Certain dipteran flies larvae causing invasion of the tissues and organs of the humans or other vertebrates are called as myiasis, which feed on hosts dead or living tissues. It is well documented in the skin and hot climate regions; underdeveloped countries are affected more commonly. Oral cavity is affected rarely and it can be secondary to serious medical conditions. Poor oral hygiene, alcoholism, senility, or suppurating lesions can be associated with the oral myiasis. Inflammatory and allergic reactions are the commonest clinical manifestations of the disease. In the present case, gingiva of maxillary anterior region was affected by larval infection in a 13-year-old mentally retarded patient.

ABSTRACT:The incidence of oral cancer is rising in India. Mortality from the disease remains high and survival has not improved significantly. Both prevention and early detection within the general dental practice setting have a potential impact on overall incidence, morbidity and mortality from oral cancers. The primary dental health team has an integral role in the early detection of oral malignancy and potentially malignant lesions. However, the clinical features may sometimes be ambiguous. The aim is to present two cases of tongue ulcers with ambiguous clinical presentation. One was innocuous tongue ulceration, not responding to conservative treatment modality and found to be squamous cell carcinoma on biopsy, treated successfully at referral center; while the other was mimicking a malignancy at initial presentation, but turned out to be innocent one. Thus, emphasizing the need of thorough routine clinical examinations as an essential mean so as to improve the survival of patient.

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