Treatment of Riga-Fede Disease.

Abstract

Abstract. Riga-Fede Disease (RFD) is a mucosal disorder characterized by a traumatic ulceration of the tongue surface, buccal mucosa and the gum or floor of the tongue in newborn with teeth present at birth, neonates with teeth erupting during neonatal period, and infants during the eruption of primary lower incisors. The symptoms can be acute or not and can cause feeding problems. The aim of this work is to describe the available therapeutic alternatives for the treatment of this condition through a review of the available literature. Literature review: A systematic review of the articles analyzing Riga-Fede Disease associated with natal and neonatal teeth was conducted. This bibliographic search was performed through databases, PubMed and Google Scholar for articles published between 2018 and 2022.  10 articles presenting 12 clinical cases were selected as they were compatible with the inclusion criteria.  Results: 8 patients underwent extraction only, 3 received ameloplasty and 1 patient was keep in clinical observation.  Among patients 1 received composite restauration, 2 required biopsy, 1 patient was treated with therapeutic laser therapy and 1 was administered with K vitamin. Conclusions: Extraction and ameloplasty are the most effective therapeutic options for the treatment of Riga-Fede disease associated to natal and neonatal teeth. In the cases where nutrition was compromised and/or there was presence of high dental mobility with risk of exfoliation and possible tooth ingestion/inhalation, extraction is the treatment of choice. When nutrition was not compromised, ameloplasty was the treatment of choice, as it is less invasive and conservative.