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Maggots do not appear in the mouth by design; they are a result of oral myiasis, where fly larvae infest the mouth due to poor oral hygiene, open wounds, or decaying tissue. Flies are attracted to these conditions, lay their eggs, which hatch into larvae (maggots) that feed on living or dead tissue, causing pain, infection, and other symptoms. This parasitic infestation is more common in tropical, unhygienic areas but can also affect people with weakened immune systems or severe dental problems.