Esthetic and functional demands of patients are increasing. Innovative materials and therapeutic options pave the way to fulfill these needs. Key elements on the restorative level include predictable longer-term outcomes and high esthetics based on an optimal choice of restorative materials. As such, all-ceramic reconstructions have been successfully used, providing outstanding esthetics and 5-year data similar to metal-based reconstructions. More recently, hybrid abutments –a combination of all-ceramic reconstructions and a metal insert, were developed. Whereas those materials are beneficial in terms of costs and mechanical testing, clinicians should be aware of pitfalls associated with limited clinical evidence.