### What Are Epstein Pearls?Epstein pearls are small, harmless cysts that appear in the mouths of newborns. They are often mistaken for emerging baby teeth due to their white, bump-like appearance.### CausesEpstein pearls are caused by a build-up of keratin, a protein found in hair and nails. This build-up occurs in the soft and hard palates of the mouth.### SymptomsThese cysts look like white or yellowish bumps and are usually less than a few millimeters in diameter. They can appear singly or in groups and are firm to the touch.### DiagnosisA doctor can diagnose Epstein pearls through a simple physical exam of the baby's mouth.### TreatmentNo treatment is needed for Epstein pearls. They are harmless and will disappear on their own within a few weeks to three months.### What Not to DoDo not attempt to rupture or remove the cysts yourself, as this can lead to infection or irritation.### Other Conditions to Consider- **Bohn nodules**: Similar to Epstein pearls but appear on the roof of the mouth.- **Dental lamina cysts**: Similar but slightly larger and more transparent.- **Congenital epulis**: A rare benign tumor that may require surgical removal.### ConclusionEpstein pearls are common and harmless. They do not affect feeding or teething and will resolve on their own.