Spontaneous regression of a congenital epulis in a newborn

Area of Science:

• Pediatric Dentistry
• Oral Pathology
• Neonatal Care

Background:

• Congenital epulis is a rare, benign tumor of the oral cavity in newborns.
• Early diagnosis and monitoring are crucial for neonatal oral health.
• Conservative management is often considered for non-obstructive lesions.

Observation:

• A 3-day-old infant presented with a lobulated congenital epulis protruding from the mouth.
• The infant exhibited no airway compromise and maintained adequate feeding.
• The lesion was clinically diagnosed as a congenital epulis.

Findings:

• A conservative management approach was adopted, involving monthly follow-up appointments.
• Over a 10-month period, the congenital epulis demonstrated complete spontaneous regression.
• The eruption of the infant's maxillary anterior teeth was unaffected by the lesion or its regression.

Implications:

• Conservative management can be a successful strategy for congenital epulis.
• Spontaneous regression of congenital epulis is possible, preserving normal dental development.
• This case underscores the importance of monitoring neonatal oral masses for potential self-resolution.