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Epstein pearls

Definition

Epstein pearls are whitish-yellow cysts that form on the gums and roof of the mouth in a newborn baby.

See also: Milia

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. The pearls are protein-filled cysts. On the gums, they sometimes resemble emerging teeth. 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.

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.

References

Stephan M. Common newborn dermatologic conditions. Clin Fam Pract. 2003 Sep; 5(3); 535.

Behrman RE. Nelson Textbook of Pediatrics. 17th ed. Philadelphia, Pa: WB Saunders; 2004.

Review Date: 2007-07-26
Reviewed By: Daniel Rauch, M.D., FAAP., Director, Pediatric Hospitalist Program, New York University School of Medicine, New York, NY. Review provided by VeriMed Healthcare Network.
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The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © HealthProfessor LLC. Any duplication or distribution of the information contained herein is strictly prohibited.