The cement retained option provides the assurance of maximum esthetics. The concern with cement retention is two fold. The first being the restoration is cemented to an abutment that is screw retained. The abutment screw becomes loose and the final restoration cannot be removed without destroying it, in many instances. This results in a remake and increased cost. Additionally the recent literature reports cases of late implant failure. It is well known that implants lack any transeptal fibers that would limit the progression of cement along the implant surface during seating of the crown and associated expression of excess cement. This extrusion along the implant surface potentially acts as medium for colonization by bacteria and can jeopardize the osseointegrated attachment. This will ultimately result in implant failure.