A Mass Custom Manufacturing System and methods are provided. A single master file is created for a restoration (or multiple restorations for a single patient) from a scan. Copings/cores, abutments and other companion pieces are designed using the master file through a deconstruction method allowing for simultaneous CAM of those pieces. A centralized system controls design and manufacturing, allowing the system to “learn” from feedback from the CAM operations of prior pieces and incorporate such feedback into the design phase.