Congenital Epulides: spontaneous regression
The present case has been reported in the Journal of Pediatrics.

A healthy 2-month-old girl was referred to a pediatric dental clinic for evaluation of 2 intra-oral masses, present since birth. One mass was localized on the maxillary alveolar process, the other on the mandible. Both had sessile bases and were firm on palpation.

Neither of the masses was mobile, and manipulation did not appear to cause pain or discomfort. Mouth closure was normal. The parents reported that the lesions had not changed in size since birth. It was determined that these masses posed no immediate aspiration risk and there was no interference with breathing or feeding.

On that basis, the parents opted for continued observation rather than surgical excision. At a 3-month follow-up, clinical examination revealed mild regression of both lesions. At 11 months, the parents reported significant regression of the child's lesions.

Clinical pearls:-
- Congenital epulis, also known as congenital granular cell tumor, usually presents as a solitary entity on the maxillary anterior alveolus at birth

- Multiple epulides are less frequent, clinically, all congenital epulides appear pink to reddish in color, firm, smooth, nonulcerated, and have sessile or pedunculated bases.

- Although congenital epulides can occasionally be of such size to interfere with feeding and breathing, they generally do not increase in size with time.

Know more here: