AAPD-QE Practice Exam

Congenital epulis is a benign oral lesion that typically arises in newborns, often on the gingivae (gums). The standard approach to managing congenital epulis involves surgical excision. This is primarily because, although it is benign, it can cause functional issues such as difficulty with feeding or may pose aesthetic concerns.

Excision allows for complete removal of the tumor, minimizing the risk of recurrence since these lesions can sometimes change over time. Observational management is usually not recommended because congenital epulis may not resolve on its own and can cause significant complications if left untreated.

Cryotherapy and radiation are not considered typical treatment modalities for congenital epulis. Cryotherapy involves freezing tissue, which is generally more applicable to other types of lesions and conditions, while radiation is typically reserved for more aggressive or malignant lesions. Thus, excision remains the most effective and commonly practiced intervention.