Bohn’s Nodules and Epstein Pearls in a Neonate: A Case Report

Abstract

Introduction: Oral inclusion cysts are frequently occurring developmental anomalies seen in newborns that usually resolve on their own. Depending on their anatomical site, they are categorized as Epstein pearls, Bohn’s nodules, or dental lamina cysts. Although harmless, these lesions can cause anxiety among parents if mistaken for natal teeth or abnormal oral growths. Case Report:  We report a case involving a two-day-old female newborn who exhibited multiple small, white, rounded nodules on the alveolar ridges and palate. Clinical assessment identified the presence of both Bohn’s nodules and Epstein pearls. As the lesions were painless, did not interfere with feeding, and were self-limiting, no intervention was necessary. The caregivers were reassured about the harmless course of the lesions and provided guidance on routine oral hygiene and follow-up monitoring. At the end of three months, complete resolution of the lesions was noted. Conclusion: Awareness of these commonly occurring lesions is essential among healthcare providers to avoid misdiagnosis and unnecessary interventions. Proper diagnosis and parental reassurance are key components of effective management.