Congenital and developmental abnormalities of the gums

Congenital epulis of the newborn

This uncommon tumour is seen in the anterior mandible and can reach a relatively large size. It is pedunculated and mobile, and can cause extreme concern to parents. It is simple to remove and has no long-term consequences.

Predeciduous teeth

At birth, or shortly afterwards, hard tooth-like structures may be detected in the lower alveolus and can cause the mother considerable discomfort during breastfeeding. These do not represent primary dentition or ‘a third set of teeth’ as. the structures, although calcified, do not take the form of normal teeth. Simple removal is advised where breastfeeding is undertaken.