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Definition:
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Epstein pearls are whitish-yellow cysts that form on the gums and roof of the mouth in a newborn baby.
A similar kind of skin problem in babies is milia
.
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Alternative Names:
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Gingival cysts of the newborn
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Causes, incidence, and risk factors:
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Epstein pearls occur only in the newborn and are very common. They are seen in approximately 80% of newborns.
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Symptoms:
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Whitish-yellow nodules appear on the gums or the roof of the mouth in a newborn. They sometimes look like emerging teeth.
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Signs and tests:
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Examination of the infant confirms that these are Epstein pearls and not teeth present at birth (natal teeth).
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Treatment:
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No treatment is necessary. The condition is harmless.
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Expectations (prognosis):
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Epstein pearls disappear within 1 to 2 weeks of birth.
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Calling your health care provider:
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If you are concerned about Epstein pearls in your infant, discuss it with your health care provider during a routine well-baby examination.
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References:
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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.
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