Epsteins_Pearl_Flashcards
What is an Epstein’s pearl?
An Epstein’s pearl is a congenital cyst found in the mouth.
Where are Epstein’s pearls commonly found?
Epstein’s pearls are commonly found on the hard palate.
Where else might Epstein’s pearls be seen, leading to a common parental misconception?
Epstein’s pearls might also be seen on the gums, where parents may mistake them for an erupting tooth.
Is treatment generally required for Epstein’s pearls?
No, treatment is generally not required for Epstein’s pearls.
How long do Epstein’s pearls typically take to resolve?
Epstein’s pearls typically resolve spontaneously over the course of a few weeks.
summarise Epstein’s pearl
Epstein’s pearl
A congenital cyst found in the mouth. They are common on the hard palate, but may also be seen on the gums where the parents may mistake it for an erupting tooth. No treatment is generally required as they tend to spontaneously resolve over the course of a few weeks.
You are asked to review a term neonate on the postnatal wards. On examination of the palate, you notice a white-coloured nodule at the roof of the mouth. This is not interfering with feeding and baby is alert and active. What is the most likely diagnosis?
Epstein’s pearl
Bohn’s nodule
Neonatal teeth
Dermoid cyst
Candida infection
Epstein’s pearl
Epstein’s pearls can be mistaken for neonatal teeth
Important for meLess important
Epstein’s pearls are found in the posterior hard palate, along the midline. They do not require treatment.
Bohn’s nodules are found on the inner labial aspect of the maxillary alveolar ridges.
Neonatal teeth are very rare and usually present at the site of the incisors.
Dermoid cysts may contain teeth but are rarely found in the oral cavity.
Oral candida infection can present as whitish patches on the inside of the mouth.
