mass in infancy Dr hisham soliman periodontist

1. Dr Hisham Soliman
BDS,MSc
Periodontist

2. Gingival cyst ( Newly Born)
 Features
 It is a cyst that arises from the rest cells of the dental lamina.
 Solitary nodules on the crest of the alveolar ridge of the new
born or very young infants. it appears as a multiple, small, firm,
white or grayish-white nodules on the alveolar ridge .
 May be :
 1- Epstein´s pearls are cystic nodules found on the hard palate or
at the junction of hard and soft palate.
 2- Bohn's nodules
 Treatment
 No treatment is necessary, because spontaneous rupture usually
occur early.

3. Epstein's pearls
 May be found on the mid – palatal raphe of the hard palate
which occur along the mid palatine raphea at the junction of
soft and hard palate.
 They are whitish yellow nodules found in the midline of your
infant’s palate.
 The nodules are around 1 to 3mm in size.
 they are just a result of epithelial tissues trapped during the
fusion of the palate.
 There is no treatment needed , as they will disappear within 1 to
2 weeks of birth.
 Epstein’s pearls are keratin-filled cystic lesions lined with
stratified squamous epithelium. They appear as small, whitish
lesions along the mid-palatine raphe and contain no mucous
glands.

4. Bohn's nodules
 Remnants of salivary glands are located on the buccal or
lingual mucosa or on the hard palate away from the raphe.
 They are normally found on the labial aspect of the upper
alveolar ridge. Similar to Epstein pearls, there is no form of
treatment needed and they will disappear over time.
 Bohn’s nodules are mucous gland cysts, often found on the
buccal or lingual aspects of the alveolar ridges and
occasionally on the palate. They are multiple, firm, and
grayish white in appearance.
 Histologically they show mucous glands and ducts.
 Both Epstein pearls and Bohn’s nodules are often
mistaken as neonatal teeth.

5. Dental lamina cyst
of newborn
 Dental lamina cysts are found only on the crest of the
alveolar mucosa.on buccal and lingual aspect .
 Histologically, these lesions are different because they
are formed by remnants of dental lamina epithelium.
They may be larger, more lucent, and fluctuant than
Epstein pearls or Bohn nodules and are more likely to
occur singly.

6. Congenital epulis of the newborn
 They are benign and pedunculated in nature. They arise
from the gingival crest and they are normally present in the
upper arch of newborn infants.
 Similar in appearance to a dental lamina cyst but usually
located in the maxillary anterior region.
 They occur more among female infants and the etiology is
still unknown.
 Although congenital epulis is benign in nature, it can still
interfere and induce feeding and breathing problems
among infants.
 Surgery is the best option to remove congenital epulis and
often demonstrates spontaneous regression. Recurrence is
unlikely.

7. Congenital epulis of the newborn

8. Neonatal teeth
 Natal teeth are teeth which are present in the oral cavity at
the time of birth where as neonatal teeth erupt during 30
days of life.
 They might resemble normal primary teeth in terms of
size and shape. However, they can be smaller, yellowish and
root formation of the teeth may not be completed during
the time of eruption. The lack of root development at this
stage can usually cause the mobility of the neonatal tooth.
 Babies who have neonatal teeth are often associated with
syndromes such as cleft lip and palate. Neonatal teeth can
be removed easily with a cloth if they are interfering with
your breast feeding.

9. Melanotic neuro_ectodermal
tumour
 This is a rare tumour found in newborns which is
derived from neural crest cells. Diagnosis is made
when there are circumscribed swellings with the
appearance of primary incisor.
 Normally a CT scan is needed to confirm the presence
of melanotic neuroectodermal tumour.
 Usually the treatment for melanotic neuroectodermal
tumour is surgical excision.

10. Melanotic neuro-ectodermal
tumour