Definition of Epstein pearls:

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

See also: Milia

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.