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[Traumatic ulceration of the tongue in an infant]
L Dubois1, K H D M Keuning, J A H Lindeboom
1Afdeling Mondziekten en Kaakchirurgie van het Academisch Medisch Centrum en het Academisch Centrum Tandheelkunde Amsterdam (AMC/ACTA).
Insights
Riga-Fede disease, or traumatic oral granuloma, involves ulcers on a baby's tongue or lip caused by emerging teeth. Early diagnosis is crucial to prevent long-term complications.
Area of Science:
- Oral and Maxillofacial Surgery
- Pediatric Dentistry
- Infant Health
Background:
- Riga-Fede disease, also known as traumatic oral granuloma, presents as ulcerations in infants.
- These lesions result from chronic irritation by erupting teeth, typically lower incisors.
Observation:
- A 6-month-old infant presented with a persistent oral ulcer.
- The clinical presentation was consistent with Riga-Fede disease.
Findings:
- The condition is characterized by traumatic ulcerations on the tongue or lower lip due to tooth eruption.
- Early recognition is vital due to potential associations with neurological abnormalities.
Implications:
- Delayed diagnosis or inadequate treatment can lead to permanent oral deformities and nutritional deficiencies.
- Prompt management is essential for optimal infant growth and development.
Abstract:
A 6-month-old baby was referred to an oral and maxillofacial surgeon due to an ulcer that had not healed. The diagnosis was Riga-Fede. The disease is also known as traumatic oral granuloma and is characterized by traumatic ulcerations on the tongue or lower lip. The lesions are caused by repeated trauma of the mucous membrane by emerging teeth in infants, especially the lower incisors. Early recognition of the disease is important because it has been associated with neurological abnormalities. A delayed or incorrect diagnosis or inadequate therapy can result in permanent deformity of the tongue, the floor of the mouth and the lower lip, nutritional insufficiencies, and can, in the longer-term, inhibit growth.
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