The frenulum of the upper lip of the child Komarovsky was torn. What to do if a child has torn the frenulum on the upper lip

What to do if a child has torn the frenulum between the gum and upper lip - which doctor should he contact?

The upper lip frenulum is a small membrane of mucous membrane that is located in the oral cavity above the upper incisors between the lip and gum (see also: how is the upper lip frenulum trimmed?). Normally, it begins 5-8 millimeters above the incisors and then weaves into the lip. If it is attached lower or the beginning of the attachment is not visible at all, then such a frenulum is considered short. Below are the most common problems associated with a pathologically short labial frenulum:

violation of diction;
formation of malocclusion;
frequent injury;
difficulty for the baby when breastfeeding;
periodontal diseases, the occurrence of tooth instability;
diastema formation;
inflammation of the gums;
the appearance of a periodontal pocket due to tension by the mucous band of the gums.

On the topic

We continue the publication of a series of articles by pediatrician Alena Paretskaya and dentist Yulia Lapushkina, dedicated to probably the most common and frightening childhood injuries - injuries to the face, oral mucosa and teeth. We have already discussed and. Today we will talk about injury to the soft tissues of the oral cavity - rupture of the frenulum.

In the child’s oral cavity there are three mucous strands - frenulums. One connects the mucous membrane of the upper lip with the alveolar process of the upper jaw in the area between the front incisors. The frenulum of the lower jaw is attached according to the same principle, but only at the bottom. The third frenulum is the frenulum of the tongue.

It is attached to the floor of the mouth and approximately in the middle of the inner surface of the tongue.

If they fall, carelessly handle sharp objects, or brush their teeth too vigorously with incorrectly selected hygiene items, children can injure these frenulums; in other words, they will rupture. Most often this happens if the bridles are short, i.e. do not correspond to the size of the child’s mouth, since the frenulum of normal length is quite elastic.

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The first symptoms will be mild bleeding, the baby's crying and his categorical reluctance to open his mouth. When the frenulum of the tongue is torn, the child refuses to talk because he is afraid of provoking pain. When examining the oral cavity, you may notice dried blood and a torn mucous cord.

How to determine that a child has torn or torn the frenulum?

Injuries to this part of the oral cavity are common. Children are very active; when they climbed up the slide, they fell and as a result they tore the mucous cord. What to do? Mothers, of course, are concerned about this, because teeth are what adorns the baby’s cute face. In this case, there is no cause for concern - this incident does not threaten life. If the short frenulum is torn, you need to show the child to a dentist, but first, let’s figure out what the signs of injury are: (see also: what to do if the child has a very short frenulum of the upper lip?)

bleeding in the area of the upper lip (can be profuse with a large cord);
redness;
edema;
soreness;
against the background of stress, a small child may have a slight rise in temperature.

First aid

It is very important to provide first aid correctly:

The main rule is not to panic. Calm the child and calm yourself, the second is most preferable, because an excited mother can make a lot of mistakes.
If there is massive bleeding, apply cold (something from the refrigerator) to the lip, but not for long, intermittently.
After stopping the bleeding, you need to rinse your mouth with any antiseptic (herbal decoctions, Furacilin, Chlorhexidine, Miramistin).
For children who, due to their age, are not able to rinse their mouths on their own, the mother should treat the wound with a cotton swab dipped in a decoction of herbs. For this, herbs such as St. John's wort, chamomile, and sage are used.
After all the procedures performed, be sure to visit a doctor. The doctor will conduct an examination, assess the extent of the damage and prescribe further treatment if necessary.

What to do and how to remove the defect?

Medicine does not stand still. Nowadays, doctors offer several ways to correct the frenulum. The baby who tore it will undergo appropriate plastic surgery. There is plastic surgery using a scalpel, gum scissors, and a new method of removal - laser. The doctor decides which method is best to resort to. Any procedure has its own indications and contraindications. This is discussed with a specialist.

Laser frenulum removal is an innovative method. It has a lot of positive reviews not only from doctors, but also from patients.

There are methods that have proven themselves to be positive over the years:

Procedure

Description
Frenotomy	The frenulum is cut vertically and sutured horizontally.
Frenectomy	The method is most suitable for large strands. It is cut along its entire length, and then the interdental papilla and all excess tissue are removed.
Frenuloplasty I	The frenulum is cut with a scalpel or scissors. A diamond-shaped defect remains. For mobilization, the edges close to the incision of the mucous membrane are excised and, using a raspator, brought closer to the periosteum, closer to the formed vestibule. Then everything is sutured.
Frenuloplasty II (according to Limberg)	A vertical incision and two oblique ones are made in the center of the frenulum. Triangular flaps are formed and mobilized. Then they are fixed taking into account that the central cut is located horizontally. It is sutured with interrupted sutures.

How long does it take for the frenulum to heal after surgery?

When using a scalpel or scissors, silk sutures are placed at the end of the procedure. They are removed on days 5-7. But there are times when you need to walk around with the strings longer. It all depends on the characteristics of the body and the care of the postoperative wound. After the laser there are no stitches, but the care is the same. It consists:

in maintaining oral hygiene;
in optimizing the diet - food should be homogeneous and at the optimal temperature;
in performing special gymnastics, which is prescribed by the doctor to develop the muscles involved in chewing and facial expressions.

At the age when children begin to walk independently and explore the world, injuries often happen to them. If, while falling, he does not have time to protect himself with his hands and hits his face, this leads to maxillofacial injuries. The mother will understand that the child has torn the frenulum on the upper lip by bleeding, his state of shock, and screaming.

What not to do if you have a lip injury

in maintaining oral hygiene;
in optimizing the diet - food should be homogeneous and at the optimal temperature;
in performing special gymnastics, which is prescribed by the doctor to develop the muscles involved in chewing and facial expressions.

There are a number of actions that will cause harm, and therefore should be avoided:

If you have a lip injury, you should not try to remove the sharp object that caused the damage yourself.
Applying heat is contraindicated.
It is strictly forbidden to try to restore the integrity of the lip on your own.
To stop bleeding, it is not recommended to tilt the child’s head back. The action will lead to the release of the secreted mass into the stomach, which will provoke vomiting and lead to an increase in fear in the child.
Do not use iodine or brilliant green solution - the risk of burning the mucous membrane increases. When using iodine, the likelihood of increased bleeding increases.
It is not recommended to tear off the crust that covers the wound. An erroneous action will cause repeated, perhaps more intense, bleeding.

You cannot use cotton wool to treat a wound - the fibers of the material will dry to it, it will be difficult to remove them, and suppuration will occur.

Before making the incision, the patient is examined by an orthodontist, surgeon and speech therapist. The dentist makes a less significant contribution when determining the direction for surgical treatment of the frenulum. The restriction is imposed for the period until all 4 upper incisors have erupted.

When working with a scalpel, local anesthesia is administered. After the operation, a barely visible stitch may remain, which will dissolve within a month. The frenulum of the upper lip is significantly injured with this method. The anesthesia may cause slight swelling.

Functions of the frenulum of the upper lip

There are 3 frenulums in the human mouth, one is located under the tongue, 2 connect the upper and lower lips with the oral cavity. These are small mucous formations that affect the anatomy of the smile, bite, pronunciation of sounds, and they help babies latch onto the breast. If a newborn has a short or thick frenulum of the upper lip, he cannot latch onto the nipple correctly and as a result will refuse breastfeeding in favor of bottle feeding. In this case, it is trimmed in the maternity hospital, eliminating the problem.

The bridge between the lips and palate influences the formation of the child’s bite. Due to its deformation or irregular structure, defects in the dentition occur: protrusion of the front incisors forward. Such a nuisance is likely in rare cases, if the baby has permanent teeth rather than baby teeth. The problem is severe and requires long-term, expensive orthodontic treatment.

A short frenulum during chewing and talking pulls back the gums, which exposes the neck of the front teeth, creating conditions for the development of caries, periodontal disease and other pathological processes, complicating oral hygiene. This defect is diagnosed and eliminated. The anatomical position of the bridge is characterized by its base at a level of 0.5-0.8 cm from the neck of the incisors; if it is localized below, observation and treatment are required to eliminate the possibility of it breaking.

Trimming is carried out only when the front incisors are erupting, so that the pressure from other permanent teeth naturally closes the diastema. A short bridge between them increases the likelihood of injury; it has happened that a child’s frenulum of the upper lip has torn due to excessive tension due to a blow.

A child’s frenulum: the main thing is not to rush

Modern parents are concerned not so much with their offspring’s talkativeness as with cosmetic defects in their dentition. Therefore, they turn to the dental surgeon with one request - to incise the child’s frenulum. Moms and dads believe that the interdental gap will also close after this.

However, for a child under five years of age (in the stage of primary incisors), surgery to cut the frenulum of the upper lip is not performed at all! We must wait until the permanent upper front teeth erupt.

But even then, it is first advisable to take a picture of the upper jaw to ensure the correct location of the rudiments of the remaining permanent teeth. Then the orthodontist will decide on the operation.

If surgical intervention is necessary, directions are given for a clinical blood test with hemosyndrome and a clinical urine test.

The operation is indicated if the attachment of the frenulum of the upper lip is located low. But if you rush and cut a child’s frenulum at an early age (in the stage of baby teeth), this will lead to even greater problems: the permanent upper teeth, when born, will begin to creep on top of each other and grow at random.

In addition, if surgery on the upper frenulum is performed prematurely, the upper jaw arch may form small and narrow, which will lead to progeny. This is the name of a malocclusion when the lower jaw is pushed forward, and the upper jaw is small and underdeveloped; when the jaws are closed, the lower teeth overlap the upper ones.

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In this case, the child will have problems pronouncing basic consonant sounds: whistling, hissing, sonorants.

Of course, in each specific case there are a lot of arguments “for” and “against” the operation. Responsibility for the consequences lies entirely with the dental surgeon who performed the operation, and indirectly with the parents. Because the last word in resolving any issues related to the child still remains with them.

First aid

The international classification of diseases ICD-10 classifies the short frenulum not as a disease, but as an anatomical feature of intrauterine development, and assigns code Q38.0 “Congenital anomalies of the lips.” A rupture of the child's upper lip frenulum requires parents to perform several assistance procedures before the ambulance arrives.

Rinse the injury with cold or cool boiled water, and if possible, inspect where the tissue may have been torn.
Stop the bleeding. Every home medicine cabinet contains a bottle of hydrogen peroxide, which can clog blood vessels and stop capillary bleeding. Soak a piece of bandage, a cotton pad or a cotton swab with peroxide and apply it to the damaged area. The child may be frightened by the rapid formation of foam; you should be patient, take him in your arms, and calm him down. Ice or frozen foods in the freezer will help cool the area of the tear, stopping the bleeding. Apply ice wrapped in a clean cloth on the outside of your mouth to avoid cold burns. If the red border of the lips is torn, the wound should be treated with brilliant green after stopping the bleeding.
If the injury is minor or there is no opportunity to visit a doctor, the mother treats the wound with antiseptic drugs (furatsilin solution or oil chlorophyllipt, miramistin spray) and monitors oral hygiene. Care consists of frequent hand washing if the baby has the habit of holding them in the mouth, toys, and careful brushing of teeth. It is necessary to make an appointment with a doctor for a professional examination.
If the injury is serious, the child has torn the mucous membrane, torn it off on one side or the other, you need to contact a doctor as soon as possible. If a visit to a medical facility is postponed, the child will experience pain when chewing, swallowing, talking, or smiling, which will lead to wound infection, speech defects, facial deformities, an ugly smile, and problems with chewing. Such injuries are sutured to avoid the complications described above.

A child has a broken lip: what to do, first aid for a laceration and torn frenulum

Injuries in childhood occur 3 times more often than in adults. The activity inherent in a child sometimes leads to cuts, abrasions, and bruises. The task of parents is to respond correctly and quickly to all types of injuries. The complex of treatment and preventive measures on the part of adults includes the provision of sanitary treatment and psychological support.

Perform actions in the following order:

Calm the child, sit him in front of you;
The person providing assistance and the baby himself should perform hand hygiene. It is best to quickly treat your hands with antiseptic. The solution is suitable for express skin disinfection, since in such a situation you cannot waste time on traditional washing with soap;
When bleeding, it is impossible to determine the depth of the wound, so it is treated with 3% hydrogen peroxide, blotting it with a piece of bandage or clean cloth;
Apply ice to the wound, after wrapping it with a cloth. You can keep it cold for no more than 10 minutes, then remove it for 10 minutes. and, if the bleeding does not stop, apply ice again.
Apply an antiseptic solution (Chlorhexidine bigluconate or Miramistin).

If even after the above manipulations it is not possible to stop the bleeding, you need to call an ambulance. Before doctors arrive, apply pressure to the cut tissues with moderate force, preventing the development of excessive blood loss.

A situation in which a baby cries from pain, bleeding and fear causes stress. Against the background of psycho-emotional shock and the desire to quickly help the child, parents make some mistakes.

There are a number of actions that will cause harm, and therefore should be avoided:

If you have a lip injury, you should not try to remove the sharp object that caused the damage yourself.
Applying heat is contraindicated.
It is strictly forbidden to try to restore the integrity of the lip on your own.
To stop bleeding, it is not recommended to tilt the child’s head back. The action will lead to the release of the secreted mass into the stomach, which will provoke vomiting and lead to an increase in fear in the child.
Do not use iodine or brilliant green solution - the risk of burning the mucous membrane increases. When using iodine, the likelihood of increased bleeding increases.
It is not recommended to tear off the crust that covers the wound. An erroneous action will cause repeated, perhaps more intense, bleeding.

You cannot use cotton wool to treat a wound - the fibers of the material will dry to it, it will be difficult to remove them, and suppuration will occur.

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If it is not possible to stop the bleeding at home for a long time (more than half an hour), the help of a doctor is required. After washing with an antiseptic solution, it is possible to assess the actual depth of the wound. If it is significant, this is an indication for suturing.

You need to go to the emergency room or call an ambulance. If you managed to stop the bleeding without the help of doctors, but after a few days the child’s body temperature increased, you need to consult a doctor.

Spontaneous formation of pus is also an indication for a visit to a specialist.

If the doctor put stitches, you need to make sure that the child does not remove them. The main thing is not to confuse the situation when the stitches are removed ahead of time or it’s simply time to remove them. The fact is that currently they use suture material that self-absorbs inside the tissue.

The wound will become covered with a crust - it must be treated with an emollient, for example, an ointment that contains propolis. First, the damaged surface should be thoroughly washed with an antiseptic solution. This halves the risk of bacteria entering the wound.

The presence of sutures does not eliminate the need to treat the wound, but increases the importance of this action. In addition to the antiseptic solution, a special preparation in the form of an ointment must be applied along the loop line. It is intended for accelerated wound healing (Boro Plus, Solcoseryl).

Since food particles can cause infection, it is recommended to additionally rinse the mouth with warm chamomile infusion. The plant is known for its anti-inflammatory properties and promotes accelerated healing of damage.

If the baby complains of pain inside the lip, menthol oil should be applied to the skin near the mouth. It has a cooling property, the child does not concentrate on the pain.

If any complications occur during treatment, you should inform your doctor.

There are no significant differences expected between the care provided for different cases of lip injury in children. Tactics include calming the child, stopping the bleeding and ensuring that the wound is examined by a doctor.

With such an injury, the risk of penetration of pathogenic microorganisms into the cut tissue increases. This will provoke the formation of purulent masses and an increase in the size of the hematoma, hyperthermia, and problems with chewing.

Severe swelling of the damaged lip affects the general well-being of the baby - he becomes capricious, sleeps poorly, and refuses to eat. The wound should be treated with an antiseptic solution and ointment with propolis applied.

Perform the manipulations in the following order:

Examine the wound to assess the extent of tissue damage.
Determine the amount of blood loss and the general condition of the child (it is important that he does not develop shock).
Moisten a small piece of gauze or bandage with a solution of 3% hydrogen peroxide and apply to the injury site. So that the child is not afraid of the abundant appearance of foam and specific hissing, you need to divert his attention.
To reduce pain, apply ice to the area above the upper lip. It must first be wrapped in cloth to prevent hypothermia. Ice also functions as an additional hemostatic agent.
Wash the wound with an antiseptic solution - Miramistin, Chlorhexidine.

Until the wound is examined by a doctor, the child should not be allowed to touch the injury site with his hands. The danger of a torn frenulum of the upper lip in subsequent complications.

If you do not control the contact between the child’s hands and the injured tissue, pathogenic microorganisms enter the wound and infection occurs. With a high degree of probability, after tissue healing, a scar remains.

It prevents gum surgery in the future, negatively affects the quality of diction, causes problems with chewing, and distorts the smile.

Laceration

In this case, you should immediately contact emergency room specialists or call an ambulance. Such damage is dangerous due to massive bleeding. Providing assistance is no different from actions for a penetrating lip injury.

If a child has a broken lip, you absolutely cannot shout at him, blame him, or demand an explanation for his behavior. Such tactics will only increase the degree of fear in which every traumatized child already resides. In all cases of lip injury, children should be examined by a doctor.

What to do if your child has a broken lip Link to main publication

Methods for restoring the frenulum

If the frenulum of a child's upper lip is torn, in some cases, according to individual indications, the child requires its restoration to prevent unpleasant orthodontic problems. Surgical reconstruction of the gum and bridge is performed with the application of self-absorbing sutures. It is necessary to treat sutures and the incision area after surgery with antimicrobial drugs and hygiene procedures after each meal. The intervention is carried out under local anesthesia for half an hour, the swelling lasts up to 2 days, after this time there should be no discomfort from the injury, the mucous membranes of the mouth have the property of rapid regeneration.

Consequences of a shortened frenulum

If you lift the upper or lower lip, you will see an elastic fold connecting the latter to the gum. Normally, it is located in the middle of the gum. The shortened one starts from the roots of the teeth. It happens that it is too wide and inelastic, absent, and the frenulum often ruptures.

All these pathologies are indications for surgical intervention. Parents, as a rule, do not pay attention to this anomaly. The mobility and elasticity of this fold can only be assessed by a dentist.

Difficulty with breastfeeding. The baby will not be able to latch onto the nipple normally. Feeding will be delayed, he will get tired and begin to be capricious. It is quite possible that the child will refuse the breast in favor of the pacifier, since drinking from it is much easier;
Chewing will become difficult when feeding solid foods. Therefore, he will swallow large pieces, which will negatively affect digestion;
A short one will stretch the gums, which will affect the dentition - the front incisors will not close, and there will be a gap between them. This will negatively affect your smile later;
If you do not take action in the presence of milk teeth, then when permanent teeth appear, an incorrect bite will form. The front incisors will protrude forward as the gums are stretched excessively. To correct pathology of the upper or lower jaw, long-term treatment will be required;
Speech defects due to too much tension on the lip. Lip sounds will sound bad (ooh);

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Possible consequences

Often minor damage does not cause any unpleasant consequences. The same thing applies if the mucous membrane has been restored to its normal state. If medical correction has not been carried out, the tissues have grown together incorrectly, this can cause problems as a person grows and in his later adult life:

problems with pronouncing certain sounds, especially if the injury occurred before the baby first spoke;
susceptibility to infections of the oral cavity, if the tissues have grown together crookedly, there is no normal oral hygiene;
Gastrointestinal problems can occur due to the fact that children do not chew food well after gum injuries.

Possible consequences of frenulum rupture

There are many factors that can lead to frenulum rupture. Most often this happens during eating, an accidental blow, a fall, or hygiene procedures. The cord can also rupture due to its abnormal structure: it is too wide, short, attached not to the gum, but to the interdental papilla, etc.

If the child has slightly torn the frenulum, unpleasant consequences most often do not occur. However, with a severe rupture, complications are possible:

Problems with breastfeeding. The baby will not be able to wrap his lips tightly around the nipple, which will cause each meal to be delayed. The baby will begin to be capricious and may refuse the breast, preferring a bottle with a nipple, which is easier to drink from.
If the frenulum between the gum and the upper sponge is torn before the baby begins to speak, this may affect the development of diction. The child will not be able to learn to pronounce some sounds correctly.
Older children who already eat from the common table, if they have a damaged cord, do not chew food well, as this provokes pain. When swallowing large pieces of food, the gastrointestinal tract is affected.
If, in the event of a frenulum injury, the gums are severely damaged, this may affect the condition of the dentition - a large gap will appear between the upper incisors.
The oral cavity becomes vulnerable to infections and diseases - gingivitis, caries, periodontitis. Incorrectly fused tissues do not allow for complete oral hygiene.

What to do if a child has torn the frenulum on the upper lip

In every person's mouth, there is a special bridge of mucous membrane on the inside of the upper lip called the frenulum. Its main function in babies is the ability to suck, and it also affects the formation of the speech apparatus. When a child begins to take his first steps on his own, he is often injured. This happens especially often with children under one year old. If you do not have time to protect yourself with your hands, you fall forward and hit your face, resulting in injuries of various kinds. The fact that a child has torn the frenulum on the upper lip is indicated by a number of symptoms that cannot be ignored. With such an injury, you need to consult a doctor as soon as possible to prevent negative consequences.

Possible complications

The list of complications from tongue injuries is quite wide. The direction in which the negative consequences will progress depends on the causes of the cuts.

If the integrity of the tooth crown is damaged, the pulp and root of the tooth are at risk - caries-forming bacteria easily penetrate into the soft part of the tooth and through the root canals into the structures of the musculoskeletal system. Complications of this process can be periodontitis, periodontal disease, periodontal abscess with the formation of a fistula, cyst, periostitis and many other diseases of an inflammatory and infectious nature or activation of mechanisms leading to the destruction of tooth ligaments and jaw bone tissue.

Inflammation of the mucous membrane (stomatitis) can lead to complications in the throat, Eustachian tube, middle ear and/or weaken local immune defense to the level where pathogens entering the mucous membrane with food and food will form an “independent” pathological process.

Malocclusions and dental deformation have severe long-term consequences. The dentofacial system is part of the complex of the facial skull and any disturbances in it can change the process of growth and formation of this department. As a result, asymmetry of facial features develops, the airways are formed incorrectly, which leads to disturbances in nasal breathing and a high tendency to vasomotor and atrophic rhinitis, sinusitis, and the functions of the articulatory apparatus are disrupted - the child’s diction is unable to develop and be maintained at a normal level.

It becomes obvious that a typical situation when a child cuts his tongue with a tooth or injures it in some other way can lead to completely atypical consequences, so it is important to be able to provide help yourself and make an appointment with a dentist as soon as possible.

What is a bridle

In total, there are three frenulums in the human mouth: 1 is sublingual, the other two connect the upper and lower lips with the oral cavity. They look like small skin formations that directly affect the anatomy of the smile, the formation of the bite, the speech apparatus, and in children they help to grasp the breast or pacifier during feeding.

Various pathologies of the frenulum negatively affect the development of the baby. He cannot eat normally, his speech and bite are not formed correctly. If a child's upper lip frenulum ruptures, it is important to seek help from a pediatric dentist, who will assess the condition of the injury and decide what to do next.

When to see a doctor

As mentioned, if the wound is shallow, then it can be treated at home. But at the same time, parents should carefully monitor the child’s condition in order to seek medical help if necessary.

You should immediately visit a doctor after a cut lip in the following cases:

The wound is too deep or the inner surface of the lip is damaged;
Not only the lip is damaged, but also the gum, tooth or frenulum. In such cases, you need to contact a dentist who will assess the consequences of the injury and prescribe the necessary treatment;
The body temperature increased to 37.5°C or more within 2 days after the lip cut. Heat indicates infection of the damaged area;
Blood continues to flow from the wound for half an hour;
There are suspicions that there is a foreign body in the wound;
The injured lip is numb;
The swelling and redness does not go away for a long time.

If such symptoms appear, immediately go to the doctor, as your child’s health is at risk!

First aid

Providing first aid if an injury occurs will help the damaged tissues recover faster in the future. The very first thing parents should do before the ambulance arrives is to calm the child and calm down themselves. The very first symptom of a rupture or tear is the appearance of blood and pain. If you pull the lip a little, the damaged area is clearly visible. The algorithm for further actions is as follows:

Wash your hands well with soap and running water. Carefully examine the baby's mouth to determine the location of the bleeding.
To stop the bleeding, apply a cotton pad or napkin soaked in a solution of hydrogen peroxide, chlorhexidine or miramistin to the surface of the damaged area.
When the antiseptic treatment is completed, it is necessary to rinse the child’s mouth with boiled water. Do not use tap water. This procedure will help prevent the introduction of microbes into the wound.
Apply cold compresses to the outside of the lip for three to four minutes. To prevent hypothermia, wrap the ice in a clean towel.
Carefully ensure that the baby does not touch his face with his hands to avoid infection. Wash your child's hands with soap.
Be sure to contact your pediatric dentist.

Serious injury requires stitches. Further recommendations from the doctor will help damaged tissues recover faster.

Treatment of a rupture of the frenulum of the upper lip

In the hospital, the dentist performs an antiseptic treatment of the injured area. Next, he assesses the condition and complexity of the injury, and depending on these criteria, adequate treatment is selected:

If the damage is minor, treatments are prescribed with antiseptic solutions - chlorhexidine, miramistin, chlorophyllipt. These drugs promote rapid tissue regeneration.
If the damage is significant, the surgeon will apply sutures using special absorbable threads. The area is first numbed. The operation lasts no more than half an hour. After it, swelling usually lasts for about two days, which will go away on its own. To reduce its severity, cold compresses are applied throughout the day.
In order not to further injure the damaged area, you need to feed the baby pureed foods. Drinks and food should not be cold or hot.
To neutralize the pain, the doctor prescribes ibuprofen or paracetamol.
Additionally, x-rays of the jaw may be prescribed.
To exclude infection, the doctor selects an antibacterial drug approved for a specific age.
In many cases, physiotherapeutic procedures are also prescribed - quartz, ultrasound, with the help of which regeneration will occur faster and the risk of wound infection is reduced.

Possible consequences

For minor damage there are usually no consequences. Also, they do not exist if all medical recommendations are followed. If there is no medical intervention, the tissues grow together incorrectly, and as the child grows up, certain problems appear:

Difficulties with pronunciation.
Penetration of pathogenic microflora, decay.
Inflammatory processes in the organs of the digestive system due to insufficient chewing of food.

Chief author and editor-in-chief: Makarskaya S.E., 29 years of experience.

What to do if a child tears the frenulum on the upper lip?

Full collection and description: what to do if a child tears the frenulum on the upper lip? for readers of our site.

the upper frenulum was torn

The upper frenulum tore, there was a little blood and it went away, my son is 9 months old. Is it necessary to go to a traumatologist or get treatment and that’s it? I anointed it with peroxide with a cotton swab and sprinkled it with miramistin. I take everything around into my mouth and hold it in my arms.

Torn frenulum on upper lip

My son fell, I looked now while he was sleeping, and there the upper frenulum was torn, and there was a dark blue spot. There was a mouth full of blood on it. Wake me up and call an ambulance? Or go to the dentist?

Torn frenulum on upper lip

The son fell, his upper lip was swollen. Mouth full of blood. He also screamed and went to sleep because he wanted to. She gave him the breast and fell asleep, now I look, and the frenulum on his upper lip is torn, and there is a little blood from there. Go to the dentist? Or…

Torn frenulum on the upper lip

During a walk in the garden, my daughter fell, broke her lip and tore the frenulum on her upper lip. I ran and took her, the nurse told me to see the dentist and that I might have to get a stitch. While we were waiting for dad from lunch, so that...

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Alina Vladimirovna, hello. My son is 1 year 10 months old. fell, the frenulum of the upper lip was torn. Ours is normal, not short. What should you do now? Need to see a doctor? Will the frenulum heal normally? How might this affect the future...

Good day to all! I want to share with you and hear advice. We walked on the playground yesterday. My Danila unsuccessfully decided to jump and hit his upper lip on a metal pipe (part of the machine). There was a lot of blood, but it quickly...

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The child is 1.10...today he was running, slipped and fell...there was a lot of blood in his mouth (((his lip was swollen...I thought he broke his lip...and then later I lifted it and saw that his frenulum was dangling...it was torn a little. What should I do now?? It will heal on its own or you need to see a doctor. Has anyone had this? The message was modified by the user on 11-02-2010 at 14:28

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Be sure to go to the doctor. Our friends’ daughter also had this happen. She fell in Mayakovsky Park and at first they also thought she had knocked out a tooth, and then they saw that the frenulum of the upper lip was torn. We also thought that there was nothing wrong, but they decided to go to the doctor. Doctor She told them that they had to sew it together, otherwise these two parts would grow together and there would be a double frenulum. So go see a doctor.

Upper lip frenulum: treatment, norm, disorder

A child's correct speech and acceptable appearance depends on the development of an inconspicuous formation, such as the frenulum of the upper lip, located in the gingival area. The future bite of the child depends on it.

Developmental pathology can affect breastfeeding and cause inflammation of the mother’s nipples. The future health of the child depends on the correct identification of the cause of its occurrence. Unfortunately, it is not always possible to identify problems on your own; often the defect is discovered much later.

The main inconvenience is caused by a short frenulum of the upper lip in a child, when the attachment is below 5-7 mm of the upper part of the incisors. The diagnosis is made if it is impossible to determine the location of the connection.

The following undesirable aspects are identified that are formed due to improper development of the frenulum:

Causes problems for mothers of newborn children.
The shape of the bite is disrupted.
Over time, the gap between the upper incisors may increase.
Trouble with gums: formation of pockets and inflammation of the mucous membrane.
Some children have speech defects.

Misaligned teeth will have to be corrected by a dentist. The surgeon will perform tissue surgery to trim the frenulum of the upper lip in children. A constantly open mouth will lead to the entry of harmful microbes, which will reduce the body's protective function. The nasal mucosa does not cope with cleaning the air entering the lungs 100%, and much more bacteria penetrate through the mouth.

The problem of disorders in the development of connective tissue is established through an external examination of the patient. A broken bite indicates a problem. How is displacement created?

When the baby teeth have already fallen out and new, permanent ones have grown, the frenulum of the upper lip in the child pulls the upper jaw along with it during its intensive work when eating food. Constant pressure gradually affects the soft tissues, the bridge between the gum and lip is stretched. In most children, the condition normalizes with age, but a percentage of defective cases still exists.

Discomfort sometimes results in oral diseases such as:

periodontitis;
gingivitis;
gum loss.

Gingivitis, in turn, can cause exposure of the neck of the tooth. The loss of gums provokes the development of other dental diseases: bleeding, inflammation of the tissues around the tooth, or leads to its final loss.

External defects appear when smiling: plaque forms in the cervical space, suppuration, roots are visible. Inflammatory processes affect the gum itself.

The formation of a so-called pocket leads to loosening of the tooth.

A short frenulum of the upper lip results in an unpleasant symptom - increased tooth sensitivity. Drinking hot tea or cold milk is accompanied by pain.

Pathology in the development of the lip leads the child to a speech therapist, since problems arise in the pronunciation of certain sounds. The frenulum interferes with the free movement of the tongue, stretching when trying to produce a guttural tone.

By analogy with the upper part, the lower part is also formed in a mirror image. All of the listed pathologies that form the frenulum of the upper lip also occur in this case.

The process of nipple development during breastfeeding in women occupies an important place. Trimming the frenulum of the upper lip in children is carried out in the maternity hospital. If pathology occurs, a proper vacuum will not form between the mother’s mouth and nipple. This will lead to pain and the baby’s complete refusal of milk.

If there are developmental disorders, the lower incisors suffer, the gums are exposed, the gaps between the teeth increase, and carious conditions appear. If the upper lip takes on the appearance of a hare, then the lower lip becomes like that of a donkey.

Comparison with animals will clearly tell parents that they need to visit a surgeon and undergo plastic surgery - pruning. In addition to the listed oral defects, there are cases of violation of the length of the frenulum of the tongue. There are significant problems in the pronunciation of all sounds; its movement is limited.

Here is an image showing the frenulum of the upper lip. The photo below illustrates the problem area and cosmetic defect during the development of pathology. Sometimes it is necessary to trim it when undergoing dental treatment at the dentist.

How to remove a defect?

A short frenulum of the upper lip in a child can be corrected surgically. Tissue plastic surgery is painless and takes little time. It has age restrictions: the child must be at least 7 years old. Baby teeth must have time to fall out and new, permanent ones to grow.

The exception is cases when the mother suffers inconvenience while breastfeeding - then the operation is performed in the maternity hospital. In other options, natural correction of the frenulum with age is possible.

Treatment methods are applicable for conditions where the frenulum of the upper and lower lips interferes, as well as for correcting problems in the free movement of the tongue.

There are three types of frenulum length adjustment: cutting with a scalpel or laser, excision and tearing. The latter occurs randomly during the child’s active activities. The disadvantage is the uneven formation of the seam. The growth may also become dislodged and interfere with the normal functionality of the mouth.

This condition cannot be ignored. First of all, treat the rupture site with a disinfectant solution. After this, you should visit the surgeon and straighten the gaps - he will apply even stitches.

Additional diagnostics of the child's jaw may be required if the frenulum of the upper lip is torn due to injury. The image will clearly show whether the teeth are damaged.

In professional medicine, other names for operations on the frenulum are used: frenuloplasty is the displacement of the frenulum by a surgical method, frenotomy is defined as dissection, and frenectomy means excision.

Before making the incision, the patient is examined by an orthodontist, surgeon and speech therapist. The dentist makes a less significant contribution when determining the direction for surgical treatment of the frenulum. The restriction is imposed for the period until all 4 upper incisors have erupted.

If the frenulum of the upper lip is wide enough for a longitudinal incision with a scalpel, then a dissection is made lengthwise. The surgeon applies sutures perpendicular to the line of movement of the knife.

Cut across if the child has a narrow frenulum of the lip. The upper jaw is given a normal appearance by releasing the facial part. The tissue between the teeth is removed using a scalpel using the excision method.

We suggest you read: Removing a nerve in a tooth - doesn’t it hurt?

The gap between teeth can be closed using dental methods. After surgery, the bite is corrected by installing braces for a long time. Another way is to close the canal with veneers - this is a filling made of ceramics or white composite materials.

Recently, the frenulum of the upper lip has been corrected with a laser. This method has a huge advantage over dissection with a scalpel or knife. A special gel is used as local anesthesia, applied directly to the cut site.

Unlike the surgical method, no suture is required - the wound is cauterized and immediately takes on a normal appearance. The process is similar to the process of soldering polymer materials.

If the operation is performed on a small child, then after visiting the clinic you should immediately begin feeding. It is necessary to develop the frenulum every day until complete recovery.

The scalpel cuts the skin, damaging blood vessels. Bleeding occurs and inflammatory processes are possible during the recovery period. The frenulum of the lower lip takes a long time to heal, saliva, liquids and food constantly accumulate there.

An adult can stick to a diet and not once again irritate the receptors with delicious food, but what to do if the operation is performed on infants? A medical device for frenulum correction—a laser—comes to the rescue.

An experienced specialist performs the procedure in a dental clinic. A hospital setting is not required for this method. Let us highlight the main advantages of laser surgery over the conventional surgical method:

speed, efficiency, safety;
no noticeable seam;
painlessness;
there is no swelling at all, since there is no bleeding;
By cauterizing the wound, the laser disinfects the incision site, reducing the risk of inflammatory processes;
The method is preferable for small children, the child is just about to scream, and the operation has already ended.

Correcting the frenulum surgically costs within several thousand rubles. The price for eliminating a defect with a device varies within 10 thousand. Most people with a lip defect choose the latter method of getting rid of a short frenulum.

To undergo the procedure for adjusting the frenulum of the upper lip, they visit a speech therapist and an orthopedist for consultation. It is recommended to feed the infant before the procedure to avoid problems during the operation.

No special preparation is required for the operation. The entire process is safe for fabrics. The only recommendation is to keep your mouth clean, which should be ensured before going to the doctor.

Even the most minor anatomical formations can significantly affect the development of speech and even bite. Frenules are small cords in the mucous membrane.

There are three frenulums in the oral cavity: under the tongue, under the upper and under the lower lip. The frenulum of the upper lip is woven into the lip and mucous membrane of the gums, located slightly above the front incisors.

Similarly, the lower frenulum is woven into the mucosa in the lower jaw.

Frenum of the upper lip.

Starting from a very early age, the frenulum affects the baby's breastfeeding. Therefore, when defects are identified, it is necessary to diagnose and solve the problem in a timely manner in order to avoid serious consequences. Both the upper and lower short frenulum can be identified in the maternity hospital, but sometimes defects appear much later. Why and when is it better to prune it?

Upper bridle

What to do if a child tears the frenulum on the upper lip?

Full collection and description: what to do if a child tears the frenulum on the upper lip? for readers of our site.

the upper frenulum was torn

Torn frenulum on upper lip

Torn frenulum on the upper lip

The frenulum between the upper lip and gum is torn

I tore the frenulum of my upper lip!

The frenulum of the upper lip is torn

White_Woman theme author

A child's bridle: tripped, fell - rupture!

Children very often injure the upper lip, and along with it the frenulum, which causes it to rupture. In this case, you must immediately contact your dentist. He will treat the wound and, if necessary, apply stitches.

You may also need an x-ray: if the injury is severe, the rudiments of permanent teeth are injured. A doctor’s help is also needed because when the wound heals without surgical treatment, the edges of the child’s frenulum may grow together asymmetrically, forming a rough scar that limits the mobility of the upper lip.

Can you guess what this could lead to? Of course, to defective pronunciation of sounds.

After such an injury, it is necessary to perform exercises for the upper lip with the child. They will develop the mobility of this articulatory organ and slightly stretch the frenulum itself.

Has the wound healed? Then you can take your upper lip by the middle with two clean fingers and gently swing it from side to side several times! Doubt yourself? Entrust this matter to a speech therapist at the clinic. He will also show you the rest of the exercises that you need to practice at home.

"Proboscis". We clench our teeth tightly and pull our lips further away. The child can't do it? Hold the candy in front of his lips. Then they will surely stretch to their maximum! You need to hold this position for at least 10 seconds. It is good to alternate this exercise with the next one.
"Fence". We stretch our lips into a smile on the count of “one-two.” Then the action will acquire dynamism.
"Bud." We squeeze our teeth, stretch our lips and fold them into a bud. Hold this position for a one-two count for at least 10 seconds. The exercise is similar to the “Proboscis”, but the lips are more compressed.
"Comb". The child moves the lower jaw back and forth, as if “combing” the upper sponge with the lower incisors (at least 10 movements). The exercise is performed dynamically.
"Funnel". Pull out the lips in the form of a small funnel. Then they are drawn into the mouth and, as it were, “wrapped” behind the teeth. We alternate these lip positions slowly, counting “one-two” up to 5 times or more. When the lips are extended forward, the teeth are clenched! When the lips are retracted, the teeth open. It is important to do everything very clearly.

The frenulum of the upper lip is torn

Hello! My name is Marina, 23 years old. The other day my husband and I were driving in a car, I was in the back seat, he suddenly braked and hit his chin. Now the frenulum of the lower lip hurts. It's not healing for a long time, what should I do? I called my sister, she says it’s not scary, that even her child had a situation where the frenulum of the upper lip tore, and everything healed without problems. Tell us about this bridle, otherwise I have children too. Thank you in advance.

Hello, Marina! I will first answer the question about your problem. Be sure to see your dentist, after the examination he will decide whether something needs to be done. Remember that spontaneous fusion of the frenulum can provoke periodontal disease and loss of the lower incisors, as this contributes to gum retraction and exposure of the roots of the frontal group of teeth of the lower jaw. Assistance will be provided to you, depending on the extent of the damage, you may need stitches. Don't be afraid of this; local anesthesia will be used. Your doctor will also prescribe rinses and antibiotics, as well as times for follow-up appointments to monitor healing. Only a qualified specialist can determine what type of treatment you need.

Now let’s move on to your second question, let’s look at what actions need to be taken when the frenulum of the upper lip in a child ruptures, which is a thin bridge and is attached to the inside of the lip and on the gum above the front teeth.

In mobile little fidgets, injuries, unfortunately, do occur. What to do if such a nuisance occurs during a fall or other type of injury, and the frenulum of the upper lip hurts? Contact your doctor immediately, he will decide what to do. Not only the beauty of a smile, but also the health of the child depends on a properly treated wound and timely stitches. If necessary, the victim will have an x-ray taken; growing teeth may be injured. The doctor will be able to make predictions about the formation of teeth, preventing possible problems in the oral cavity, and will recommend rinsing for speedy wound healing. If you do not resort to surgical treatment, self-healing of the wound when the frenulum of the lip hurts can lead to the appearance of a rough scar, and improper healing will interfere with normal clear speech.

Problems in oral development

The main inconvenience is caused by the upper lip of a child when the attachment is below 5-7 mm of the upper part of the incisors. The diagnosis is made if it is impossible to determine the location of the connection.

The following undesirable aspects are identified that are formed due to improper development of the frenulum:

Causes problems for mothers of newborn children.
The shape of the bite is disrupted.
Over time, the gap between the upper incisors may increase.
Trouble with gums: formation of pockets and inflammation of the mucous membrane.
Some children have speech defects.

We suggest you familiarize yourself with Gingivitis in children: treatment, symptoms

Misaligned teeth will have to be corrected by a dentist. The surgeon will perform tissue surgery to repair the upper lip in children. A constantly open mouth will lead to the entry of harmful microbes, which will reduce the body's protective function. The nasal mucosa does not cope with cleaning the air entering the lungs 100%, and much more bacteria penetrate through the mouth.