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Pediatric emergency medicine trisk 3815 3815

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FIGURE 117.5 Mucocele associated with minor salivary gland of the lower lip Neonatal Cysts Dental lamina cysts may be present in the newborn Historically, they were named for the location at presentation; however, terminology now groups all these lesions as dental lamina cysts Along the midpalatine raphe, round or ovoid, white, raised nodules may be present These are keratin-filled cystic lesions (Epstein pearls) Often, only a few can be visualized, but sometimes there are too many to count They are believed to arise from embryologically trapped epithelium They are present in about 80% of neonates and should be considered a normal variant They are self-resolving and no treatment is necessary Remnants of the dental lamina may appear as cysts on the buccal or lingual aspect of the maxillary and mandibular dental ridges in the newborn (Bohn nodules) They may appear in the palate but are far removed from the midpalatine raphe Although similar in shape and color, they are located differently and therefore can be easily distinguished from Epstein pearls No treatment is

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