How to Prevent Mouth Corner Tears During Dental Treatments - Dentistry

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Due to treatment, the corner of the mouth has cracked near the upper teeth?


Hello Doctor,
I would like to inquire about a situation I encountered a few days ago.
I had my upper wisdom tooth extracted due to decay, along with treatment for the cavities in the adjacent teeth.
Currently, I am undergoing root canal treatment.
However, since it involves the upper back teeth, my mouth has been opened to its maximum limit during the procedure, which caused my lips to tear at the corners.

I would like to know if there are any methods to help increase the mouth opening during treatment to facilitate the dentist's work.
I am concerned about the corners of my mouth being further stretched since the root canal treatment is not yet completed and I have to return for follow-up.
Thank you.

Zhang Xiaojie, 30~39 year old female. Ask Date: 2021/04/21

Dr. Lin Jiayong reply Dentistry


Hello: It is recommended that you directly inform your treating physician about your limited mouth opening condition.
You may ask the physician to use smaller instruments, or you can request a prescription for muscle relaxants to help reduce tension and tightness when opening your mouth.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2021/04/21

More Info


Preventing mouth corner tears during dental treatments, especially during procedures like root canal therapy, is an important concern for both patients and dental professionals. These tears can occur due to prolonged stretching of the mouth, particularly when working on the back teeth, which often requires the mouth to be opened wider than usual. Here are several strategies to help minimize the risk of such injuries:
1. Communicate with Your Dentist: The first and most crucial step is to communicate openly with your dentist about any discomfort or concerns you have regarding the procedure. Let them know if you are experiencing pain or if you feel that your mouth is being stretched too much. Dentists can adjust their techniques or use different instruments to help alleviate the strain on your mouth.

2. Use of Mouth Props: Some dental offices utilize mouth props or bite blocks that can help keep the mouth open without requiring excessive strain from the patient. These devices can help maintain a comfortable position and reduce the risk of tearing the corners of the mouth.

3. Muscle Relaxants: If you have a tendency to clench your jaw or feel anxious during dental procedures, discussing the option of muscle relaxants with your dentist may be beneficial. These medications can help relax the muscles around your jaw, making it easier to keep your mouth open without discomfort.

4. Frequent Breaks: If the procedure allows, your dentist may take short breaks to give your jaw a rest. This can help reduce fatigue in the muscles and tissues around the mouth, decreasing the likelihood of tears.

5. Hydration and Lip Care: Keeping your lips moisturized before and during the procedure can help prevent them from cracking. Applying a lip balm or ointment can provide a protective barrier against dryness and irritation.

6. Jaw Exercises: Prior to your appointment, practicing gentle jaw exercises can help increase your jaw's flexibility and reduce tension. Simple exercises like opening and closing your mouth slowly or moving your jaw side to side can help prepare your muscles for the procedure.

7. Consider Alternative Positions: If possible, ask your dentist if there are alternative positions that can be used during the procedure. Sometimes, adjusting the angle at which you are seated can help reduce the strain on your mouth.

8. Post-Procedure Care: After the procedure, if you notice any tears or discomfort, it's important to follow up with your dentist. They can provide advice on how to care for the area, including recommendations for topical ointments or medications to promote healing.

In summary, while dental procedures can sometimes lead to discomfort and injuries such as mouth corner tears, there are several proactive steps you can take to minimize these risks. Open communication with your dentist, utilizing supportive devices, and practicing good lip care can all contribute to a more comfortable experience. If you have ongoing concerns about your dental treatments, consider discussing them with your dentist to develop a personalized plan that addresses your specific needs.

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