The purpose of this study is to compare how well our research participants heal with two different kind of healing abutments used. One is pre-fabricated, meaning it is made to fit anyone, and the other is customized to fit the subject specifically. Much of what will occur is 'standard of care' meaning it is part of a subject's typical dental treatment and the research team wants to just look at the data for this research study, as well.

Inclusion Criteria:

1. Patients of record at TUSDM who are over 18 years of age
2. Implants placed as immediate or delayed with a torque of ≥ 35 Ncm eligible to receive a healing abutment left exposed to heal;
3. Site of implant placement not requiring soft tissue augmentation at the time of healing abutment placement
4. Sufficient mesial, distal space (7mm for anterior teeth and premolar and 8-9mm for molars) and interocclusal space (7-8mm for screw and cement retained crowns) for definitive restorations (12).

Exclusion Criteria:

1. Unable to give consent
2. active periodontal disease
3. Heavy smoker
4. Pregnant
5. Active infection at implant site