Epstein pearls

Definition:
A whitish-yellow accumulation of keratin containing epithelial cells on the gums and hard palate of a newborn baby.

Alternative Names:
Gingival cysts of the newborn

Causes, incidence, and risk factors:
Epstein pearls occur only in the newborn and are very common, seen in approximately 80% of newborns. On the gums, they sometimes resemble emerging teeth. The condition is harmless although it sometimes worries new mothers.

Symptoms:
  • whitish-yellow nodules appearing on the gums or the roof of the mouth in a newborn


Signs and tests:
Examination of the infant confirms that these are Epstein pearls and not teeth present at birth (natal teeth).

Treatment:
No treatment is necessary.

Expectations (prognosis):
Epstein pearls disappear within 1 to 2 weeks of birth.

Complications:
There are often no complications.

Calling your health care provider:
(If you are concerned about Epstein pearls in your infant, discuss it with your health care provider during a routine well-baby examination.)


Review Date: 12/5/2001
Reviewed By: Jonathan Fanaroff, M.D., Department of Pediatrics, Rainbow Babies and Children's Hospital, Case Western Reserve University, Cleveland, OH. Review provided by VeriMed Healthcare Network.

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