International Journal of Clinical Pediatric Dentistry

Register      Login

VOLUME 14 , ISSUE 6 ( November-December, 2021 ) > List of Articles


Congenital Epulis of the Newborn: A Case Report and Literature Review

Eldho Babu, Gayathri Kamalasanan, GS Prathima, Muthukrishnan Kavitha

Keywords : Congenital epulis, Neonatal epulis, Surgical excision

Citation Information : Babu E, Kamalasanan G, Prathima G, Kavitha M. Congenital Epulis of the Newborn: A Case Report and Literature Review. Int J Clin Pediatr Dent 2021; 14 (6):833-837.

DOI: 10.5005/jp-journals-10005-2078

License: CC BY-NC 4.0

Published Online: 06-01-2021

Copyright Statement:  Copyright © 2021; The Author(s).


Congenital epulis is a rare benign lesion of new-born and occurs mostly as a single tumor. A new-born infant with congenital epulis is a striking sight for both parents and health care professionals involved in neonatal care. The tumor has a female predilection with the female to male ratio being 10:1. These tumors in the infant's mouth are remarkably large, occupying much of the oral cavity and posing a risk of airway obstruction and it can interfere with the feeding. Although the clinical presentation of the congenital tumor is rather distressing, owing to its size and aggressive appearance, it is very much necessary that the attending pediatricians, pediatric surgeon be cognizant of the nature of this rare yet benign congenital tumor. The purpose of this article is to present a case report documenting the clinical presentation and management of Congenital Epulis on the anterior maxillary alveolus in a three-day old female patient.

  1. Wagdargi S, Patil RS, Arakeri G, et al. Congenital epulis in the newborn, review of the literature and report of a case. J Int Oral Health 2016;8(5):629–631. DOI: 10.1097/MPH.0b013e31818ab2f7
  2. Nagpal R, Suryawanshi P, Malshe N, et al. Congenital epulis: case report and literature review. Indian J Neontal Med Res 2013;1(1):18–20. DOI: IJNMR/2013/5856.1975
  3. Bosanquet D, Roblin G. Congenital epulis: a case report and estimation of incidence. Int J Otolaryngol 2009:508780. DOI: 10.1155/2009/508780
  4. Kayıran SM, Buyukunal C, Ince U, et al. Congenital epulis of the tongue: a case report and review of the literature. JRSM Short Rep 2011;2(7):62. DOI: 10.1258/shorts.2011.011048
  5. Kumar RM, Bavle RM, Umashankar DN, et al. Congenital epulis of the newborn. J Oral Maxillofac Pathol 2015;19:407. DOI: 10.4103/0973-029X.174642
  6. Marakoglu I, Gursoy UK, Marakoglu K. Congenital epulis: report of a case. ASDC J Dent Child 2002;69(2):191–125.
  7. Jenkins HR, Hill CM: Spontaneous regression of congenital epulis of the newborn. Arch Dis Child 1989; 64: 145–147 DOI: 10.1136/adc.64.1.145
  8. Ritwik P, Brannon RB, Musselman RJ. Spontaneous regression of congenital epulis: a case report and review of the literature. J Med Case Rep 2010, 4:331. DOI: 10.1186/1752-1947-4-331
  9. Sarangal H, Namdev R et al. Management of congenital epulis: a case report with review of literature. J South Asian Assoc Pediatr Dent 2018;1(2):58–60. DOI: 10.5005/jp-journals-10077-3014
  10. Sarihan H, Gedík Y, Mocan H, et al. Congenital epulis. Case report Scand J Plast Reconstr Surg Hand Surg 1995;29(1):77–79.. DOI: 10.3109/02844319509048429
  11. Kokubun K, Matsuzaka K, Akashi Y, et al. Congenital epulis: a case and review of the literature. Bull Tokyo Dent Coll 2018;59(2):127–132 DOI: 10.2209/tdcpublication.2017-0028
  12. Omisakin OO, Kache SA, Ajike SO. Congenital epulis: a report of two cases and review of the literature. Int J Med Biomed Res 2016;5(3):130–134. DOI: 10.14194/ijmbr.5.3.4
  13. Parikh SJ, Jain M. Congenital epulis: report of two cases. J Indian Acad Oral Med Radiol 2005;17:28–31
  14. Lapid O, Shaco-Levy R, Krieger Y, et al. Congenital epulis. Pediatrics 2001;107(2):22–24. DOI: 10.1542/peds.107.2.e22
  15. Kannan SK, Rajesh R. Congenital epulis - congenital granular cell lesion: a case report. J Indian Soc Pedod Prev Dent 2006;24(2):104–106. DOI: 10.4103/0970-4388.26026
  16. Sakai VT, Oliveira TM, Silva TC, et al. Complete spontaneous regression of congenital epulis in a baby by 8 months of age. Int J Paediatr Dent 2007;17(4):309–312. DOI: 10.1111/j.1365-263X.2006.00795.x
  17. Merrett SJ, Crawford PJ. Congenital epulis of the newborn: a case report. Int J Paediatr Dent 2003;13(2):127–129. DOI: 10.1046/j.1365-263x.2003.00435.x
  18. Mabongo M, Wood NH, Lemmer J, et al. Congenital epulis. A case report. SADJ 2008;63(6):350–351. DOI: 10.3109/02844319509048429
  19. Messina M, Severi FM, Buonocore G et al. Prenatal diagnosis and multidisciplinary approach to the congenital gingival granular cell tumor. J Pediatr Surg 2006; 41: 35–38. DOI: 10.1016/j.jpedsurg.2006.07.003
  20. Kusukawa J, Kuhara S, Koga C, et al. Congenital granular cell tumor (congenital epulis) in the fetus: a case report. J Oral Maxillofac Surg 1997; 55(11):1356–9. DOI: 10.1016/s0278-2391(97)90202-0
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.