Main Article Content
Abstract
Congenital epulis is a rare benign tumor in newborns that develops from the alveolar ridge and presents at birth as a gingival mass. Despite its sometimes alarming appearance, the prognosis is excellent following excision. We report a series of two cases along with a review of the literature. This is a series of two cases that we report from 2025, occurring within a 3-month period and affecting both sexes. The first child was seen on day 0 of life, and the second on day 20 of life. In both cases, the lesion was a pedunculated oval mass in the mandibular incisor region, causing difficulty with breastfeeding. There was no gynecological or obstetric history in the mothers, nor any history of malformations among the siblings. Excision under local anesthesia was performed using a cold blade, followed by hemostasis achieved through the application of trichloroacetic acid in both cases. The postoperative course was uneventful. Pathological examinations confirmed congenital epulis. The prognosis was favorable, marked by good weight gain and the absence of recurrence. Congenital epulis is a rare benign tumor in newborns. Early management helps prevent functional feeding disorders and, above all, eliminates the risk of stigmatization in these children.
Keywords
Article Details

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
- 1. NEUMANN E. Elin fall von kongenitaler Epulis. Arch Heilkd. 1871;12:189‑90.
- 2. Abera KA, Yefter ET, Alemayehu KA, Zegeye KB, Tadesse AK, Workneh ZA. Congenital epulis of the newborn; A case report. Int J Surg Case Rep. sept 2024;122:110085. doi:10.1016/j.ijscr.2024.110085 PubMed PMID: 39088971; PubMed Central PMCID: PMC11342214.
- 3. Chaudhry A, Saman R, Nisar MU, Abbas K, Sikander S. Congenital epulis: Report of two cases. J Pediatr Adolesc Surg. 2024;2(1):54‑6. doi:10.46831/jpas.v1i2.99
- 4. AlAllah B, Alallah J, Mohtisham F. Congenital Epulis of the Newborn: A Report on Two Cases. Cureus. juin 2022;14(6):e25730. doi:10.7759/cureus.25730 PubMed PMID: 35812604; PubMed Central PMCID: PMC9270070.
- 5. Almutairi K, Alshagroud R, Alrawashedah F, Wahass T. Multilobulated congenital epulis protruding from the maxillary anterior alveolar ridge in a four-day-old newborn: A case report. Oral Maxillofac Surg Cases. 1 mars 2025;11(1):100390. doi:10.1016/j.omsc.2025.100390
- 6. Guidone PC, Seccia R, Fabrocini LA, Troiano G, Maffei G, Pedicillo MC, et al. Congenital granular cell epulis in a neonate: a case report and review of diagnosis, treatment, and prognosis. Front Oral Health. 11 août 2025;6. doi:10.3389/froh.2025.1548291
- 7. 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):833‑7. doi:10.5005/jp-journals-10005-2078 PubMed PMID: 35110881; PubMed Central PMCID: PMC8783227.
- 8. Han Y, Qiu W, Zhang Y, Hua M, Liu S, Dong Z. From prenatal diagnosis to surgical treatment: two case reports of congenital granular cell epulis. Pathol Oncol Res. 10 juill 2024;30:1611834. doi:10.3389/pore.2024.1611834 PubMed PMID: 39049934; PubMed Central PMCID: PMC11266033.
- 9. Singh A, Ghosh S, Yadav AK, Panthee A. Congenital granular cell tumor: Report of a case with literature review and differential diagnosis. Clin Case Rep. 2022;10(3):e05580. doi:10.1002/ccr3.5580
- 10. Liu S, Chen Y. Congenital epulis of the newborn: 2 cases report and a literature review. J Prev Treat Stomatol Dis. 20 juin 2024;32(6):457‑62. doi:10.12016/j.issn.2096-1456.2024.06.008
- 11. Waa Y. EPULIS GÉANTE CONGÉNITALE OBSTRUCTIVE DE LA CAVITÉ BUCCALE CHEZ UN GARÇON : À PROPOS D’UNE OBSERVATION. Vol. 29. 2022;29.
- 12. Waqas Ali S, Aslam U, Khalid S, Sajjad Ashraf M, Arif Mateen Khan M. Congenital epulis. J Pediatr Surg Case Rep. 1 sept 2021;72:101954. doi:10.1016/j.epsc.2021.101954
- 13. Ritwik P, Brannon RB, Musselman RJ. Spontaneous regression of congenital epulis: a case report and review of the literature. J Med Case Reports. 21 oct 2010;4:331. doi:10.1186/1752-1947-4-331 PubMed PMID: 20964807; PubMed Central PMCID: PMC2974747.
- 14. Xavier AM, Janardhanan M, Veeraraghavan R, Varma BR. Congenital granular cell epulis: a rare paediatric tumour of newborn. BMJ Case Rep. 4 janv 2022;15(1):e244326. doi:10.1136/bcr-2021-244326 PubMed PMID: 34983807; PubMed Central PMCID: PMC8728459.
- 15. Ivanov M, Stroe B, Ardeleanu V, Hainarosie R, Constantin VD, Dumitriu AS, et al. Congenital Epulis: A Two-Case Report [Internet]. [cité 15 nov 2025]. Disponible sur: https://scholar.valpo.edu/jmms/vol8/iss2/25
- 16. Kang MJ, Kang SH. Congenital epulis in a newborn. J Korean Assoc Oral Maxillofac Surg. 31 déc 2022;48(6):382‑5. doi:10.5125/jkaoms.2022.48.6.382 PubMed PMID: 36579910; PubMed Central PMCID: PMC9807372.
- 17. Cavalcante JFN, Costa MDAS, Fixina JNC, Pereira EL, Cipriano OB, Queiroz RG de, et al. Congenital epulis of the newborn: a case report. Gen Dent. 2021;69(6):54‑7. doi:10.4236/ojst.2018.84011
References
1. NEUMANN E. Elin fall von kongenitaler Epulis. Arch Heilkd. 1871;12:189‑90.
2. Abera KA, Yefter ET, Alemayehu KA, Zegeye KB, Tadesse AK, Workneh ZA. Congenital epulis of the newborn; A case report. Int J Surg Case Rep. sept 2024;122:110085. doi:10.1016/j.ijscr.2024.110085 PubMed PMID: 39088971; PubMed Central PMCID: PMC11342214.
3. Chaudhry A, Saman R, Nisar MU, Abbas K, Sikander S. Congenital epulis: Report of two cases. J Pediatr Adolesc Surg. 2024;2(1):54‑6. doi:10.46831/jpas.v1i2.99
4. AlAllah B, Alallah J, Mohtisham F. Congenital Epulis of the Newborn: A Report on Two Cases. Cureus. juin 2022;14(6):e25730. doi:10.7759/cureus.25730 PubMed PMID: 35812604; PubMed Central PMCID: PMC9270070.
5. Almutairi K, Alshagroud R, Alrawashedah F, Wahass T. Multilobulated congenital epulis protruding from the maxillary anterior alveolar ridge in a four-day-old newborn: A case report. Oral Maxillofac Surg Cases. 1 mars 2025;11(1):100390. doi:10.1016/j.omsc.2025.100390
6. Guidone PC, Seccia R, Fabrocini LA, Troiano G, Maffei G, Pedicillo MC, et al. Congenital granular cell epulis in a neonate: a case report and review of diagnosis, treatment, and prognosis. Front Oral Health. 11 août 2025;6. doi:10.3389/froh.2025.1548291
7. 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):833‑7. doi:10.5005/jp-journals-10005-2078 PubMed PMID: 35110881; PubMed Central PMCID: PMC8783227.
8. Han Y, Qiu W, Zhang Y, Hua M, Liu S, Dong Z. From prenatal diagnosis to surgical treatment: two case reports of congenital granular cell epulis. Pathol Oncol Res. 10 juill 2024;30:1611834. doi:10.3389/pore.2024.1611834 PubMed PMID: 39049934; PubMed Central PMCID: PMC11266033.
9. Singh A, Ghosh S, Yadav AK, Panthee A. Congenital granular cell tumor: Report of a case with literature review and differential diagnosis. Clin Case Rep. 2022;10(3):e05580. doi:10.1002/ccr3.5580
10. Liu S, Chen Y. Congenital epulis of the newborn: 2 cases report and a literature review. J Prev Treat Stomatol Dis. 20 juin 2024;32(6):457‑62. doi:10.12016/j.issn.2096-1456.2024.06.008
11. Waa Y. EPULIS GÉANTE CONGÉNITALE OBSTRUCTIVE DE LA CAVITÉ BUCCALE CHEZ UN GARÇON : À PROPOS D’UNE OBSERVATION. Vol. 29. 2022;29.
12. Waqas Ali S, Aslam U, Khalid S, Sajjad Ashraf M, Arif Mateen Khan M. Congenital epulis. J Pediatr Surg Case Rep. 1 sept 2021;72:101954. doi:10.1016/j.epsc.2021.101954
13. Ritwik P, Brannon RB, Musselman RJ. Spontaneous regression of congenital epulis: a case report and review of the literature. J Med Case Reports. 21 oct 2010;4:331. doi:10.1186/1752-1947-4-331 PubMed PMID: 20964807; PubMed Central PMCID: PMC2974747.
14. Xavier AM, Janardhanan M, Veeraraghavan R, Varma BR. Congenital granular cell epulis: a rare paediatric tumour of newborn. BMJ Case Rep. 4 janv 2022;15(1):e244326. doi:10.1136/bcr-2021-244326 PubMed PMID: 34983807; PubMed Central PMCID: PMC8728459.
15. Ivanov M, Stroe B, Ardeleanu V, Hainarosie R, Constantin VD, Dumitriu AS, et al. Congenital Epulis: A Two-Case Report [Internet]. [cité 15 nov 2025]. Disponible sur: https://scholar.valpo.edu/jmms/vol8/iss2/25
16. Kang MJ, Kang SH. Congenital epulis in a newborn. J Korean Assoc Oral Maxillofac Surg. 31 déc 2022;48(6):382‑5. doi:10.5125/jkaoms.2022.48.6.382 PubMed PMID: 36579910; PubMed Central PMCID: PMC9807372.
17. Cavalcante JFN, Costa MDAS, Fixina JNC, Pereira EL, Cipriano OB, Queiroz RG de, et al. Congenital epulis of the newborn: a case report. Gen Dent. 2021;69(6):54‑7. doi:10.4236/ojst.2018.84011
