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Objective To evaluate the clinical outcomes of custom all⁃ceramic crown fabricated in zirconia based on CT data in maxillary anterior implant tooth. Methods 15 patients with single anterior tooth missing were applied to this treatment. Crown remodeling according to the opposite tooth, fabrication of the all ⁃ ceramic crown was finished based on the data capture via CT scan. The observation period extended 2⁃7 years on average. Results The survival and success rates were 100%. Soft tissue was stabile in follow up photos. All of the patients were satisfied with the res⁃ torations. Conclusion The custom all⁃ceramic crown based on CT data showed good interface friendship with both of the hard and soft tissues and the aesthetics result is predictable.