Many new parents are surprised when they notice strange ridges, bumps, or little white spots on their newborn’s gums. These small marks, often mistaken for early signs of teething, can appear just days after birth and may raise concern. However, in most cases, these marks are completely normal and harmless.
What Are These Gum Bumps?
The image you’ve seen shows a close-up of a newborn’s gums with small, tooth-like ridges. These are Epstein Pearls or neonatal teeth buds, and they are actually quite common in newborns.
Epstein Pearls vs. Natal/Neonatal Teeth
1. Epstein Pearls
- Tiny white or yellow cysts on the gums or roof of the mouth
- Filled with keratin (a protein)
- Present in about 60-85% of newborns
- Usually disappear on their own within a few weeks
2. Natal/Neonatal Teeth
- Actual teeth that are present at birth or emerge within the first month
- Rare (1 in every 2,000–3,000 births)
- May be loose and require removal if they pose a choking hazard
What Should You Do?
✅ Don’t panic – these bumps are typically part of normal development
✅ Avoid poking or scraping them – this could lead to irritation or infection
✅ Keep your baby’s mouth clean – gentle wiping with a clean cloth is enough
✅ Consult your pediatrician or dentist if the bumps persist, look inflamed, or if a tooth appears unusually early
When to Be Concerned
While Epstein Pearls and harmless ridges are common, if you notice swelling, bleeding, discomfort during feeding, or signs of infection, it’s important to seek medical advice.
