The claim
「Epstein pearls and buccal fat pads should be lanced」
Verdict
Myth⚠️ Never lance them. The white spots on the gums (Epstein pearls) and the cheek fat pads are normal structures that resolve on their own — the fat pads are essential for sucking. Piercing them risks serious oral infection and sepsis.
Sources
StatPearls · StatPearls, NCBI Bookshelf, U.S. National Library of Medicine
StatPearls (NCBI Bookshelf, U.S. National Library of Medicine). (2025/06/11). Palatal and gingival cysts of the newborn. https://www.ncbi.nlm.nih.gov/books/NBK493177/
Direct source · Government / official agency · checked 2026-08-02

