title: Unusual symptomatic inclusion cysts in a newborn: a case report.
abstract: BACKGROUND
  Dental lamina cysts are cysts that occur as white or pink small nodules, often multiple, approximately 1 to 3mm in diameter. They are typically located on the midpalatine raphe and less frequently on the maxillary and mandibular alveolar mucosa; in the latter case these can be appear to be neonatal teeth.On microscopic examination, these lesions show a stratified squamous epithelium (two to three cell layers); it is possible to find protein, keratin and/or exfoliated epithelial cells in the lumen of the lesions.Neonatal cysts usually show no particular symptoms. They are associated with an excellent prognosis because they regress spontaneously within a few weeks and are not associated to any complications. However, if pain, bleeding or other symptoms occur, a surgical excision is required.
  
  
  METHODS
  In this paper, we present an anomalous case of symptomatic dental lamina cyst which affected a 60-day-old male Caucasian newborn. The surgical treatment was elective in this case and 6-month follow-ups were mandatory.
  
  
  CONCLUSIONS
  We can underline the successful predictability of the surgical approach; however, we consider that the treatment choice should take place in the light of medical history and clinical considerations, and always be evaluated on a case-by-case basis. Further studies and reviews in this field should be performed in order to suggest guidelines for clinicians, although these cases are rare.
authors.affiliation: Department of Oral and Maxillo-Facial Sciences, "Sapienza" University of Rome, Via Caserta, 6 - 00161 Rome, Italy. r.marini@uniroma1.it.
authors.forename: Roberta
authors.initials: R
authors.lastname: Marini
authors.forename: Nicolae
authors.initials: N
authors.lastname: Chipaila
authors.forename: Annalisa
authors.initials: A
authors.lastname: Monaco
authors.forename: Domenico
authors.initials: D
authors.lastname: Vitolo
authors.forename: Gian Luca
authors.initials: GL
authors.lastname: Sfasciotti
mesh_terms: D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D009807:Odontogenic Cysts / Q000151:congenital* / Q000601:surgery*