What are milia, also known as Epstein's pearls?

Milia, often referred to as Epstein's pearls in the context of newborns, are indeed whitish-yellow cysts that commonly occur on the gums and the roof of the mouth. These small cysts are keratin-filled and result from the buildup of skin cells, which can happen during fetal development when skin cells become trapped beneath the surface. This condition is completely benign and typically resolves on its own without treatment.

Recognizing milia as a normal occurrence in newborns is important for healthcare providers and parents, as it assures them that these cysts are not harmful and do not indicate any underlying health issues. Proper diagnosis helps avoid unnecessary concern about the infant's health, which is crucial during the early days of life when parents may be particularly anxious about their newborn's well-being.