Challenge to Eliminate Parasite Palatal Infestation in a Deaf-Mute Geriatric Patient.

Myiasis is a human parasitic disease caused by fly larvae that is rarely found in the oral cavity. Poor oral hygiene among older males can lead to intraoral myiasis. This report describes a rare case of severe, atypical pain caused by maxillary periodontal myiasis in an elderly disabled patient. Maggots infested the hard palate near the anterior maxillary teeth. Despite a radiological examination showing no significant hard tissue alterations, numerous maggots were manually extracted from a hole in the anterior hard palate. Surgical tooth extraction and maggot removal were both performed under general anaesthesia. The patient was also given albendazole to eliminate any remaining larvae.