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Epstein pearls - All Information

Alternative Names

Gingival cysts of the newborn

Definition of Epstein pearls:

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

Causes, incidence, and risk factors:

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.

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.

Reviewed last on: 7/15/2008
Linda Vorvick, MD, Seattle Site Coordinator, Lecturer, Pathophysiology, 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.

References

Lowe MC Jr, Woolridge DP. The normal newborn exam, or is it? Emerg Med Clin North Am. 2007;25:921-946.

Morelli JG. Disorders of the Mucous Membranes. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF. Kliegman: Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 663.

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