# Challenge to Eliminate Parasite Palatal Infestation in a Deaf–Mute Geriatric Patient

## TL;DR

A rare case of oral myiasis in an elderly patient is described, involving maggot infestation and treatment with surgery and medication.

## Contribution

This paper presents a rare clinical case of maxillary periodontal myiasis in an elderly patient with atypical symptoms.

## Key findings

- Maggots were found infesting the anterior maxillary hard palate despite no significant radiological findings.
- Surgical extraction and albendazole treatment were effective in eliminating the infestation.
- Poor oral hygiene in elderly disabled individuals can lead to rare oral myiasis.

## Abstract

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.