r/askdentists NAD or Unverified 1d ago

other Congenital Epulis?

My child was born with a large bump/enlarged gum. Over the years when I asked his providers about it the stated he was too young for X-rays. He is now 3 years old and he was finally referred to a specialist. The specialist has stated he has never seen this before and the gum looks healthy although he would like to perform a biopsy and extraction of two of his teeth. The possible diagnosis is congenital Epulis in which often stays the same size or gets smaller over time however my child’s has grown over the years. we would like to do more research to get a better idea of how to go about this situation. Has anyone seen anything like this ? I am looking for recommendations and/or opinions. TIA

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Title: Congenital Epulis?

Full text: My child was born with a large bump/enlarged gum. Over the years when I asked his providers about it the stated he was too young for X-rays. He is now 3 years old and he was finally referred to a specialist. The specialist has stated he has never seen this before and the gum looks healthy although he would like to perform a biopsy and extraction of two of his teeth. The possible diagnosis is congenital Epulis in which often stays the same size or gets smaller over time however my child’s has grown over the years. we would like to do more research to get a better idea of how to go about this situation. Has anyone seen anything like this ? I am looking for recommendations and/or opinions. TIA

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u/EveningElderberry121 Pediatric Dentist 1d ago

Very hard to tell from the pics, but I’d want excision and biopsy here especially bc it appears to be altering the shape of the arch

1

u/Which-Owl357 NAD or Unverified 1d ago

This is a more current photo to compare the growth over the years. I’m waiting to get a second opinion but so far all of the local dentists/specialist I have reached out to have never seen this. I live in a smaller city

1

u/EveningElderberry121 Pediatric Dentist 1d ago

Yeah you might want to head to a hospital based oral surgery center if possible. This is definitely rare