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Epstein Pearls in Newborns: What Parents Need to Know

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Noticed a tiny white or yellow bump on your baby’s gums or the roof of their mouth? It could be Epstein pearls — harmless cysts that are very common among newborns. While they might look concerning at first, there's no need to worry. Studies show that 60–80% of newborns have Epstein pearls, and they typically go away on their own within a few weeks. What Are Epstein Pearls? Epstein pearls are small, white or yellowish cysts that appear on a baby’s gums or the roof of their mouth (palate). These are known medically as gingival or palatal cysts and are caused by keratin (a natural protein found in skin and hair) trapped during the formation of the baby’s mouth in the womb. Many parents mistake Epstein pearls for early teething, but they are not related to tooth development and pose no health risk to your child. Symptoms and Appearance These cysts are usually: Small (1–3 mm in size) Dome-shaped, smooth, and painless Located on the midline of the palate or along the ...