The child tore the frenulum on the upper lip - consequences - ProfiMed

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.

What gum diseases occur in children?

Dystrophic – represent tissue atrophy caused by crowded teeth or malocclusion. The disease is localized in only one place (usually near the fangs and incisors). There is no burning sensation or pain, so treatment begins already at a severe stage. By that time, the root of the tooth is exposed, pain and increased sensitivity appear.

But children do not have such severe pathologies as periodontal disease. These are rare cases that progress with a lack of vitamins and diseases of the immune system. If treatment is not started, gums and bone tissue will be reabsorbed. Therefore, molars will have to be removed, since it is impossible to save them at a severe stage.

Inflammatory – this is gingivitis, which in severe stages turns into periodontitis. Treatment must begin immediately, because in the future the bone tissue, jaws, and ligaments may become inflamed. Despite the rare occurrence in children, a visit to the dentist should not be put off. The chronic form of periodontitis cannot be treated and persists for life. If treatment is delayed, periodontitis may progress to a granulating form, accompanied by the appearance of fistulas on the gums. Complications of the pathology can be identified by visual examination (inflammation spreads from the gums to the teeth).

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.

Why is gingivitis dangerous in children?

Gingivitis is an inflammation of the gums that occurs as a result of the adverse effects of local and general factors. In children, it occurs quite often: between the ages of two and four years, its prevalence is 2%, and by the age of thirteen, gingival inflammation occurs to one degree or another in 80% of children. Often the disease does not progress beyond gingivitis, since it can be easily cured, avoiding more serious problems. However, if the process is started, the inflammation from the gums will spread to other periodontal tissues (the child will develop periodontitis) and will become a chronic condition, the symptoms of which will need to be relieved with each relapse.

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.

Kinds

There are three main types of frenuloplasty. Each of them is indicated for different diseases or anomalies of attachment.

Frenotomy
– involves cutting the frenulum if it is too narrow or short. This operation eliminates discomfort when chewing and corrects the patient’s bite.
Frenuloplasty
is an operation in which the edge of the frenulum is fixed in another place (usually higher). Y-shaped and Z-shaped frenuloplasty are performed (the difference is in the type of incision).
Frenectomy
– resection of the wide frenulum of the upper lip. The most radical type of plastic surgery, as a result of which the interdental papilla and mucous membrane tissue are partially or completely removed.

Operation on the labial frenulum is divided into types depending on the method of implementation. Today, such plastic surgery is performed with a laser or scalpel. The laser method is more modern, painless and comfortable for the patient. The entire procedure takes a few minutes and does not require long-term rehabilitation.

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.

Why is timely gum treatment so important for a child’s health?

If you notice an abscess, gumboil, ulcer or abscess on your child’s gums, immediately seek professional treatment.
Without timely treatment, gum inflammation can become truly dangerous, becoming chronic and accompanied by early tooth loss or bone damage. The consequences in an advanced case can be very serious: inflammation of the tissues of the alveoli and gums. Often the appearance of gingivitis signals that there are other disorders in the child’s body that require immediate diagnosis and treatment. We recommend that responsible parents regularly visit the pediatric dentist for preventive care. This systematic approach will help your baby grow up healthy!

Make an appointment through the application or by calling +7 +7 We work every day:

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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.

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.

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.

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.

Treatment with folk remedies

Treatment of gum injuries can also be done at home:

rinsing with a decoction of chamomile, St. John's wort or calendula; you can also use a solution of baking soda or strongly brewed black tea;
inflamed areas can be lubricated with honey or sea buckthorn oil.

If your child hurts his gums, don’t panic right away. You need to numb the area of the injury and go to the dental clinic for high-quality treatment of the damaged area and prescribe treatment.

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.

Forms of gum inflammation in children

Parents whose children suffer from various forms of gum inflammation come to our clinic. The most common of these is gingivitis. This disease occurs as an inflammation of the gum mucosa and has the following symptoms:

bleeding gums;
swelling of the interdental papillae;
painful symptoms when brushing teeth.

If not treated promptly, gingivitis can develop into a more serious form - periodontitis. And its treatment often requires surgical intervention. In addition, inflammation of the gums can lead to the appearance of fistulas on the gums of a child, and this phenomenon also requires immediate treatment by a professional dentist.

Periodontitis is an inflammation that, in addition to the gum mucosa, also covers other tissues and causes bleeding and loosening of teeth, and can also lead to the appearance of periodontal pockets.

If a child’s diet is not balanced and his body does not receive enough vitamins and minerals, dystrophic periodontal disease may occur: periodontal disease. Cases of its occurrence in children are quite rare, and treatment should be carried out in a complex manner.

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.

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.

Causes of gingivitis in children

Gingivitis in a child occurs under the influence of a number of factors. Their effect on growing, functionally immature gum tissue easily provokes the onset of the inflammatory process. In this case, the occurrence of gingivitis is often accompanied by a decrease in the body’s resistance (its defenses): weakened immunity, vitamin deficiency or hypovitaminosis, allergic or infectious diseases, disorders of the cardiovascular and endocrine systems, and the gastrointestinal tract. So, the factors that most often provoke gingivitis in children:

Microbes. Almost 90% of cases of gingivitis are caused by the microbial flora of yellow plaque and tartar: the child hastily brushes his teeth due to reluctance or inability to do it more thoroughly. Microorganisms multiply quickly, and their metabolic products (toxins) contribute to the onset of the inflammatory process.
Mechanical injury. Violations of the integrity of the oral mucosa, such as a cut, biting, scratch, burn, can cause an inflammatory process. We strongly recommend that you ensure that your child does not play with sharp objects and that their drinks and food are moderately warm.
Biological agents. Infectious gingivitis is a common form of the disease. If your child has caries of primary or permanent teeth, the likelihood of developing gum disease increases many times over, which is why it is so important to treat carious teeth in a timely manner, or better yet, to take measures to prevent caries in children.
Functional loads on the dental system. An incorrect bite in a child, impaired chewing function, insufficient length of the frenulum of the lips or tongue, bad habits (chewing food on one side, sluggish chewing) - all this leads to an uneven load on the child’s dental system and provokes the development of gingivitis.
Prolonged tooth eruption. During the eruption of a permanent tooth, so-called “eruption gingivitis” may occur. The toothbrush causes pain to the child, so he spares the “overdue” tooth as much as possible during brushing. As a result, microbes accumulate, and this is a direct path to the development of inflammation.

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.

Prevention of gum disease in children

Experts are confident that you can completely avoid gum disease if you follow 5 rules:

Teach your child to chew food correctly with all chewing teeth.
Show your child the correct technique for brushing teeth and additional flossing.
Eliminate malocclusions in a timely manner and select orthodontic appliances.
Do not give your child too cold or hot food (temperature no more than 30o C).
Use a fingertip to stimulate the gums as baby teeth emerge.

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...

The frenulum between the upper lip and gum is torn

Hello, yesterday my son (he is 1 year old) hit himself and the frenulum between his upper lip and gum tore, there was not a lot of blood. Now it hangs when you open your lip, but on the gum there is...

Girls, when the child fell, he tore the frenulum, the one under the upper lip. The surgeon at the medical center said that this was not her specialty, but she would sew it up so that it would heal correctly and there would be no speech defects. told me to go...

I tore the frenulum of my upper lip!

Girls, hello! Yesterday the child was running around the room and fell face down on the floor... he broke his lip and bruised his gum above his front teeth, I treated his wound with Miramistin. This morning he didn’t let me brush my teeth, I didn’t insist...

Hello girls. Two days ago, Mark fell very badly, his mouth full of blood, they stopped him quickly. Fortunately, my husband is a sports coach and knows all about broken lips. But! That’s what we thought (I’m talking about the lip)…. Eventually,…

The frenulum of the upper lip is torn

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...

White_Woman theme author

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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Hello participants of natural selection!

I want to become a mother

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.

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

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.