Cranioplasty is a neurosurgical procedure done to cover the defective or deficient skull bone. The cranial reconstruction rejuve-nates the patient by protecting and restore intracranial structures and pressure thus improving the esthetic appearance. Thus improves the neurological and psychological wellbeing of the patient. The blending Advancement of computer technology in medical and dental science allowed the 3D reconstruction of several anatomical structures for various medical procedures by designing the custom-made implants. Procedure: This case report describes the methodology used to design a custom-made cranial implant for a 38-year-old patient who had traumatic injury in the right temporosagital region of the skull caused by a road traffic accident. 3D reconstruction of the cranial vault was done using CAD designing and Selective laser melting (SLM) technology printing. Discussion: The presicion of the prosthesis was good thereby the surgical time was reduced and eliminates any errors in operating theatre and successfully implanted. The patient’s esthetics was restores, allowing the patient to safely perform daily activities with full confidence. Conclusion: The use of 3D reconstruction techniques in managing exhaustive surgeries aids to reduces the possibility of errors during surgery, precise and passive fit and provides better implant stability. Thus 3D printing technology has boomed its use in various field of medicine. © 2022 Elsevier B.V., All rights reserved.