Causes

Epstein pearls occur only in the newborn and are very common. They are seen in approximately 80% of newborns.

The pearls are protein-filled cysts. The condition is harmless, although it sometimes worries new mothers.

Symptoms

Whitish-yellow nodules appear on the gums or the roof of the mouth in a newborn. They sometimes look like emerging teeth.

Exams 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.

Outlook (Prognosis)

Epstein pearls disappear within 1 to 2 weeks of birth.

Possible Complications

There are often no complications.

When to Contact a Medical Professional

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

Alternative Names

Gingival cysts of the newborn

References

Hellstein JW. Odontogenesis, odontogenic cysts, and odontogenic tumors. In: Cummings CW, Flint PW, Haughey BH, et al, eds. Otolaryngology: Head & Neck Surgery. 5th ed. Philadelphia, Pa: Mosby Elsevier; 2010:chap 93.

Update Date: 5/10/2012

Reviewed by: Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.