Epstein Pearls

Epstein pearls vs. Bohn’s nodules: What’s the difference?

“Newborn gingival cysts” is an umbrella term that describes three distinct conditions. All these conditions refer to cysts that contain keratin. These cysts look so similar that many healthcare providers use the terms interchangeably. Location is the only thing that sets them apart.

The three types of newborn gingival cysts include:

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• Epstein pearls: These bumps form along your baby’s gums or in the center of their palate (the roof of the mouth). Epstein pearls are the most common type of newborn gingival cyst. Experts believe that Epstein pearls form during fetal development when the roof of the mouth fuses.
• Bohn’s nodules: These bumps can form along the lip- or tongue-side of your baby’s gums. They’re more common on the upper jaw than the lower jaw. Experts think Bohn’s nodules are remnants of small salivary glands.
• Dental lamina cysts: These bumps form along your baby’s gums and often resemble unerupted baby teeth. Experts think these harmless cysts form from leftover fragments of dental lamina (specialized tissue that plays a role in tooth development).

Can you pop Epstein pearls?

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No, you should never try to squeeze or pop Epstein pearls. Doing so will only make your baby’s gums more tender and uncomfortable. Most importantly, bursting Epstein pearls can introduce harmful bacteria into your baby’s bloodstream. The best thing to do is leave them alone. They should go away on their own in time.

Can adults get Epstein pearls?

No, adults don’t get Epstein pearls. But it’s possible to develop other types of bumps along your gum line. Any time you notice a new bump inside your mouth, let your healthcare provider know.

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A note from Cleveland Clinic

Seeing bumps in your newborn’s mouth can be scary. But if your baby has Epstein pearls, it doesn’t mean you’ve done something wrong. These small, whitish bumps form when tissues become trapped during fetal development. They’re common in babies, and they’ll eventually go away on their own. If you have concerns about your baby’s health, or if it seems like your baby is in pain, schedule an appointment with your pediatrician. They can give your baby a proper diagnosis and determine whether they need treatment.

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