Treatment for Lip Licking Behavior in Children
The most effective treatment for lip licking behavior in children is a combination of topical emollients (particularly white soft paraffin applied every 2 hours) and behavioral interventions to address the underlying habit. 1, 2, 3
Understanding Lip-Lick Cheilitis
Lip licking behavior in children creates a cycle of irritation and discomfort:
- The lips become dry, prompting the child to lick them
- Saliva evaporates, worsening dryness
- Enzymes in saliva irritate the skin around the lips
- Redness, flaking, and inflammation develop (lip-lick cheilitis)
First-Line Treatment Approach
Topical Management
- Apply white soft paraffin ointment to the lips every 2 hours during the acute phase 1
- Use bland, fragrance-free lip balms with UV protection for ongoing maintenance 3
- For moderate to severe cases, consider tacrolimus 0.03% topical ointment applied twice daily 2
- Avoid flavored lip products that may encourage licking
Behavioral Interventions
- Directly address the lip-licking habit through behavioral modification techniques 2
- Provide alternative coping mechanisms such as:
- Using a stress ball when tempted to lick lips 2
- Applying lip balm instead of licking
- Setting up a reward system for periods without lip licking
- Consider behavioral therapy approaches if the habit is persistent 4
- Parent training to help reinforce positive behaviors
- Cognitive-behavioral techniques for older children
Additional Supportive Measures
- Ensure adequate hydration 3
- Protect lips from harsh weather conditions 3
- Use humidifiers in dry environments
- Identify and address potential triggers (stress, anxiety, boredom)
For Severe or Persistent Cases
- Rule out other conditions (allergic contact dermatitis, nutritional deficiencies)
- Consider referral to dermatology if:
- Secondary infection develops
- Condition worsens despite appropriate treatment
- Symptoms persist beyond 2-3 weeks of proper management
- Consider psychological assessment if lip licking appears to be related to anxiety or compulsive behaviors 4
Treatment Monitoring
- Follow up within 1-2 weeks to assess improvement
- Adjust treatment plan if needed
- Continue maintenance therapy for 1-2 weeks after resolution to prevent recurrence
The most recent evidence suggests that combining physical barrier protection with behavioral interventions yields the best outcomes for children with lip-licking behavior 2, 3. The condition typically responds well to treatment when both the physical symptoms and behavioral habit are addressed simultaneously.