Management of Riga-Fede disease: A Case Report


Riga-Fede disease first described by Antonio Riga in 1881, with susequent histological examinations by Francesco Fede in 1890, is a rare pediatric condition in which chronic lingual ulceration results from repetitive trauma.

Ventral surface of tongue is often the site affected Presentation appears to be bimodal, coinciding with natal (present at birth) or neonatal teeth (erupting during the first 30 days of life), and eruption of the primary teeth.

Classification into two discrete groups aids etiological identification ‘Early’ cases (before six months of age) are related to natal or neonatal teeth, which oіen present with hypo plastic enamel underdeveloped roots, with resultant early mobility.

Read Also : ORAL MEDICINE : How to manage a pediatric patient with oral ulcers


‘Late’ cases (six months of age and older) occurs with primary dentition, are frequently habitual, and may be related to neurological or developmental disorder.

Neonatal teeth or underlying neuro-developmental disorders, which include Down syndrome, Encephalopathy, microcephaly, cerebral palsy, are described as causative or associated factors.

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A Alahmari and Albatool Saad Alahmari




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