A prerequisite of a functional and esthetical implant-supported crown is a proper surgical planning and an abutment with a design and color that maintain the initial soft-tissue contour. This clinical report describes the use of a custom ceramic implant abutment designed with computer-aided design and computer-aided manufacturing (CAD/CAM) technology. A zirconia framework was milled and cemented extra orally to a prefabricated titanium base, the new custom abutment being both precise and esthetic.