{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T19:01:17Z","timestamp":1788375677709,"version":"build-2803163510"},"reference-count":22,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2012,3,29]],"date-time":"2012-03-29T00:00:00Z","timestamp":1332979200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Oral Implants Res"],"published-print":{"date-parts":[[2013,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Mucosal thickness should be considered in implant treatment planning. Needle probing to measure mucosal thickness is invasive and therefore not used in routine diagnosis. The \u201cpuffed cheek\u201d method is an established technique to visualize the vestibule in computed tomography (<jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content>). As <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content> assesses bone availability, a simultaneous mucosal thickness measurement would be useful. The aim of this study was to evaluate the reliability of mucosal thickness measurement in <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content> with distended cheeks.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>Buccal maxillary mucosa thickness was evaluated at four measurement sites in the incisor and molar area of 11 patients. Each site was evaluated via <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content> with cheek distension and needle probing. Measurement area was identified with the aid of a thermoplastic splint to localize the exact position by a gutta\u2010percha marker point. The comparison between the two methods was performed by <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>land\u2013<jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>ltman diagram.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean clinical thickness was 1.17\u00a0mm (\u00b10.31) compared to 1.11\u00a0mm (\u00b10.31) in <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content> evaluation. The mean difference between the two methods was 0.07\u00a0mm (\u00b10.40; <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\u20100.14;0.12, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.88, Krippendorff \u03b1\u00a0=\u00a00.38). According to <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>land\u2013<jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>ltman diagram the mucosal thickness may diverge by up to 0.9\u00a0mm from the radiologic thickness.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The two measurement methods may not be interchangeably used. As additional information to three\u2010dimensional bone analyses, <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content> may be performed as a pre\u2010operative soft tissue analysis at most implant sites with distended cheeks. Nevertheless, this method yields less valid and reliable results than the gold standard.<\/jats:p><\/jats:sec>","DOI":"10.1111\/j.1600-0501.2012.02469.x","type":"journal-article","created":{"date-parts":[[2012,3,31]],"date-time":"2012-03-31T16:31:06Z","timestamp":1333211466000},"page":"719-724","source":"Crossref","is-referenced-by-count":10,"title":["The \u201cpuffed cheek method\u201d to evaluate mucosal thickness: case series"],"prefix":"10.1111","volume":"24","author":[{"given":"G.","family":"Dvorak","sequence":"first","affiliation":[{"name":"Department of Oral Surgery Bernhard Gottlieb Dental School, Medical University Vienna Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Arnhart","sequence":"additional","affiliation":[{"name":"Department of Oral Surgery Bernhard Gottlieb Dental School, Medical University Vienna Vienna 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Austria"},{"name":"Department of Diagnostic Radiology, Division of Neuroradiology and Musculoskeletal Radiology Medical University Vienna Vienna 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