Cutting the frenulum of the lip with a laser. Plastic frenulum of the upper lip: he laughs well .... Comparing fixes

Most often, parents learn that a child needs a frenulum at one of the scheduled examinations at the dentist, and I must admit that for many this news comes as a complete surprise. No matter how authoritative the doctor's arguments sound, regarding the need for this operation, almost every parent still asks the question - is it necessary to cut the frenulum in a child? As a matter of fact, this question is far from the only one, but in order to answer it and make the right decision, you need to understand what the procedure for cutting the frenulum in a child is, how it is done and what threatens if it is not done.

Cutting the bridle in a child.

To begin with, there are three types of frenulums in a child's mouth:

• The frenulum of the upper lip is a vertical fold that connects the upper lip to the upper gum.
• The frenulum of the lower lip is a vertical fold that connects the lower gum to the lower lip.
• The frenum of the tongue is the connecting fold between the bottom of the tongue and the floor of the mouth.

Each of them performs its own special role and is responsible for the correct pronunciation of sounds, the formation of bite and even the nature of a smile. Too short a bridle, far from having the best effect on this, and therefore, doctors strongly recommend parents to cut the bridle in a child.

I must say that a short frenulum is a fairly common pathology that occurs in children. Of course, this entails the appearance of a number of different problems. The first of which, a violation of the sucking function, can manifest itself in a newborn baby, literally in the first days after birth. Often this is caused by a tongue tie, although sometimes a lip tie can also cause this, but in general, this is quite rare.

Cutting the frenulum of the upper lip. Most often, parents are faced with cutting the child's frenulum of the upper lip. As a rule, this happens at the age of 6-8 years, when the milk teeth fall out, and they are replaced by the molars. Until this time, it is by no means possible to cut the bridle in a child.

Due to the short frenulum of the upper lip, the child may have a problem with the pronunciation of some sounds. In addition, a shortened frenulum constantly pulls on the gum, which ultimately leads to the appearance of a gap between the front teeth (diastema), and naturally becomes the cause of the formation of a malocclusion. And at an older age, a frenulum not trimmed in childhood may well cause the appearance of such a disease as periodontal disease.

Undercutting the frenulum of the lower lip. A short frenulum of the lower lip is much less common, but, nevertheless, it happens. It, like the frenulum of the upper lip, affects the purity of the pronunciation of a number of sounds, the formation of a bite and the appearance of a gap between the teeth. Therefore, if this pathology is detected, the dentist will definitely recommend that you cut the frenulum in the child.

Cutting the frenulum of the tongue. As a rule, this pathology is detected and solved in a newborn child in the maternity hospital. Do not worry about this, there are no tongue tie, no nerve endings, no blood vessels, so this operation, which lasts just a few seconds, is absolutely painless and bloodless. But if it is not done, then the baby will face a whole host of problems, the first of which will be feeding. Due to the short bridle, he will not physically be able to take the breast correctly, and breastfeeding will become almost impossible. In addition, in the future this will affect the pronunciation of many sounds, and cutting the frenulum in a child will still have to be done.

Cutting the frenulum in a child - a scalpel or a laser?

All parents who decide to cut the child's frenulum are interested in the same question, how long does this operation take and how painful is it?

The answer to this question largely depends on which method of cutting the child's frenulum you have chosen. Now this operation is carried out in two ways:

• With a scalpel.
• With the help of a laser.

With a scalpel. This surgical operation is performed under local anesthesia and lasts from 20 to 30 minutes. During this operation, an incision is made with a scalpel, after which stitches are applied. There may be some bleeding.

The postoperative period is often accompanied by swelling, discomfort and mild, but painful sensations. After the operation, a small scar remains, which heals within 7-10 days, and subsequently completely resolves.

Until the wound is completely healed, it is recommended to refuse solid food and rinse your mouth with a special solution.

With the help of a laser. This operation lasts about 10-12 minutes. It is practically painless and absolutely bloodless, since the incision is made using a special dental laser, under the influence of which, the vessels are instantly soldered, which eliminates the very possibility of bleeding. At the same time, the need for suturing is completely eliminated, and dental gel or spray is most often used as anesthesia.

Despite the fact that most "non-dentist" doctors, mothers and fathers, for some reason, do not consider pediatric dentistry to be something difficult (in their opinion, the main difficulty is to keep the child in the chair), there are a number of issues that are unambiguous still does not exist. One of these issues is plastic surgery of the frenulum of the upper lip. Why is it needed, how and when is it done - read below.

What for?
Any medical intervention must be justified. It must also serve some purpose. Therefore, the words of the pediatrician "Your child has a short frenulum of the upper lip" are not an indication for an indication for emergency plastic surgery. In this case, it is better to seek advice from a good dental surgeon who knows how to work with children.
And the indications for plastic surgery of the frenulum of the upper lip are as follows:
1. The presence of a gap (diastema) between the central incisors. The frenulum of the upper lip, woven into the interdental papilla and forming a thick band, does not allow the incisors to converge to the center. Moreover, due to the constant low load, the diastema will increase, and the teeth themselves will move forward and away from the center.
In such a situation, the interdental papilla is constantly exposed to trauma - this can lead to periodontitis and, as a result, to loss of teeth.
2. In preparation for orthodontic treatment. As mentioned above, all kinds of soft tissue cords in the oral cavity, including the frenulum of the upper lip and tongue, create small loads on the dentition and significantly affect the bite. Therefore, if your child is to correct the bite, you need to pay attention to the frenulum of the upper lip.
3. With periodontal diseases and the threat of their occurrence. In this case, the frenulum of the upper lip, as it were, "pulls" the mucous membrane from the teeth. Gingival recession occurs - a very unpleasant thing that will require long and expensive treatment.
4. In preparation for removable prosthetics. When moving the lips (for example, during a conversation or eating), a short frenulum of the tongue can contribute to the dropping of a removable prosthesis. Naturally, we are talking about who uses removable dentures.
5. Very, very rare a severely shortened frenulum of the upper lip can cause impaired sound production and speech therapy problems. This is also an indication for plastic surgery of the frenulum of the upper lip.

When?
This is where one of the main differences arises. Sometimes very small children aged from 0 to 2 years old are brought to us with a request to "cut" the frenulum of the upper lip. To the question: "Why?" we get a logical answer: "The pediatrician said ..."

Remember once and for all: UPPER LIP FRENUPLASTY IS NOT PERFORMED FOR INFANTS! There are no indications, but there are quite a few dangers.
The optimal age for plastic surgery of the frenulum of the upper lip is from 5-6 years. At this time, there is an active change in bite - milk teeth fall out, permanent teeth erupt. So, the ideal option is the time when the central incisors have erupted (at least by a third), but the lateral ones have not yet. In this case, the erupting lateral incisors will "push" the central incisors to the center (nothing will interfere with their movement) - and everything will fall into place. Sometimes - on their own, and sometimes - with a little orthodontic help.

How?
No special preparation is required for upper lip frenuloplasty. I don’t quite understand why some doctors send children for tests and fluorography - this operation is very less traumatic. In my opinion, as well as the opinion of the children themselves, it is much more unpleasant to remove milk teeth. We do not send for analysis of everyone who came to get rid of a tooth.
My only wish is that the child should be well fed. A hungry person endures everything worse, hunger is an additional stress, a hungry person's blood coagulates worse. So feed your little one before you go to the dentist.

One of the main conditions for the operation is that the child should sit quietly in the chair for at least 10-15 minutes. How to achieve this.
The operation is performed under local anesthesia and takes about a quarter of an hour. It is absolutely painless and does not cause any discomfort (the child sits with his mouth open and can even talk). Sutures are applied to the surgical wound, which do not need to be removed later - absorbable suture materials are used.

The postoperative period also passes very calmly. Of course, when the anesthetic wears off, the operation site may hurt a little, but this is the maximum.
The whole regime at this time comes down to three simple rules:
1. Thorough oral hygiene
2. Refusal of rough and hot food for 1-2 days. It seems to me that you can live without chips, nuts, apples and carrots for two days.
3. Postoperative examination. Usually done the next day or every other day.

If all these conditions are met, then the baby does not have any problems. The operation is almost unnoticeable for both himself and his parents, and the result obtained helps prevent many dental problems in the future.

Below is an example of such work. This time I will not show all the stages of the operation (due to criticism from some readers for the "bloodyness"), but I will demonstrate only the initial version, postoperative examination and long-term result after 6 months.

Girl Katya, 7 years old. Initial situation:

As you can see, the frenulum of the upper lip is woven into the interdental papilla. Because of this, the 11th tooth grows a little to the side, it is to be expected that the same problem will occur with the 21st tooth. Therefore, together with the orthodontist, it was decided to perform plastic surgery of the frenulum of the upper lip.

On two days after plastic surgery of the frenulum of the upper lip:


The white stripes are absorbable sutures. The postoperative wound gives an idea of ​​the traumatic nature of this operation.

After that, Katya continues orthodontic treatment. The result of our joint work after 6 months:


I would also like to teach Katya how to brush her teeth)))... A small diastema still remains, but this is a solvable problem.

As usual, I look forward to your questions in the comments.
Good health!

Update: October 2018

In the oral cavity, there are several strands of connective tissue that are attached to the muscles and mucous membranes. Such formations are called bridles. The most noticeable and important of them are under the tongue, upper and lower lip.

Signs of a short frenulum of the tongue

The mucous cord of the tongue is normally attached in the middle part of its part. If it ends in the anterior third or even near the tip, then it is considered not long enough. At each age, you can find different symptoms of this pathology.

• Difficulties in breastfeeding a newborn
• Periodontitis
• Violation of the formation of speech

Difficulties with breastfeeding

Already during the initial examination and after the debut feeding of the baby, you can notice the wrong structure of the oral cavity. The main sign will be sluggish sucking of milk or the complete absence of productive sucking movements. It must be remembered that this condition occurs in many diseases, birth injuries, cerebral hypoxia and other severe pathologies. Therefore, first you need to exclude all life-threatening situations.

A rare but striking anomaly is ankyloglossia - an almost complete increment of the tongue to the mucous membrane of the floor of the mouth. This does not allow the movements necessary to suck milk from the mother's breast. To make a diagnosis, a cursory examination of the baby is enough.

It is more difficult to recognize the cause of sluggish sucking. It seems that the child eats, there is a lot of milk, but at the same time he is constantly hungry and ready to “hang” at the breast for hours, bites the nipple, gets nervous, and in the end he may refuse to eat. This is also the fault of a short frenulum in a newborn, which limits free movements.

Periodontitis

Due to the constant tension of the tissues of the bottom of the oral cavity, periodontitis can occur - an inflammatory process in the area of ​​\u200b\u200bthe lower teeth. Such a complication is rare, but any dentist in the presence of periodontitis will carefully examine the entire oral cavity.

Violation of the formation of speech

The pronunciation of some sounds (hissing, whistling, palatal) requires active movements of the muscles of the tongue. Therefore, children with limited mobility may lag behind in speech development, pronounce words distortedly for a long time, and sometimes fix a speech defect. The speech therapist at the reception will definitely suspect a short frenulum of the child's tongue, but at the same time he will look for other causes of incorrect sound pronunciation.

Four types of abnormal tongue frenulums

1. Thin, normally attached, but not long enough, may restrict mobility slightly.
2. Thin, not long enough, attached close to the tip, limiting its mobility. When raised, a groove forms in the center of the tongue.
3. A dense, short cord that is woven into the tip. The latter folds up and splits in two when raised.
4. An inconspicuous band in the thickness of the tongue, limiting its mobility.

Most of all, speech disorders are noticeable in children with the third type, and the “r” is the most problematic sound. Severe anomalies are usually combined with a deep bite and too tight teeth, since the band can inhibit the growth of the jaw.

Diagnostics

Since it is not always possible to determine a short frenulum in the maternity hospital, it is useful for parents to know the external signs of an anomaly.

• With ankyloglossia, the child cannot stick out his tongue, lick his lips
• With medium and mild degrees of shortening, the following symptoms may occur: the tip of the protruding tongue bends upward, raising it leads to the formation of a groove in the middle.

Treatment

There are several conditions that require surgical treatment:

• Ankyloglossia
• Sluggish milk sucking and poor weight gain when other causes are ruled out
• Violation of sound pronunciation with the exclusion of other causes and with a pronounced shortening of the strand

In these cases, the short bridle in children is cut. It is a procedure performed under local anesthesia, safe and almost bloodless. Immediately after it, you can feed the child and allow him to talk. Recently, the laser excision technique has become widespread, as it is faster and more convenient than the old method. Most often, the procedure is carried out in 2-4 months, according to indications and earlier. If the pathology was discovered after five years, then plastic surgery may be required (to form a mucous cord).

In a situation where there are no problems with nutrition, the child is actively trying to speak, then you can limit yourself to articulatory gymnastics. These are exercises aimed at stretching the bridle. They are based on the maximum increase in amplitude when moving the tongue. You need to try to get them the tip of the nose, chin, roll it up or move it to one side.

Signs of a shortened frenulum of the upper lip

The process connecting the upper lip and the mucous membrane is also too short and wide. It does not cause speech or milk sucking problems, but it can affect the distance between the teeth.

Diastema - a wide gap between the upper central incisors - occurs for various reasons. In the milk bite, it is the absolute norm, occurring in almost all six-year-olds. But if permanent fangs erupt, and the gap between the teeth still remains more than 3 mm, then it makes sense to think about the influence of the upper lip.

Three types of anomalous frenulum of the upper lip

• Attached closer than 4 cm from the interdental papilla, but thin, long enough, not restricting mobility.
• Attaches normally, thin but short, may limit lip mobility.
• A wide cord woven into the interdental papilla, the mobility of the lip is limited, often there is a large gap between the teeth.

Excessive distance between the teeth often causes the third type of anomaly. In most of these cases, a short or low-attached frenulum is not the underlying cause.

In addition to the gap between the incisors, periodontitis can occur. This usually occurs if any movement of the lip causes the underlying tissues to become white. Lack of blood circulation can cause problems in the upper jaw area.

Treatment

Too small in length and wide cord, especially low attached, can prevent the incisors from approaching. In such cases, foreign experts recommend its excision after the formation of a permanent occlusion (at 11-14 years old) and the elimination of the diastema (by a system of braces or plates). In our country, sometimes they do surgery in a mixed dentition (at 5-6 years old). This is not entirely justified, as scar tissue can form. In addition, almost always, the eruption of fangs leads to compression of the mucosal bridge, its thinning and self-closing of the diastema. As a result, no surgery is required.

The main principle of treatment is intervention according to indications. If there is a visual change in the oral cavity, but the child does not suffer, and there are no aesthetic flaws, then nothing needs to be corrected and treated.

Teeth are normal Dental treatment for children Indications for plastic surgery or trimming of the frenulum of the upper lip in a child

In the oral cavity are three ligaments called frenulums. The first connects the lower lip and jaw, the second is located under the tongue, the third connects the upper lip with the gum. There are frequent cases when, due to congenital anomalies, plastic surgery of the upper frenulum is required - its cutting by a dentist.

Signs of an anomaly

The frenulum is a mucous fold of a triangular shape. One side of it is attached to the lip, the other to the gum between the incisors. The aesthetics of a smile, the clarity of pronunciation of sounds, and the convenience of eating depend on its position.

You can notice that the length of the upper frenulum is less than normal, you can do it yourself. To do this, pull the upper lip and determine where it is attached. A distance of 5-8 mm is considered normal. If it is smaller (the fold is located closer to the incisors or at their junction), they speak of an anomaly.

Consequences of pathology

The operation to correct the frenulum is not an emergency, but plastic surgery should be carried out according to the following testimony:

1. A gap forms between the central incisors if the crease fuses with the interdental papilla and prevents the teeth from coming together. In addition, the teeth will move forward due to a small load.

1. Due to malocclusion, chewing functions are disturbed, and digestive problems arise.

1. The operation can be carried out at the direction of the orthodontist in preparation for the procedures to correct the bite.

1. The indication for plastic surgery is periodontal disease, since the frenulum, pulling on the mucous membrane, provokes gum recession. Because of it, gum pockets are formed, in which plaque accumulates, turning into a source of inflammatory processes.

1. The upper lip is involved in the process of sucking, the anomaly makes it difficult, and the child gains weight poorly, receives insufficient nutrients.

1. A short frenulum makes it difficult, as it prevents the prosthesis from staying on the gum.

1. Due to the roots being exposed, hypersensitivity appears, the teeth become unstable.

1. A shortened ligament often causes speech therapy problems; Difficulty pronouncing some vowels and labial sounds.

Operation methods

Plastic surgery is performed by a dentist. The optimal age for her is 5-8 years old, when milk teeth change to permanent ones. It is believed that the ideal period is when the central incisors from the permanent bite have erupted at least a third, and the lateral ones have not yet.

For younger children, especially those under one year old, surgery is done only if there are serious malnutrition.

The procedure does not require special preparation, with the exception of the sanitation of the oral cavity. Applied four methods:

1. Frenotomy- transverse incision, used for a narrow fold.
2. Frenectomy- excision along the ridge along with the papilla and interdental tissues. Recommended if you have a wide frenulum.
3. Frenuloplasty- moving the attachment area. The fold is cut along the ridge, the lateral flaps are displaced a certain distance.
4. Laser plastic suggests that the main instrument of the surgeon is not a scalpel, but a laser beam. It dissolves tissue while sealing wound edges and killing bacteria.

The use of a laser does not require stitching of tissues; in other cases, self-absorbable sutures are applied. After the procedure, it is necessary to monitor oral hygiene and refuse rough, spicy, hot food for several days. Often classes with a speech therapist are required, since the amplitude of the movement of the tongue changes and it may be difficult for the child to get used to pronouncing sounds in the new conditions at the first stage.

Sources:

1. Kuryakina N.V. Therapeutic dentistry of children's age. Nizhny Novgorod, 2004.
2. Internet blog of the dentist Stanislav Vasiliev.

03.12.2009, 00:22

Hello!

The questions are:

03.12.2009, 10:39

Made in September. Child 5, 8.
1. It was a little scary, unpleasant when they did anesthesia. And the first few hours when the anesthesia wore off was painful. (laughing, difficult to talk) But everything was tolerable, there were no special tears on this occasion. best of all, if he can sleep, so that all the unpleasant moments in a dream pass. :)
2. Heals - individually. The threads should come off within a week. In fact, the first two days are painful, and then it all depends on the sensitivity and tolerance of the pain. Food restrictions are also the first two or three days. The first day we ate everything soft (we drank more than we ate), bought her baby food, made mashed meat from a can, ate everything, a banana in small cubes (so as not to open her mouth too much), yogurt, etc.
3. They just rinsed their mouth - first with chlorhexidine or, if I'm not mistaken, furacilin, then with chamomile. They didn’t take any pills, only on the first day it was possible to take some kind of analgesic to reduce pain.
4. Until I answer, we have a milk bite. :)))

03.12.2009, 10:45

They did it when my son was 6.8


3. They did not drink any medicines.

03.12.2009, 10:48

did at 6.5 years:
1. Quite tolerable - more unpleasant Discomfort after the end of anesthesia I don’t remember.
2. Edema was a couple of days. We were not told to limit food :)
3. did not drink antibiotics.
4. the gap disappeared, but after putting the record on...

03.12.2009, 10:53

They did it when my son was 6.8
1. It's not scary, the surgeon was very attentive, he kept praising the child. When the anesthesia wore off, he didn't complain either. The first day after cutting, the ice was applied more often.
2. Healed for 5 days. Smeared with dental solcoseryl. The first two days we tried to give softer food.
3. They did not drink any medicines.
4. Yes, the interval has decreased in just three months, now everything is normal. But the son also wears a trainer.

What is a trainer?

03.12.2009, 10:56

What is a trainer?
Here (http://www.zub-zub.ru/articles/orthodontology/ortodohttreiner/)

03.12.2009, 11:00

Sorry, but I can get in with my question :)
When is the bridle cut?
Us 7.4. The doctor said to watch until the 4 upper front ones erupt. And on the internet I read different information.
Don't drag this out...

03.12.2009, 11:02

Us 7.4. The doctor said to watch until the 4 upper front ones erupt. And on the internet I read different information.
Don't drag this out...
We were told the same thing, until two other doctors said that it was already possible to cut (the indigenous ones were only ones, the deuces were dairy). As I understand it, it’s right that they cut it off, otherwise there simply wouldn’t be enough space for the root deuces ...

03.12.2009, 11:09

Good afternoon,

03.12.2009, 11:13

Good afternoon,
where did you cut the frenulum and from which surgeon?
Esenina 22, building 3 - this is the "Pearl" dentistry in the school building. Surgeon Magomedov :).

03.12.2009, 11:17

can I get into the topic?
Where did they do it? Praise, scold, we are already 9 years old, there is nowhere to wait.

03.12.2009, 11:32

Look for a search, there were several such topics (she was interested in the same a year ago).

03.12.2009, 12:14

Hello!
Large gap between front teeth.

I myself had a large gap between the upper front teeth (1-2mm). When the wisdom teeth began to grow, the gap disappeared!

Sorry if off topic...

03.12.2009, 12:26

They cut my frenulum as a child. The gap disappeared. As far as I remember, the discomfort in the first days was no longer from pain, but from appearance, but my brothers tried and teased me.: 004: It’s better to sleep after the operation.

03.12.2009, 12:38

03.12.2009, 15:41

We will do it at the Good Dentist's Clinic on Dybenko. There is a very kind and professional doctor Sladkov (we made inquiries). I think it will be expensive.

03.12.2009, 16:00

We cut the frenulum at the age of 8 in pediatric dentistry. There were no restrictions on nutrition, they simply tried not to give rough and sour food. Everything went well, even without tears (although I have a terrible coward). The bandage was removed after a couple of hours and they still give three days of release from school (but as a rule, the operation is done on Fridays :)).
The gap between the teeth has decreased, but has not disappeared at all (we are waiting for the fangs to come out).

03.12.2009, 16:05

Terrible, unpleasant, but tolerable. Ate in 2-3 hours. The stitches were removed. The teeth came together. They cut the bridle at 8 years old.
They did it at the local clinic.

How many days are the stitches removed?

04.12.2009, 08:11

Hello!
Need information on the operation on the frenulum of the upper lip. We need to cut it and put stitches (I understand that this is a type of plastic dental surgery). Daughter is 9 years old. Large gap between front teeth.
The questions are:
1. How painful is it for the child? Especially after the anesthesia wears off?
2. How long does it take to heal? Are there food restrictions?
3. Do I need to drink antibiotics or other medicines for better healing and elimination of inflammation.?
3. Did the gap between your front teeth decrease after cutting the frenulum?

I was done in childhood: 1. - under local anesthesia; 2 - I remember that it was fast, although it was a long time ago; 3 - don't remember; 4. the teeth didn’t just come together (there was a huge gap), but even found each other: (so follow up in a timely manner

04.12.2009, 10:22

04.12.2009, 12:35

How many days are the stitches removed?
To be honest, I don't remember:008:. Maybe 3-4 days (everything heals quickly in the mouth).

04.12.2009, 14:38

07.12.2009, 12:48

Cut in 7 years in a private clinic. In the district clinic, the orthodontist scolded me very much. She said that now it is prohibited by the Ministry of Health, and that only private traders are engaged in this. Did it last year. The gap hasn't moved yet.

And can you elaborate: 091:, the Ministry of Health forbade cutting the bridle?!

07.12.2009, 15:21

07.12.2009, 16:58

Hello!

08.12.2009, 18:39

We developed it ourselves, it turned out to avoid cutting.

08.12.2009, 20:20

Hello!
Need information on the operation on the frenulum of the upper lip. We need to cut it and put stitches (I understand that this is a type of plastic dental surgery). Daughter is 9 years old. Large gap between front teeth.
The questions are:
1. How painful is it for the child? Especially after the anesthesia wears off?
2. How long does it take to heal? Are there food restrictions?
3. Do I need to drink antibiotics or other medicines for better healing and elimination of inflammation.?
3. Did the gap between your front teeth decrease after cutting the frenulum?
I had my bridle cut at 9 years old. Both above and below the tongue. My memories:
1) surgery - no pain at all. Under local anesthesia. When the anesthesia wore off, it was very painful for me, but, most likely, it was more painful not on top of the gum, but under the tongue.
2) ate yogurt for the first two days, the first time a few hours after the operation. After yogurts - vermicelli broth. But, again, the gum hurt, only under the tongue, because of this, the restrictions turned out.
3) I don't remember. But she didn't take any pills. Maybe something smeared, but I do not remember.
4) after that, she wore the plate for another six months. The teeth came together perfectly, now the dental floss passes with difficulty. And the gap was - half a tooth!

08.12.2009, 20:57

Hello!
They made a child at 8.5 years old in Neodent (branch of MEDI on Yachtenna). Price 1300r.
We consulted in advance in different places, we wanted to be sure that such an intervention was really necessary. :)
Did it on a Friday night. Anesthesia local, departed after 2-3 hours. Painful sensations were only in the evening on Friday. They ate ice cream. :)
On Sunday I ate apples.
As a prophylaxis, they rinsed the oral cavity of Tantum Verde. (on Friday, on Saturday they didn’t dissolve, and then for another 2 days with a solution with water, as they taught in the clinic - as far as I understand, the meaning was more in gymnastics).
Tell me, please, and in Neodent, who did it? I would like to find a good specialist.

08.12.2009, 22:35

08.12.2009, 23:03

Hello!
Need information on the operation on the frenulum of the upper lip. We need to cut it and put stitches (I understand that this is a type of plastic dental surgery). Daughter is 9 years old. Large gap between front teeth.
The questions are:
1. How painful is it for the child? Especially after the anesthesia wears off?
2. How long does it take to heal? Are there food restrictions?
3. Do I need to drink antibiotics or other medicines for better healing and elimination of inflammation.?
3. Did the gap between your front teeth decrease after cutting the frenulum?

We cut the truth in 3.5 years. But it was like this:
1. The child was not so much hurt as scared. Therefore, the most difficult thing was to do anesthesia. True, they also got out of the situation - they made a relaxing injection, then local anesthesia.
After the anesthesia wore off, the child did not even really remember what happened.
2. Healed very quickly. In terms of nutrition, the restriction was introduced only on solid food (those that can hurt the wound). The mouth was rinsed, which I don’t remember now (I can see it in the notes).
3. Antibiotics were not prescribed to us. When they came to remove the stitches (in a couple of days), my daughter did not let me do it. They said they would fall off in a week, and that's exactly what happened.
4. We did not have a gap between the teeth. On the contrary, the upper teeth sat very tightly. But they cut our bridle not because of this.

15.12.2009, 01:15

We have been seeing an orthodontist for a long time, in the district clinic they said it is necessary to cut the bridle (we have a gap and bite is not correct, the upper teeth go forward), they tried to cut it, the son did not give in (a coward by nature, he values ​​\u200b\u200bhis skin very much), went to a paid clinic, there they said that nothing needs to be cut! In January we will put a plate.

15.12.2009, 11:30

Thanks everyone for the info. We already cut it on Saturday.
My daughter felt good, and now she completely forgot about her. It was painful only to give an injection (anaesthesia), and then they covered my face with a sterile cloth (and at the same time closed my eyes so that it would not be scary from the sight of different scissors / threads) and no sensations. There were a lot of stitches * (I don’t understand anything about this, but in my opinion 3 pieces), we eat everything in a row.
We are happy, everything is behind us!

15.12.2009, 11:49

Made by Chernenko Oleg Valerievich. I think he's the only dental surgeon in that branch. From here you can see www.emedi.ru/dental/yacht.html (http://www.emedi.ru/dental/yacht.html)
Thank you! :flower: Did you first go to the orthodontist or can you immediately sign up for cutting the frenulum to Chernenko?

04.02.2010, 18:35

I cut my daughter's bridle when she was 10. Made with a laser. Very fast and accurate, I was more afraid than they did.
Where is the laser cut?

17.03.2010, 14:28

I'm joining too. Today we went to the dentist (they took a certificate for the school) and the doctor said that you need to go to the orthodontist - and there is a record for the end of summer, you need to look for a chorus. a specialist and stomp ... we have a huge gap ... I want to do everything before school! the truth can at whom still coordinates are good doctors?

17.03.2010, 16:27

I myself have a gap between my teeth (as a child, my mother took pity on the capricious girl and did not take her to cut the bridle :)). My son will soon be 8 years old, also a gap between his teeth. They cut yesterday!
Undercut in the district dentistry. Moved everything calmly. He only got angry when the anesthesia began to recede and still periodically feels sorry for himself (oh, these men :)). While the swelling is still strong, it looks like Simpson)). Tablets were not prescribed and the stitches also did not need to be removed. We are waiting and hoping that the gap will disappear!!!

Rainbow Perspective

17.03.2010, 18:48

I cut my daughter's bridle when she was 10. Made with a laser. Very fast and accurate, I was more afraid than they did.

I have not yet found WHERE the bridle is cut with a laser? Write please!

19.03.2010, 12:26

We have the same problem, we were examined at the school and the orthodontist prescribed plastic surgery of the upper lip, the gap is also decent. We will cut in the clinic of the Admiralt.r-on, where the head doctor does it himself - they say a good doctor ... I don’t know, my husband is in charge of everything, but the operation is paid for 1500 rubles, they said they will call themselves and set the date and time, how it will go I'll tell you.
And on the plate we were put in line. So I realized that we will put in the fall.

I'll ask again ....... Has anyone encountered the absence of tooth germs ??????

19.03.2010, 12:50

about the gap, my daughter has it and we wear a plate, we don’t cut the bridle yet, maybe
the bridle can be done after the complete eruption of the upper twos, as they shift the central incisors. And in the event that the plate fails to close the diastema. To better assess the frenulum and the need for surgery, it is necessary to take an aiming picture of the central incisors. The presence of dense bone tissue between the central incisors indicates that the strands are not woven there, since they look transparent in the picture. Then, most often, the effect of the plate can be achieved, and the operation is not needed.

IrinkaPicture

19.03.2010, 12:56

My daughter's frenulum under the tongue was cut in a month - I don't know how I endured it - I had to give this lump into the surgeon's huge hands and EXIT from the office. Terrible, I don't want to remember. The baby didn't really cry, she fell asleep right away and that's it.

Under the upper lip, it also needs to be trimmed (by the way, they told me about it at the same time, a month later). The upper incisors were completely erupted (ones and twos). I want through the district clinic. Never went there before. Can someone tell me how to get there? Should I book over the phone or do I have to come in person? And is it possible to immediately make an appointment with an orthodontist or do I need to see a therapist first?

19.03.2010, 13:21

I want through the district clinic. Never went there before. Can someone tell me how to get there? Should I book over the phone or do I have to come in person? And is it possible to immediately make an appointment with an orthodontist or do I need to see a therapist first?
In our district, dentists are on the first floor, and orthodontists are on the second. You can immediately sign up for an orthodontist - but this is for an examination, and not for cutting the frenulum.

IrinkaPicture

19.03.2010, 13:31

[
PS ^ I did not dare to cut in our district, I am very pleased with the surgeon at Yesenin, 22, who performed this operation on my son.

Thank you so much :flower:

And why did they refuse the district? After all, I understand that we are attached to one. What confused you there? I just heard (here on LV) a VERY positive review about orthodontists in our clinic.

19.03.2010, 13:35

Hello!
Need information on the operation on the frenulum of the upper lip. We need to cut it and put stitches (I understand that this is a type of plastic dental surgery). Daughter is 9 years old. Large gap between front teeth.
The questions are:
1. How painful is it for the child? Especially after the anesthesia wears off?
2. How long does it take to heal? Are there food restrictions?
3. Do I need to drink antibiotics or other medicines for better healing and elimination of inflammation.?
3. Did the gap between your front teeth decrease after cutting the frenulum?
Did it recently. 10 years old son. In a regular dental clinic. True, for a fee (they do not do it according to compulsory medical insurance).
1. Almost painless after anesthesia. At least we have.
2. Healed quickly. day 3 . By the time they removed the stitches, everything was fine. For the first day or two, they said to eat something mushy, so as not to injure.
3. You don't need to drink anything. and even told not to rinse.
4. The gap has not yet become smaller, well, maybe 1 mm ... Half a year has passed ...: 004: I do not lose hope.
I had a big gap as a child. The cut didn't go. By the age of 20, everything came together. With the operation, I think it should converge earlier :)

19.03.2010, 13:35

I just heard (here on LV) a VERY positive review about orthodontists in our clinic.
I like the orthodontists there too. And the trainer corrected the bite, thanks to the recommendations of Dr. Shimanskaya from there.
But after all, the surgeon cuts the bridle, not the orthodontist ... and surgeons there have already pulled out more than one milk tooth for their son - they tear it quickly and professionally, but the attitude towards the child ... well, it’s rude all the same.

And for 1200 rubles. we got both a good operation and a great attitude :))

19.03.2010, 13:38

[
PS ^ I did not dare to cut in our district, I am very pleased with the surgeon at Yesenin, 22, who performed this operation on my son.

Thank you so much :flower:

And why did they refuse the district? After all, I understand that we are attached to one. What confused you there? I just heard (here on LV) a VERY positive review about orthodontists in our clinic.
Yes, I am very satisfied with our surgeon. And calmed down and joked and did everything neatly. And then I was all shaken up. I'm terribly afraid of free institutions, and paid ones are even more sometimes: 001:

IrinkaPicture

19.03.2010, 13:44

19.03.2010, 19:33

pogranec, but can I go to "our" orthodontists, cut on Yesenin, and put a record on the policy? The order of actions is not how I can not line up in my head ... Where should I go first? Enlighten the steamed mother:flower:
First, to the orthodontists, they will put in line for the plate (they put us in and said that the line will come up in a year: 009 :) and they will tell you when to cut the frenulum. We were told to wait until the native top twos were fully grown. But Yesenin was told that with our gap between the teeth (and it was really big) you can cut earlier. Which is what we did.

The center of the world

25.09.2011, 01:20

25.09.2011, 02:25

I read about edema here ... Tell me, please, how long does the edema last after plastic surgery? We made an appointment for Tuesday, specifically asked if we could go to school the next laziness, the orthodontist assured that we could. But with a swollen lip, I don’t want to send the girl to school, she won’t like it.

Our edema probably subsided by evening. day. But the next day you can’t go to school, the operation is still considered, a certificate is given for 3 days. Day 1 - plastic surgery, day 2 or 3, be sure to see a surgeon

25.09.2011, 12:08

I read about edema here ... Tell me, please, how long does the edema last after plastic surgery? We made an appointment for Tuesday, specifically asked if we could go to school the next laziness, the orthodontist assured that we could. But with a swollen lip, I don’t want to send the girl to school, she won’t like it.

Had surgery last year. The main edema subsided the next day. But for another week it was noticeable. We went to school on the third day.

The center of the world

25.09.2011, 14:49

Thanks for the replies, we'll be in touch on Friday.

27.09.2011, 00:30

did at age 7. We cried a little, but it probably healed for 3 days.

MomDini

04.10.2011, 18:17

The speech therapist sent us to the orthodontist that the frenulum must be “pierced”, otherwise there will be gaps between the teeth. The orthodontist strongly recommended not to touch the upper frenulum until the age of 10-13, this is "an immune status, you can harm all the teeth ..."
and here's how... :009:
How many doctors have so many opinions, who is right?:010:

04.10.2011, 18:51

The orthodontist told us to cut at the age of 9 (we are waiting until February). Looks like we'll do it during spring break.

05.10.2011, 00:21

at the daughter now (soon 9) the upper teeth converged, the gap disappeared. It is strange that cutting the bridle is recommended to many so late 10-13 years. Well, maybe there are different cases.

05.10.2011, 00:42

We also have a large diastema. And against the background of the recently fallen deuces, the mouth looks like a palisade)))) all in thought about surgery. Familiar dentists advise to the orthodontist. Let's see ... So I realized that for many everything went by itself, without intervention ... We also had to "sew up" the navel in the spring at the insistence of the surgeon. It didn't work out - they got sick. Now I’m looking at my daughter after the summer (active jumping on a trampoline, swimming in the pool, riding bikes) + with the start of physical education at school, the navel began to retract itself slowly. We signed up for the pool, let's look at the dynamics. With teeth, I think, the same - we will not rush ..

The center of the world

05.10.2011, 01:02

With teeth, I think, the same - we will not rush ..
The father, grandmother and great-grandmother of my daughters, as well as probably their more distant ancestors, whose photos I have not seen, did not wait until it goes away on its own :)) - all with a healthy gap between the teeth. So I will not wait for favors from nature - my daughter will go to the surgeon. We will not wait for 11 years either - I don’t want my daughter to go with braces at a transitional age.

05.10.2011, 15:33

The father, grandmother and great-grandmother of my daughters, as well as probably their more distant ancestors, whose photos I have not seen, did not wait until it goes away on its own :)) - all with a healthy gap between the teeth. So I will not wait for favors from nature - my daughter will go to the surgeon. We will not wait for 11 years either - I don’t want my daughter to go with braces at a transitional age.

No one in our family has gaps - neither from my side, nor from my husband. All teeth are tightly seated, the husband's fry parted after the removal of the six. So, we have a good heredity in this sense. And braces now, in my opinion, have become an element of youth pop culture in general)))) no one is embarrassed by this anymore, just like glasses))) But in no case do I urge anyone to wait until they turn blue in the face))) I still I see - we are only 7 years old barely turned))