Oral Myiasis – A Case Report

Oral myiasis is a rare parasitic infestation caused by dipterous larvae in the oral cavity. It is often associated with poor oral hygiene, underlying systemic conditions, or neurological and psychiatric illnesses that predispose patients to neglect of oral care. We present a case of a 50-year-old female with a history of psychotic drug use for one year, who reported with oral pain, swelling, and crawling sensation in the mouth. Clinical examination revealed ulcerated gingival and palatal tissues harboring live maggots. Mechanical removal of larvae followed by irrigation with turpentine oil and saline was performed, along with systemic administration of ivermectin and antibiotics. The patient was counseled on oral hygiene maintenance and psychiatric follow-up. This case highlights the importance of awareness and early recognition of oral myiasis in patients with psychiatric illness and neglected oral hygiene.