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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. 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