Epstein's pearls are a type of benign cyst (fluid-filled sac) that occur on the roof of the infant's mouth. They are small, white bumps that are commonly seen in infants. Epstein's pearls are harmless and do not require treatment. The cysts will improve over a period of weeks, in most cases.
Natal teeth are teeth that are present when the infant is born. About one in every 2,000 newborn infants have natal teeth. These are not the same as neonatal teeth that erupt in the infant's mouth during the first month of life. Natal teeth are usually the infant's primary teeth (or baby teeth) that have come in early. The teeth are often loose because the root is not completely developed. Problems that may occur as a result of these teeth include the following:
- problems with breastfeeding, as the infant may bite the mother
- potential risk of the infant inhaling the tooth into his/her airway and lungs if the tooth becomes dislodged
Natal teeth are usually diagnosed based on a complete history and physical examination of your infant. The teeth can be seen and usually allow for a diagnosis simply on physical examination. Your infant's physician or dentist may also order x-rays (a diagnostic test which uses invisible electromagnetic energy beams to produce images of internal tissues, bones, and organs onto film) of the infant's mouth to help in the evaluation of the problem.
Teeth that are loose may need to be removed to decrease the risk of the infant inhaling the tooth into his/her airways. This will be decided by your infant's physician or dentist. Early removal of the teeth may lead to over-crowding of the permanent teeth when they erupt.
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