Authors : Nupur Jain; Khalid M. Agwani; Ramank Mathur; Pooja Ghosh; Srishti Mishra; Madhuriya Lodha

Volume/Issue : Volume 10 - 2025, Issue 12 - December

Google Scholar : https://tinyurl.com/93dh3ant

Scribd : https://tinyurl.com/ynb53yy6

DOI : https://doi.org/10.38124/ijisrt/25dec903

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Abstract : Myiasis refers to infestation of human tissues by the larval stages of dipterous flies and is most commonly observed in individuals with compromised systemic or neurological health. Oral involvement is rare due to the protective anatomy and constant movements within the oral cavity. However, certain predisposing conditions such as impaired neuromuscular control, poor oral hygiene, and prolonged hospitalization may facilitate larval infestation. This case report describes oral myiasis affecting the anterior gingival region in an elderly neurologically compromised male following a road traffic accident. Clinical diagnosis was established by the direct visualization of motile larvae within the gingival tissues. Management involved careful mechanical removal of larvae, local debridement, chemical asphyxiation using turpentine oil, copious irrigation with antiseptic solutions, and systemic administration of ivermectin. Early identification and prompt intervention are crucial in preventing extensive tissue destruction and associated complications, particularly in debilitated patients.

Keywords : Oral Myiasis; Dipterous Larvae; Neurological Impairment; Ivermectin; Parasitic Infestation.

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