As manufacturing methods evolve, you have choices in how you design and mill your abutments, and play a major role in the restorative decisions for a case and the type of abutment used. Tony Prestipino, CDT, discusses the different implant abutment options available—screw-retained vs. cement-retained abutments; in-house milling vs. centralized milling—and the impact they can have on the final restoration, your relationship with your restorative dentist and your own reputation.