Dental implants have a low failure rate, however, failure can be caused by a malpositioned implant. Ideally, implants are placed parallel to other teeth, and each other if there are multiple implants. They should also be vertically aligned with axial forced. When a dental implant is incorrectly positioned or improperly angled and defects in the surrounding soft tissue exist, traditional abutments are impossible to use. A custom-angled abutment is necessary. Healing variables can affect the positioning of a dental implant post-surgery. This includes systemic diseases that impact healing like rheumatoid arthritis and diabetes, contours in hard and soft tissues, the abutment manufacturer, the overall positioning of the implant, and the final design of the dental prosthesis to be fitted. Poor adaptation of a dental prosthesis can tax the implant hardware, causing tiny “micro gaps” to be created between the abutment and the implant below. This results in bacterial accumulation.