Upper lip frenulum: conduction and indications



Conducting plastic upper lip frenulum Surgical intervention in the oral cavity (on the frenulum of the upper lip) is indicated by patients with certain indications; an orthodontist or a speech therapist may recommend correction of the frenulum. What is a lip bridle? This is a fold that exists in the oral cavity and causes the fixation of the lip to the bones of the jaw.



In normal conditions, when cutting is not required, the bridle is located at a distance of 0.5-0.8 mm from the necks of the teeth. Short experts call a bridle, calling for the front incisors, or fold, having an understated mount. Pathological fastening of the bridle is characterized by its beginning in the middle fragment of the upper lip and attachment to the gum at a standing of 0.6 mm.

A visual inspection will reveal the presence of diastema. Normally located bridle is not the cause of speech disorders and health problems, and the pathological attachment of this fold can cause some problems. To avoid trouble, experts spend plastic bridles of the upper lip.

It is interesting

The pathological structure of the bridle began to adjust more than 50 years ago. Today's techniques make it possible to conduct a safe surgical procedure, and the use of a laser makes the procedure for cutting the bridle bloodless and less traumatic.

Not all parents understand how important it is to perform an operation to correct an incorrectly fixed bridle in time. The fact is that the bridle is involved in the work of the dental system, therefore, the wrong structure of the bridle can cause aesthetic problems, the child can become a regular patient of a speech therapist.

A short frenulum prevents the upper lip from functioning correctly, a person cannot control the mouth with ease, problems with articulation appear. The defect structure of the bridle causes a decrease in the mobility of the lips.

A malformed or attached bridle causes a number of problems:

  1. The newborn can not properly attach to the breast, the quality of sucking is disturbed. Too short anchorage can become an obstacle to breastfeeding, and the neonatologist is entitled to solve this problem surgically.
  2. Speech problems. The quality of labial sounds, according to which the speech therapist reasonably suspects the shortened bridle, may suffer. Plastic solves this problem.
  3. A defective frenulum may be caused by impaired chewing and bite; These problems have a significant effect on the digestive system.
  4. The pathological length of the bridle and the peculiarities of its attachment to the alveolar process affect the retention of the interdental papillae. In humans, an interdental gap is formed, the distance between the crowns becomes longer.
  5. A short frenulum provokes the development of a gingival pocket, and inflammatory conditions on the gums further develop.
  6. Defects in the upper lip frenulum are responsible for increasing the sensitivity of teeth and their instability.
  7. In the presence of a wide bridle on the patient's teeth constantly remains food; The dentist will definitely see a large amount of plaque.
  8. Bridle repair prevents the development of periodontal disease.

What indications is the reason for the plastic bridle of the upper lip?

The presence of a short bridle is not the main indication for surgery. Upper lip frenulum surgery is offered to the patient under certain circumstances:

  1. The dentist states the presence of diastema between the incisors. The bridle is an obstacle that prevents the teeth from approaching the center. The constant load exacerbates the problem and the gap becomes even more noticeable. The impact on the interdental papilla is a traumatic situation, contributing to the development of periodontitis.
  2. Bridle trimming can be a manipulation that anticipates orthodontic therapy. Bridle, due to its ability to exert pressure on the dentition, is a factor affecting the development of bite. If manipulations to change the bite are assigned, the location of the frenulum of the lips should be evaluated. In case of pathological attachment, surgical intervention is indicated.
  3. Problems with the orthodontist - indications for medical manipulations; a short bridle contributes to raising the gums and exposing teeth.
  4. People with a short bridle may experience the phenomenon of dropping prostheses, so a specialist will correct the bridle before installing prostheses.
  5. Sometimes the indications for plastic bridles become logopedic difficulties. The bridle interferes with proper lip movements, as a result, many sounds are not pronounced correctly.

When is it best to trim the lip bridle?

Bridle excision laser In infancy, the plastic of the upper lip bridle is carried out only according to absolute indications: if the structure of the fold prevents the child from eating. Plastic surgery is prescribed for children over 5 years old. You should not worry: it is a simple operation, complications happen very rarely.

Why is the specified age a favorable time for an operation? At this time, the bite changes, permanent teeth appear in the mouth. In time made plastic will help speed up the process of bringing the front incisors closer to the center.

Sometimes the operation is transferred for a couple of years: seven-year-old children already have 4 front teeth. If necessary, correction of teeth in adolescents is possible.

Despite the popularity and simplicity of the operation, excision of the frenulum is contraindicated in the following conditions:


  • Radiotherapy head.
  • Progressive caries.
  • Problems with the oral mucosa.

General restrictions to the operation are:

  • Predisposition to the appearance of keloid scars.
  • Chronic disease.
  • Oncology.
  • Diseases of the blood.
  • Alcoholism.
  • Brain damage.

Upper lip frenulum plastics: laser and other excision techniques

In case of plastic surgery of the frenulum of the upper lip with a laser or other means, sanation of the mouth is shown. Cautious experts advise to hand over the annals. A child should not be hungry: blood counts are changing and plastic in this condition is less tolerated.

The operation is short-term: in 15 minutes mother will be able to hug and calm the young patient. Features bridle determine the method of surgical treatment. Traditional correction involves the use of a scalpel. Self-absorbable sutures are applied. Recovery takes a week - during this time the scar heals.

Dissection of the frenulum (frenotomy)

This intervention is used if the baby has a narrow bridle. A fold is cut in the transverse direction and longitudinal seams are applied.

Excision of the frenulum of the upper lip (frenectomy)

The patient with a wide bridle excised interdental papilla and tissue in the bone gap.

Frenuloplasty

Upper lip frenulum is a specific surgical procedure. During the procedure, the surgeon moves the place of attachment of the bridle.

Plastic bridle upper lip laser

New technologies allow bridle cropping to be done with a bloodless two-minute procedure. An anesthetic gel is applied to the patient, then the specialist adjusts the laser beam and dissolves the bridle tissue. The modern technique allows soldering and sterilizing the edges of the wound.

Advantages of laser plastics:

  1. The procedure is noiseless (which pleases parents whose children are afraid of noisy instruments).
  2. There is no need to stitch.
  3. The duration of the operation is reduced.
  4. Laser exposure is less painful.
  5. Rehabilitation is completed quickly (after a few days the child forgets about the wound).

In clinics, laser plastic lips cost 3000-5000 rubles. This is the price for peace of mind and the absence of pain.

How is the rehabilitation period for plastic bridles of the upper lip with a laser?

After the anesthetic has ended, the patient who has undergone excision of the upper lip frenulum may feel mild pain.

To avoid complications, you should follow some rules:

  • Need regular oral hygiene.
  • 2 days you need to eat warm grated or soft food.
  • Contact a specialist engaged in correction of the frenulum, to exclude postoperative complications.

Useful exercises for the muscles. Fun activities involving the performance of "Proboscis," Bud "and" Fence "are aimed at stretching the bridle and fixing the postoperative result. Improvements of diction are clearly visible immediately after medical intervention. Interdental distance is not narrowed immediately.

Independent rupture of the bridle

Children are very mobile, so situations where the bridle of the upper lip is injured in the event of a fall is not uncommon. It is worthwhile to show the baby to the dentist: he will assess the situation and stitch him (if the situation is serious). Without medical intervention, the edges of the wound can grow together asymmetrically, and a rough scar will injure the oral cavity and restrict lip movements.

The procedure for excision of the upper lip frenulum should be prescribed by a specialist and have clear indications. This is a short-term operation with a fast recovery period. The traditional method of excision of the frenulum with a scalpel is inferior to an innovative technique involving the use of a laser. Modern technologies of excision of the bridle make it possible to solve many aesthetic and verbal problems in 10 minutes.


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