Treatment alternatives for sublingual traumatic ulceration (Riga-Fede disease)

Abstract

The term Riga-Fede disease has been used historically to describe a traumatic ulceration that occurs on the ventral surface of the tongue in neonates and infants. It is frequently associated with natal or neonatal teeth but may also occur in older infants after the eruption of primary lower incisors. Failure to diagnose and properly treat this lesion can result in dehydration and inadequate nutrient intake for the infant. Treatment should begin conservatively and should focus on eliminating the source of trauma. A case is presented in which modification of sharp tooth surfaces by the Pediatric Dentist and changes in feeding techniques by the parent were used successfully to resolve this lesion. By working together, the parent and the Pediatric Dentist can achieve positive results in a short period of time with minimal trauma to the infant.