• About
  • Editorial Board
  • Current Issue
  • Early access
  • Archive
Search
EJPD
  • About
  • Editorial Board
  • Current Issue
  • Early access
  • Archive
  • Sioi
  • Guidelines for Authors
  • Article submission
  • Terms of use
  • Privacy
Home Riga-Fede disease: A systematic review and report of two cases

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

Authors:

  • A. Iandolo
    Department of Medicine, Surgery and Dentistry, Scuola Medica Salernitana, Univeristy of Salerno, Salerno, Italy
  • A. Amato
    Department of Medicine, Surgery and Dentistry, Scuola Medica Salernitana, Univeristy of Salerno, Salerno, Italy
  • G. Sangiovanni
    Department of Medicine, Surgery and Dentistry, Scuola Medica Salernitana, Univeristy of Salerno, Salerno, Italy
  • S. Argentino
    Department of Medicine, Surgery and Dentistry, Scuola Medica Salernitana, Univeristy of Salerno, Salerno, Italy
  • M. Pisano
    Department of Medicine, Surgery and Dentistry, Scuola Medica Salernitana, Univeristy of Salerno, Salerno, Italy

DOI:

https://doi.org/10.23804/ejpd.2021.22.04.11

ABSTRACT


Aim

The term Riga-Fede disease has been used historically to describe traumatic ulceration that occurs on the ventral surface of tongue, buccal mucosa, gum or floor of the tongue in newborns and infants. It is most often associated with natal and neonatal teeth in newborns. The painful symptoms may be absent or acute, up to the point of preventing the baby from feeding. The aim of this work is to offer a description of the therapeutic solutions for the treatment of this pathological condition, with a review of the literature and the report of two cases.

Material and methods

A systematic review of the literature of articles presenting Riga-Fede Disease associated with natal and neonatal teeth was performed following the PRISMA protocol (Prefered Reporting Items for Systematic Reviews and Meta-Analyses). This bibliographic search was performed through two databases, PubMed and Google Scholar.

Results

Fifty-two articles were included as they were compatible with the relevant inclusion criteria, with a total of 57 case reports of Riga-Fede disease associated with natal and neonatal teeth. A statistical analysis of the results was then carried out. A single treatment was performed in 44 patients; of these, 36 patients underwent extraction only (81.8%), 3 were treated with excisional biopsy (6.9%), 2 treated with occlusal plate (4.5%), 1 received ameloplasty only (2.3%) and 2 patients underwent a direct restoration of the incisal margin (5.8%), 13 patients received a combined treatment which saw the use of corticosteroids in 5 patients, lidocaine gel in 2 patients, topical benzocaine in 2 patients, H2O2 in 1 patient, Vasa (acantacea plant) in 1 patient, low laser therapy in 1 patient, and a single patient received fluoride varnish.

Conclusion

Extraction and ameloplasty are the most effective treatments in the resolution of the Riga-Fede disease associated with natal/neonatal teeth. In the case of high dental mobility, resulting in an increased risk of exfoliation and possible tooth ingestion/inhalation, extraction is the therapeutic treatment of choice. When nutrition is not compromised, ameloplasty is the treatment of choice, as it is less invasive and more conservative.

PLUMX METRICS

Download PDF

Publication date:

December /2021

Issue:

Vol.22 – n.4/2021

Page:

323 – 331

Publisher:

Ariesdue

Topic:

Paediatric oral pathology

Cite:


Harvard: A. Iandolo, A. Amato, G. Sangiovanni, S. Argentino, M. Pisano (2021) "Riga-Fede disease: A systematic review and report of two cases", European Journal of Paediatric Dentistry, 22(4), pp323-331. doi: 10.23804/ejpd.2021.22.04.11
Vancouver: A. Iandolo, A. Amato, G. Sangiovanni, S. Argentino, M. Pisano. Riga-Fede disease: A systematic review and report of two cases. European Journal of Paediatric Dentistry [Internet]. 2021Dec.20 [cited 2025Jun.22];22(4):323-331. Available from: https://www.ejpd.eu/abstract-pubmed/riga-fede-disease-a-systematic-review-and-report-of-two-cases/
MLA: A. Iandolo, A. Amato, G. Sangiovanni, S. Argentino, M. Pisano Riga-Fede disease: A systematic review and report of two cases. European Journal of Paediatric Dentistry. 2021;22(4):323-331

Copyright (c) 2021 Ariesdue

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Facebook
Twitter
Pinterest
Linkedin
WhatsApp
Email
Print
    Cristina Calchera
    Editor in chief: dott. Luigi Paglia
    European Journal of Paediatric Dentistry © | ISSN (Online): 2035-648X
    powered by Ariesdue

    CONTACT US
    • About
    • Editorial Board
    • Current Issue
    • Early access
    • Archive
    European Journal of Paediatric Dentistry © | ISSN (Online): 2035-648X
    Registrazione del Tribunale di Milano n. 285 del 14.04.1998 | ROC 1946 - 26.09.2001
    /* ----------------------------------------- */ /* Modello di contenuto: Abstracts PubMed - inizio */ /* ----------------------------------------- */ /* ----------------------------------------- */ /* Modello di contenuto: Abstracts PubMed - fine */ /* ----------------------------------------- */