White Bumps on Gums in Infants: Causes and Concerns - Pediatrics

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There are white, tooth-like尖状物 growing around the gums?


Hello, my puppy is 3 months and 4 days old.
Yesterday, I noticed that she has developed some tooth-like growths on her gums, which are not in the area where teeth are coming in.
Specifically, there are two granular formations on the upper right and two on the lower left of her gums.
Today, I took her to the vet, and the doctor said it’s nothing to worry about and that it will resolve on its own, but did not explain what the symptoms were.
I’m not sure why these white granular formations have appeared.
Could you please tell me what this condition is and why it might be happening? Thank you.

Pu Pu de Ma Ya, 20~29 year old female. Ask Date: 2005/07/13

Dr. Cai Zhengxian reply Pediatrics


Dear Pupu's mother,
This is likely a type of gingival cyst, which we refer to as Bohn's Nodules in dentistry.
It is quite common in newborns and does not require treatment, as it will resolve on its own.
These nodules often appear white to light yellow and can sometimes be found along the midline where the hard and soft palates meet.
Some scholars have described them as "Epstein's pearls" in newborns.
Please do not worry.
Attached is a reference image.
We at Tainan City Hospital care about you and your baby's health!

Reply Date: 2005/07/13

More Info


The appearance of white bumps on the gums of infants, particularly in a three-month-old baby like your daughter, can be concerning for parents. However, it is often a benign condition known as Bohn's Nodules. These small, white or yellowish bumps are common in newborns and are typically found on the gums, the roof of the mouth, or the junction between the hard and soft palate. They are considered a normal part of oral development and are not associated with any serious health issues.

Bohn's Nodules are remnants of the tissue that forms the gums and are not harmful. They usually resolve on their own without any treatment, typically disappearing within a few weeks to months as the baby grows and develops. The presence of these nodules is not indicative of teething, although they may appear around the same time as teeth begin to emerge.
In addition to Bohn's Nodules, there are other conditions that can cause white spots or bumps in an infant's mouth. For example, Epstein's Pearls are similar in appearance and are also harmless. These are small cysts that can occur along the midline of the palate and are also self-limiting.
It's important to note that while Bohn's Nodules and Epstein's Pearls are common and harmless, any persistent or unusual changes in an infant's mouth should be evaluated by a pediatrician or a pediatric dentist. If the bumps become red, swollen, or if your child shows signs of discomfort, it would be prudent to seek further medical advice.

In summary, the white bumps you observed on your daughter's gums are likely Bohn's Nodules, a common and harmless condition in infants. They typically resolve on their own and do not require treatment. However, always keep an eye on any changes, and if you have concerns, don't hesitate to consult your healthcare provider for peace of mind. Regular check-ups with a pediatrician can help monitor your child's oral health as they grow.

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