3855 Trueman Court | Hilliard, Ohio | 43026
Hilliard Pediatrics, Inc. - Dr. Tim Teller, MD
Mouth injuries in children are quite common. For the first years after someone learns to walk, falling onto the mouth is quite common. Read further for guidance on when to watch at home or when to seek medical attention.
You may be asking “What is that?” A frenum or frenulum is the fleshy connection between the inside of the lip and the gums. A frenulum is a small frenum. These have quite a bit of blood supply and bleed easily if injured. Why many people no longer have an obvious frenum or frenulum is that they very likely injured it a long time ago, it bled, and then faded away and shrunk as it healed.
Because they bleed easily, it can be frightening to see when the frenum or frenulum is injured. Most children will cry for a few minutes, the bleeding will stop, and the area will look better in a few days. It is fine to offer Tylenol® or Motrin® for pain. If it is particularly sore, offering a Popsicle® or applying a cold cloth to the area should help. It may help to avoid acidic foods and citrus (for example, tomato sauce and orange juice) for a few days.
We have not had a patient have this torn or injured frenum or frenulum that has needed stitches in the past. Having said that, if the bleeding did not slow to just an slow ooze after 20-30 minutes, we would recommend either contacting us or having your child seen at the Nationwide Children’s Close to Home Center Urgent Care or Emergency Department.
It can be super painful to bite the inside of the cheek. With a fall or with chewing, it is easy to accidentally bite the inside of the cheek. These may bleed a little but the bleeding often stops quickly. If a child is quite uncomfortable after a few minutes (when the pain is the worst), it is fine to offer Tylenol® or Motrin® for the pain. It may be helpful to offer a cold drink (ice water or cold juice) or a Popsicle® for the pain. Encourage your child to chew on the other side of their mouth for a few days. If your child is old enough for chewing gum, avoid it for a few days afterwards also. Spicy, salty, or acidic (for example: tomato sauce and orange juice) foods should be avoided for a few days.
These injuries generally do not need to be seen in the office. However, if the pain cannot be managed with the above measures or the bleeding cannot be stopped as described above, your child should be seen.
Bites to the tongue with falls or chewing can be painful and bleed for a few minutes. If a child is quite uncomfortable after a few minutes (when the pain is the worst), it is fine to offer Tylenol® or Motrin® for the pain. It may be helpful to offer a cold drink (ice water or cold juice) or a Popsicle® for the pain. Spicy, salty, or acidic (for example: tomato sauce and orange juice) foods should be avoided for a few days.
As scary as an injured tongue can be, the good thing is they rarely need to be stitched. If the edges line up well and the bleeding stops in less than 15-20 minutes, it will very likely heal well on its own in a few days. A tongue injury that did need stitches would need to be seen at Nationwide Children’s Urgent Care or Emergency Department. In addition, some pediatric dentists, oral surgeons, and some ENTs (otolaryngologists) also can treat these as needed.
These injuries occur most often with falls, bike and car accidents, and sports-related injuries. We think of these tooth or teeth injuries as falling into three categories:
If an injury happens after hours and your child’s dentist is not available, we recommend your child be seen at the Nationwide Children’s Hospital Emergency Department where a dentist is available 24 hours a day.