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BACKGROUND: Modern cone beam computed tomography (CBCT) acquisition and three-dimensional (3D) image processing,
combined with direct metal laser sintering (DMLS), allows custom-made, root-analogue implants (RAIs).
PURPOSE: To demonstrate how DMLS permits customized titanium RAI production, with immediate insertion and
restoration in a fresh extraction socket of the anterior maxilla.
MATERIALS AND METHODS: A titanium RAI perfect copy of the radicular unit needed for replacement was created by
customized DMLS, and inserted into a fresh extraction socket of the esthetic area of the anterior maxilla.
RESULTS: Follow-up after 1 year: the DMLS RAI implant showed a satisfactory functional and esthetic integration, with
no bone resorption or soft tissue recessions.
CONCLUSIONS: The production of customized DMLS RAIs opens new interesting perspectives for immediate implantation.