Riga Fede Disease Treatment: Case Report

Riga Fede disease is an ulcer that appears on the ventral aspect of the tongue of newborn babies or infants with natal or neonatal teeth. These ulcers are painful and are involved in feeding babies.

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The presence of natal or neonatal teeth are not common, and usually appear in the lower jaw at the level of the central incisors. The intervention of the pediatric dentist is necessary for the evaluation and adequate treatment.

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We share an article that presents the case of a 20-day-old baby whose feeding was affected by a 5 x 8 mm ulcer on the tongue.

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👉 Read and download the full article "Riga Fede Disease Treatment: Case Report" in PDF👈

Alahmari, A. (2017). Management of Riga-Fede disease: A Case Report. Dentistry 3000, 7, 1-3.

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ORAL REHABILITATION of a child with dentinogenesis imperfecta

Imperfect dentinogenesis is a developmental disorder of the dentin (histodifferentiation phase), hereditary, is rare and can affect the primary and permanent dentition.

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The tooth has normal-appearing enamel, but being on defective dentin, it tends to fracture easily. For this reason, the professional must know its characteristics for good management.

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We share the clinical case of an oral rehabilitation of a 05-year-old boy with imperfect dentinogenesis. We can see the treatment plan and the excellent result.

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Kelly Maria Silva Moreira / Cibele Aparecida Silva / Rayen Milanao Drugowick / José Carlos Pettorossi Imparato / Juliana Braga Reis Oral rehabilitation of a child with dentinogenesis imperfecta – case report RSBO (Online) vol.12 no.3 Joinville Jul./Set. 2015

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Esthetic restoration of deciduous anterior teeth using prefabricated zirconia crowns: A case report

It is common to see pediatric patients who have suffered a fracture of the upper incisors due to trauma. And it is that the hyperactivity of the children exposes them to this type of accidents.

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Depending on the extent and severity of the fracture, it can be recommended from a resin application to a dental crown

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Currently, highly aesthetic materials are available, such as zirconia crowns, to rehabilitate incisors. We share the case of a rehabilitation with zirconia crowns.

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Dr. Aaheli Banerjee - Dr. Aindrila Ghosh - Dr. Piyali Datta - Dr. Shabnam Zahir and Dr. Gautam Kundu Esthetic restoration of deciduous anterior teeth using prefabricated zirconia crowns: A case report International Journal of Applied Dental Sciences 2020; 6(2): 113-115

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Neonatal tooth with Riga-Fede disease affecting breastfeeding: A case report

Neonatal teeth are those that erupt in the first weeks of life, unlike natal teeth that are present in the oral cavity at birth. The presence of these teeth has an impact on breastfeeding and on the baby's oral health.

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Neonatal teeth generate an ulcer in the sublingual region, and it is known as Riga-Fede disease. Breastfeeding is compromised by the discomfort generated by the ulcer.

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We share an article that describes the characteristics of neonatal teeth and their implications for the health and breastfeeding of the baby.

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Jamani, N.A., Ardini, Y.D. & Harun, N.A. Neonatal tooth with Riga-Fide disease affecting breastfeeding: a case report. Int Breastfeed J 13, 35 (2018). https://doi.org/10.1186/s13006-018-0176-7
Image: Adone Baroni MD / Carlo Capristo MD / Luigi Rossiello MD / Franco Faccenda MD / Rocco Alfredo Satriano MD
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Hybrid nano-resin esthetic crowns in primary teeth. Case report

Currently the oral rehabilitation of children have more aesthetic alternatives, leaving behind the metal crowns that lack this benefit. The loss of one or more teeth in children is due to extensive caries processes, or due to an accident, putting the proper development of the occlusion at risk.

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Adhesion is the best ally of modern dentistry, as it ensures a lasting and aesthetic rehabilitation. Although the aprismatic layer and the thin thickness of the enamel of the primary teeth are one of the biggest obstacles, it is not an impediment to an optimal result.

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The objective of the work that we share today is to show a clinical case of oral rehabilitation with indirect composites. All the details of this interesting case below.

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° Rojas RA, Gasca AG. Hybrid nano-resin esthetic crowns in primary teeth. Case report. Rev Odont Mex. 2014;18(4):255-258.

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Riga-Fede Disease (Dentitia Praecox): Report of Two Cases with Literature Review

Riga-Fede disease is a term used to describe traumatic ulceration occurring on the ventral surface of the tongue in neonates and infants. This lesion was first described by Antonio Riga in 1881 and subsequent histological studies were performed by Francesco Fede in 1890, which led to the lesion being termed as Riga-Fede disease.

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It is commonly caused by mechanical trauma from natal, neo-natal or primary lower incisors and rarely may be the initial presentation of a neurological disorder.

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Various terms have been used to describe this lesion, like Riga’s disease, Riga-Fede’s disease, sublingual ulcer, sublingual granuloma, traumatic sublingual ulceration, eosinophilic granuloma, traumatic eosinophilic ulceration of the tongue and oral mucosa, sublingual fibrogranuloma, sublingual growth in infants and traumatic atrophic glossitis.

The lesion initially presents as an ulcerated area on the ventral surface of the tongue and with repeated trauma, it may progress to an enlarged, fibrous mass giving the appearance of an ulcerative granuloma. The pain associated with this oral lesion leads to dehydration and feeding difficulties, which in turn may pose potential risks to infants due to nutritional deficiencies.

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If the child is immunocompromised, then the potential for infection can add to the complications of the disease. In order to be termed as Riga-Fede disease, this lesion should be present in a child less than two years of age. Over the age of two years, the term oral traumatic granuloma is used.



° Mehta A, Chaudhary S, Chaitra TR and Sinha A. Riga-Fede Disease (Dentitia Praecox): Report of Two Cases with Literature Review. Austin J Dent. 2017; 4(3): 1073.

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Pediatric oral RANULA: Clinical cases and follow-up

Oral ranulas are cystic lesions located on the floor of the mouth that arise from obstruction of the excretory duct of the sublingual gland. This causes an accumulation of mucoid material, leading to a well-circumscribed swelling in the oral mucosa of the floor of the mouth.

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Oral ranula is an infrequent pathology, appearing more frequently in children. A review of articles published on oral ranula between 2000 and 2009, found only 12 series, of which eight were specific to the pediatric population.

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The largest series corresponded to Chidzonga et al who analyzed 61 oral ranulas in children younger than 10 years. Some authors discuss ranulas in the general population and other authors have published isolated clinical cases.

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It was therefore interesting to analyze oral ranulas in a large sample of pediatric patients of the Oral and Maxi-llofacial Surgery Department of the La Fe University Children’s Hospital, Valencia. The aim is to analyze the clinical characteristics, treatment and outcome of oral ranulas in pediatric patients.



° Bonet-Coloma C, Minguez-Martinez I, Aloy-Prósper A, Galán-Gil S, Peñarrocha-Diago M, Mínguez-Sanz JM. Pediatric oral ranula: Clinical follow-up study of 57 cases. Med Oral Patol Oral Cir Bucal. 2011 Mar 1;16 (2):e158-62. http://www.medicinaoral.com/medoralfree01/v16i2/medoralv16i2p158.pdf

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