for both screw retained and cemented crowns. Clinically, custom abutments can be more efficient than stock abutments, making them a more cost-effective option as you will save on lab fees in modifying stock abutments and on clinical resources during fitting.