The aim of study was the comparison between customized and standard healing abutments in immediate implants with regarding the healing of the soft tissue (gingiva). Methodology: Sixty-four immediate implant placement with patients who require tooth or remaining root extraction, patients were randomly assigned to standard healing abutment (group 1) or customized healing abutment group (group 2). Clinical examinations were taken at baseline record preoperative, two weeks postoperative, one month postoperative, three months postoperative, one week after crown delivery) using Papilla index score and Pink esthetic score systems. Group 1: Standard Healing Abutment: the adequate height was selected after measuring the soft tissue depth using a plastic periodontal probe. Group 2: Customized Healing Abutment: First, a standard healing abutment was roughned using a carbide dental stone, a layer of flowable composite was applied and cured circumferentially on the base of the abutment forming a finish line-like composite ring, to prevent composite leakage during intraoral application. The abutment was then inserted in the socket to check for seating and any possible interference. Results: Revealed lack of statistical significance between the two groups regarding the mesial papilla, but a significant difference was noticed regarding the distal score Regarding the total PES index it has also been found that there was no significant difference through the 5 phases (no difference in the results between the two groups in the 5 phases). Conclusions: 1- Both standard and customized healing abutments have improved the peri-implant soft tissue of immediate implants.