The fabrication of esthetically pleasing implant restorations remains a common and frustrating challenge for dental technicians as well as clinicians. Poor implant placement and post surgical gingival response often creates a difficult foundation on which to build a successful restoration. Castable, cast-to and prepable abutments are employed to correct these problems as they allow some measure of control of angulation and depth of the clinical restoration. This article details the restoration of two implants with ceramic implant abutments and splinted crowns. The technique described achieves a high level of esthetics despite less than ideal conditions.