Titanium is an inexpensive metal that can be used to create custom cast restorations. Although special investment and casting equipment is needed to make titanium castings, the potential benefit of inexpensive, biocompatible, and custom restorations is significant. Porcelain can easily be applied to titanium with excellent bond strength and esthetics. Problems associated with casting roughness and fit can be corrected using electrical discharge machining. A method of diagnosis and treatment planning that evaluates the restorative space prior to implant placement and eliminates the use of machined components is presented. Keywords: cast restoration, electrical discharge machining, implant, titanium