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Fig 20. Epithelial
Cysts
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Epithelial cysts (Figure 20) are sometimes
present shortly after birth. They appear as white
nodules on or near the midline of the palate or on
the alveolar
ridges (the part of the jaw where the teeth arise).
They usually spontaneously fall off and generally
require no treatment.
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Fig 21. Congenital
Epulis
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A congential epulis (Figure 21) is a
localized pedunculated
(attached by a stalk-like base) or sessile
(fixed) smooth-surfaced lesion that is pink to red
in color. It may be present at birth and is usually
located in the upper anterior jaw. It may cause feeding
problems and, depending on its size and the degree
to which it interferes with feeding, may need to be
surgically removed.
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Fig 22. Natal
Teeth
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At birth or shortly afterwards, there
may be swollen tissue in the midline of the lower
jaw. When the tissue is felt, calcified tissue may
be noted, or a toothlike object may be visible. These
are natal
(at birth) or neonatal
(after birth) teeth, which are usually poorly formed
and quite mobile (Figure 22). Ninety percent of the
teeth are primary teeth, not supernumerary
teeth. They can interfere with feeding and may need
to be removed.
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Fig 23.
Eruption Hematoma
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Eruption cysts (Figure 23) are associated
with erupting primary and permanent teeth. They appear
as bluish and translucent dome-shaped soft tissue
lesions overlying an erupting tooth. An eruption cyst
results from fluid accumulation within the space surrounding
the erupting tooth. When the fluid in the cyst is
mixed with blood, the cyst is referred to as an eruption
hematoma. No treatment is typically needed, because
the tooth erupts through the lesion, which disappears
spontaneously.[6]
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