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    upper lip attached to gum
    jills23 posted:
    my 18 month old's upper lip is attached to the gums in between her two front teeth, by a very very small "string". It also looks like behind her alveolar ridge is affected as it's raised a bit. We go to the doctor next week for her scheduled appointment so I will ask her then but am totally worried about it. I had something similar when I was younger, but my lip wasn't involved, just gums were larger in between my two front teeth. Any suggestions?
    Gwen Cohen Brown, DDS, FAAOMP responded:
    Hi Jills23,

    It sounds like you are describing a frenum attachment, a small thin strand of tissue, which can often involve and connect the lip and alveolar mucosa (gum tissue).

    I would recommend seeing a pediatric dental specialist who can accurately diagnose this as a frenum as well as assess the position of the attachment to determin if it may interfere with tooth eruption or tooth placement. Occasionally a low attachment of the frenulum will result in a space between the developing adult ( not baby) front teeth.

    Dr. Gwen Cohen Brown
    niedz2502 replied to Gwen Cohen Brown, DDS, FAAOMP's response:
    my son now 8yr old just lost his 2 front teeth. his baby teeth always had a large gap, and some people could not understand his speech. Wishful thinking i hoped speach was just maturity and gap would be a worry with adult teeth. At his last pediatric dental exam the dentist pointed out the attachment...cant belive i never noticed just how low the attachment was! (feeling so blind) but she explained the adult teeth will have a gap and once they grow in the attachment will need surgey and teeth will get braces for the gap.
    I have 3 children and come from large family and have never seen such a thing. ever. i have so many questions.. i will talk to his MD at next apt. ive ask the school if he can get a speach eval. i dont want him to talk funny until middle school when braces and surgey happen. I signed on to find out more so i can know more about this, so i can be prepared with questions for his doctor apt........thank you

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