Riga-Fede disease: A systematic review and report of two cases

Area of Science:

• Pediatric Dentistry
• Oral Surgery
• Neonatal Care

Background:

• Riga-Fede disease describes traumatic tongue or oral ulcerations in newborns.
• It is frequently associated with the presence of natal and neonatal teeth.
• Symptoms range from mild discomfort to severe pain impacting feeding.

Observation:

• A systematic literature review following PRISMA guidelines was conducted.
• Databases searched included PubMed and Google Scholar.
• Two clinical cases of Riga-Fede disease were reported.

Findings:

• Extraction of natal/neonatal teeth is recommended for mobile teeth, preventing ingestion/inhalation risks.
• Ameloplasty, a less invasive dental procedure, is the preferred treatment when nutrition is not compromised.
• Both extraction and ameloplasty are effective in resolving Riga-Fede disease.

Implications:

• Early diagnosis and appropriate intervention are crucial for infant well-being.
• Treatment choice should balance invasiveness with clinical presentation.
• This review provides guidance for managing Riga-Fede disease in clinical practice.