{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T21:45:14Z","timestamp":1782942314857,"version":"3.54.5"},"reference-count":43,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,12,3]],"date-time":"2021-12-03T00:00:00Z","timestamp":1638489600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Esthet Restor Dent"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:label\/><jats:p>The concept of immediate tooth replacement therapy (ITRT) in the esthetic zone has become a viable treatment modality and widely accepted in clinical practice. However, achieving adequate primary stability that enables immediate provisional restoration and desirable space for bone\u2010grafting with conventional tapered body implant designs is challenging. The macro\u2010hybrid implant design with a prosthetic angle correction and body\u2010shift feature in a singular form provides not only greater primary stability of a wider diameter implant but also circumferential gap distance both facially and interproximally preserve the labial bone plate and interdental attachment apparatus of the adjacent natural teeth thereby maintaining the interdental papilla. The present clinical series exemplifies the clinical advantages of this inverted body\u2010shift implant design in ITRT in various clinical scenarios in (1) single tooth replacement in a Type 1 intact socket with a thin periodontal phenotype, (2) single tooth replacement in a Type 2 socket with a dentoalveolar dehiscence of the labial bone plate, and (3) multiple adjacent teeth replacement of two maxillary central incisor.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical significance<\/jats:title><jats:p>The macro\u2010hybrid design implant with a prosthetic angle correction and body\u2010shift feature in a singular form provides greater midfacial gap distance as well as tooth\u2010to\u2010implant distance to preserve the interdental attachment of the adjacent natural teeth thereby leaving the interdental papilla undisturbed, without sacrificing higher primary stability afforded by larger diameter implants.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jerd.12849","type":"journal-article","created":{"date-parts":[[2021,12,3]],"date-time":"2021-12-03T09:21:09Z","timestamp":1638523269000},"page":"154-166","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["The effect of implant macrogeometry in immediate tooth replacement therapy: A case series"],"prefix":"10.1111","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2677-1343","authenticated-orcid":false,"given":"Hanae","family":"Saito","sequence":"first","affiliation":[{"name":"Department of Advanced Oral Sciences &amp; Therapeutics, Division of Periodontics University of Maryland School of Dentistry  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen J.","family":"Chu","sequence":"additional","affiliation":[{"name":"Ashman Department of Periodontology and Implant Dentistry, Department of Prosthodontics New York 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