{"id":11878,"date":"2023-06-16T07:58:29","date_gmt":"2023-06-16T06:58:29","guid":{"rendered":"https:\/\/velezylozano.com\/?p=11878"},"modified":"2023-06-16T07:59:10","modified_gmt":"2023-06-16T06:59:10","slug":"ulcer-riga-fede","status":"publish","type":"post","link":"https:\/\/velezylozano.com\/en\/ulcer-riga-fede\/","title":{"rendered":"What is the Riga-Fede ulcer?"},"content":{"rendered":"<p class=\"Standard\">A few weeks ago, we dealt with a very interesting case at the clinic that aroused the curiosity of our followers. It was about a baby just 2 months old who had stopped eating because she had a natal tooth that was causing a wound.<\/p>\n<p>You can see the post here:<\/p>\n<blockquote class=\"instagram-media\" data-instgrm-captioned data-instgrm-permalink=\"https:\/\/www.instagram.com\/p\/CsrVSHItXD3\/?utm_source=ig_embed&amp;utm_campaign=loading\" data-instgrm-version=\"14\" style=\" background:#FFF; border:0; border-radius:3px; box-shadow:0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width:658px; min-width:326px; padding:0; width:99.375%; width:-webkit-calc(100% - 2px); width:calc(100% - 2px);\">\n<div style=\"padding:16px;\"> <a href=\"https:\/\/www.instagram.com\/p\/CsrVSHItXD3\/?utm_source=ig_embed&amp;utm_campaign=loading\" style=\" background:#FFFFFF; line-height:0; padding:0 0; text-align:center; text-decoration:none; width:100%;\" target=\"_blank\"> <\/p>\n<div style=\" display: flex; flex-direction: row; align-items: center;\">\n<div style=\"background-color: #F4F4F4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;\"><\/div>\n<div style=\"display: flex; flex-direction: column; flex-grow: 1; justify-content: center;\">\n<div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;\"><\/div>\n<div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;\"><\/div>\n<\/div>\n<\/div>\n<div style=\"padding: 19% 0;\"><\/div>\n<div style=\"display:block; height:50px; margin:0 auto 12px; width:50px;\"><svg width=\"50px\" height=\"50px\" viewbox=\"0 0 60 60\" version=\"1.1\" xmlns=\"https:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"https:\/\/www.w3.org\/1999\/xlink\"><g stroke=\"none\" stroke-width=\"1\" fill=\"none\" fill-rule=\"evenodd\"><g transform=\"translate(-511.000000, -20.000000)\" fill=\"#000000\"><g><path d=\"M556.869,30.41 C554.814,30.41 553.148,32.076 553.148,34.131 C553.148,36.186 554.814,37.852 556.869,37.852 C558.924,37.852 560.59,36.186 560.59,34.131 C560.59,32.076 558.924,30.41 556.869,30.41 M541,60.657 C535.114,60.657 530.342,55.887 530.342,50 C530.342,44.114 535.114,39.342 541,39.342 C546.887,39.342 551.658,44.114 551.658,50 C551.658,55.887 546.887,60.657 541,60.657 M541,33.886 C532.1,33.886 524.886,41.1 524.886,50 C524.886,58.899 532.1,66.113 541,66.113 C549.9,66.113 557.115,58.899 557.115,50 C557.115,41.1 549.9,33.886 541,33.886 M565.378,62.101 C565.244,65.022 564.756,66.606 564.346,67.663 C563.803,69.06 563.154,70.057 562.106,71.106 C561.058,72.155 560.06,72.803 558.662,73.347 C557.607,73.757 556.021,74.244 553.102,74.378 C549.944,74.521 548.997,74.552 541,74.552 C533.003,74.552 532.056,74.521 528.898,74.378 C525.979,74.244 524.393,73.757 523.338,73.347 C521.94,72.803 520.942,72.155 519.894,71.106 C518.846,70.057 518.197,69.06 517.654,67.663 C517.244,66.606 516.755,65.022 516.623,62.101 C516.479,58.943 516.448,57.996 516.448,50 C516.448,42.003 516.479,41.056 516.623,37.899 C516.755,34.978 517.244,33.391 517.654,32.338 C518.197,30.938 518.846,29.942 519.894,28.894 C520.942,27.846 521.94,27.196 523.338,26.654 C524.393,26.244 525.979,25.756 528.898,25.623 C532.057,25.479 533.004,25.448 541,25.448 C548.997,25.448 549.943,25.479 553.102,25.623 C556.021,25.756 557.607,26.244 558.662,26.654 C560.06,27.196 561.058,27.846 562.106,28.894 C563.154,29.942 563.803,30.938 564.346,32.338 C564.756,33.391 565.244,34.978 565.378,37.899 C565.522,41.056 565.552,42.003 565.552,50 C565.552,57.996 565.522,58.943 565.378,62.101 M570.82,37.631 C570.674,34.438 570.167,32.258 569.425,30.349 C568.659,28.377 567.633,26.702 565.965,25.035 C564.297,23.368 562.623,22.342 560.652,21.575 C558.743,20.834 556.562,20.326 553.369,20.18 C550.169,20.033 549.148,20 541,20 C532.853,20 531.831,20.033 528.631,20.18 C525.438,20.326 523.257,20.834 521.349,21.575 C519.376,22.342 517.703,23.368 516.035,25.035 C514.368,26.702 513.342,28.377 512.574,30.349 C511.834,32.258 511.326,34.438 511.181,37.631 C511.035,40.831 511,41.851 511,50 C511,58.147 511.035,59.17 511.181,62.369 C511.326,65.562 511.834,67.743 512.574,69.651 C513.342,71.625 514.368,73.296 516.035,74.965 C517.703,76.634 519.376,77.658 521.349,78.425 C523.257,79.167 525.438,79.673 528.631,79.82 C531.831,79.965 532.853,80.001 541,80.001 C549.148,80.001 550.169,79.965 553.369,79.82 C556.562,79.673 558.743,79.167 560.652,78.425 C562.623,77.658 564.297,76.634 565.965,74.965 C567.633,73.296 568.659,71.625 569.425,69.651 C570.167,67.743 570.674,65.562 570.82,62.369 C570.966,59.17 571,58.147 571,50 C571,41.851 570.966,40.831 570.82,37.631\"><\/path><\/g><\/g><\/g><\/svg><\/div>\n<div style=\"padding-top: 8px;\">\n<div style=\" color:#3897f0; font-family:Arial,sans-serif; font-size:14px; font-style:normal; font-weight:550; line-height:18px;\">View this post on Instagram<\/div>\n<\/div>\n<div style=\"padding: 12.5% 0;\"><\/div>\n<div style=\"display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;\">\n<div>\n<div style=\"background-color: #F4F4F4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);\"><\/div>\n<div style=\"background-color: #F4F4F4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;\"><\/div>\n<div style=\"background-color: #F4F4F4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);\"><\/div>\n<\/div>\n<div style=\"margin-left: 8px;\">\n<div style=\" background-color: #F4F4F4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;\"><\/div>\n<div style=\" width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg)\"><\/div>\n<\/div>\n<div style=\"margin-left: auto;\">\n<div style=\" width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);\"><\/div>\n<div style=\" background-color: #F4F4F4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);\"><\/div>\n<div style=\" width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);\"><\/div>\n<\/div>\n<\/div>\n<div style=\"display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;\">\n<div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;\"><\/div>\n<div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;\"><\/div>\n<\/div>\n<p><\/a><\/p>\n<p style=\" color:#c9c8cd; font-family:Arial,sans-serif; font-size:14px; line-height:17px; margin-bottom:0; margin-top:8px; overflow:hidden; padding:8px 0 7px; text-align:center; text-overflow:ellipsis; white-space:nowrap;\"><a href=\"https:\/\/www.instagram.com\/p\/CsrVSHItXD3\/?utm_source=ig_embed&amp;utm_campaign=loading\" style=\" color:#c9c8cd; font-family:Arial,sans-serif; font-size:14px; font-style:normal; font-weight:normal; line-height:17px; text-decoration:none;\" target=\"_blank\">A post shared by Cl\u00ednica Dental V\u00e9lez y Lozano (@velezylozano)<\/a><\/p>\n<\/div>\n<\/blockquote>\n<p><script async src=\"\/\/platform.instagram.com\/en_US\/embeds.js\"><\/script><\/p>\n<p class=\"Standard\">But why does all this happen?<\/p>\n<h2 class=\"Standard\">Let's talk about Riga-Fede's Ulcer<\/h2>\n<p class=\"Standard\">Riga-Fede ulcer is a traumatic lesion, usually whitish in colour and with irregular edges, that appears on the tongue, mainly affecting children under 2 years of age.<\/p>\n<p class=\"Standard\">This lesion appears due to the continuous rubbing between the tongue and the lower teeth because most newborns have a smaller and posterior mandible (or lower jaw) (known as mandibular retrognathia) with respect to the upper jaw, so that sucking and swallowing are brought forward. This causes the tongue to make several movements, including extension, which it does in order to cover the lower gum and thus press on the breast or teat until the milk is obtained.<\/p>\n<p class=\"Standard\">This is a completely normal movement in neonates, as we say, and nothing out of place in principle occurs. However:<\/p>\n<h2 class=\"Standard\">What happens if a tooth is present or emerging?<\/h2>\n<p class=\"Standard\">It is when the baby has a tooth that the problem arises. There are two types of teeth that a baby can have before the age of 6 months: natal teeth and neonatal teeth. The former are those that are in the baby's mouth from birth and the latter are those that erupt in the first 30 days after birth.<\/p>\n<p class=\"Standard\">In addition, the incisors are teeth whose shape is perfect for cutting food, and which also have very marked mamelons on the edge to facilitate eruption, thus eliminating the gum more effectively to go into the mouth.<\/p>\n<p class=\"Standard\">Therefore, when this sharp shape is combined with the way of swallowing, the continuous rubbing of the tooth against the mucosa will create the ulcer. It is not a malignant lesion, but it is painful, which will cause babies to stop feeding because of the pain of trying to feed.<\/p>\n<h2 class=\"Standard\">And how can we deal with it?<\/h2>\n<p class=\"Standard\">Treatment will depend on a number of factors, but is common:<\/p>\n<h3 class=\"Standard\">Tooth extraction<\/h3>\n<p class=\"Standard\">When it is a natal tooth, i.e. a tooth that has been in the mouth since birth, and is mobile or even a supernumerary tooth, i.e. an 'extra' conoid-shaped tooth that is usually not 'necessary' in the mouth, the solution is a simple extraction.<\/p>\n<p class=\"Standard\">If it is mobile, this is done preventively, to prevent the baby from choking or even suffocating if the tooth comes out by itself. And if it is a supernumerary tooth, to prevent it from hindering the eruption of the primary teeth, which will begin at around 6 months of age.<\/p>\n<h3 class=\"Standard\">An ameloplasty<\/h3>\n<p class=\"Standard\">Or to put it a little more prosaically, 'filing the edges'. This is the ideal option when the lesion is caused by temporary teeth that we do not want to remove, because the baby will need them later on, when he or she starts to chew. By rounding them off we relieve the cutting area and achieve complete healing of the ulcer.<\/p>\n<p class=\"Standard\">If this is not sufficient, we can cover these teeth with composite or ionomer, thus producing a more rounded shape that does not rub against the mucosa.<\/p>\n<p class=\"Standard\">In the event that none of these alternatives is able to make the lesion disappear, extraction would be carried out, but it is not the ideal option in any case.<\/p>","protected":false},"excerpt":{"rendered":"<p>A few weeks ago, we dealt with a very interesting case at the clinic that aroused the curiosity of our followers. It was about a baby just 2 months old who had stopped eating because she had a natal tooth that caused a wound. You can see the post here: View this post [...]<\/p>","protected":false},"author":11,"featured_media":11879,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[106],"tags":[44],"class_list":["post-11878","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-106","tag-odontopediatria"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>\u00bfQu\u00e9 es la \u00falcera de Riga-Fede? - V\u00e9lez &amp; Lozano<\/title>\n<meta name=\"description\" content=\"La \u00falcera de Riga-Fede es una lesi\u00f3n en la lengua que impide que los neonatales coman con normalidad. Te contamos por qu\u00e9 ocurre.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/velezylozano.com\/en\/ulcer-riga-fede\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u00bfQu\u00e9 es la \u00falcera de Riga-Fede? - V\u00e9lez &amp; Lozano\" \/>\n<meta property=\"og:description\" content=\"La \u00falcera de Riga-Fede es una lesi\u00f3n en la lengua que impide que los neonatales coman con normalidad. Te contamos por qu\u00e9 ocurre.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/velezylozano.com\/en\/ulcer-riga-fede\/\" \/>\n<meta property=\"og:site_name\" content=\"V\u00e9lez &amp; Lozano\" \/>\n<meta property=\"article:published_time\" content=\"2023-06-16T06:58:29+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-06-16T06:59:10+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/i0.wp.com\/velezylozano.com\/wp-content\/uploads\/2023\/06\/ulcera-riga-fede.jpeg?fit=1367%2C1367&ssl=1\" \/>\n\t<meta property=\"og:image:width\" content=\"1367\" \/>\n\t<meta property=\"og:image:height\" content=\"1367\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Vanesa Rico Carrillo\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Vanesa Rico Carrillo\" \/>\n\t<meta name=\"twitter:label2\" content=\"Estimated reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/velezylozano.com\\\/en\\\/ulcera-riga-fede\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/velezylozano.com\\\/en\\\/ulcera-riga-fede\\\/\"},\"author\":{\"name\":\"Vanesa Rico Carrillo\",\"@id\":\"https:\\\/\\\/velezylozano.com\\\/#\\\/schema\\\/person\\\/29d7ad0f4c2124a59bf545e3c99b76f9\"},\"headline\":\"\u00bfQu\u00e9 es la \u00falcera de Riga-Fede?\",\"datePublished\":\"2023-06-16T06:58:29+00:00\",\"dateModified\":\"2023-06-16T06:59:10+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/velezylozano.com\\\/en\\\/ulcera-riga-fede\\\/\"},\"wordCount\":650,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/velezylozano.com\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/velezylozano.com\\\/en\\\/ulcera-riga-fede\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/i0.wp.com\\\/velezylozano.com\\\/wp-content\\\/uploads\\\/2023\\\/06\\\/ulcera-riga-fede.jpeg?fit=1367%2C1367&ssl=1\",\"keywords\":[\"odontopediatr\u00eda\"],\"articleSection\":[\"2023\"],\"inLanguage\":\"en-GB\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/velezylozano.com\\\/en\\\/ulcera-riga-fede\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/velezylozano.com\\\/en\\\/ulcera-riga-fede\\\/\",\"url\":\"https:\\\/\\\/velezylozano.com\\\/en\\\/ulcera-riga-fede\\\/\",\"name\":\"\u00bfQu\u00e9 es la \u00falcera de Riga-Fede? - V\u00e9lez &amp; Lozano\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/velezylozano.com\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/velezylozano.com\\\/en\\\/ulcera-riga-fede\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/velezylozano.com\\\/en\\\/ulcera-riga-fede\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/i0.wp.com\\\/velezylozano.com\\\/wp-content\\\/uploads\\\/2023\\\/06\\\/ulcera-riga-fede.jpeg?fit=1367%2C1367&ssl=1\",\"datePublished\":\"2023-06-16T06:58:29+00:00\",\"dateModified\":\"2023-06-16T06:59:10+00:00\",\"description\":\"La \u00falcera de Riga-Fede es una lesi\u00f3n en la lengua que impide que los neonatales coman con normalidad. 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