Bohn Nodules — ORE Part 1 MCQ

Correct answer: B — Bohn nodules

**A. Bohn nodules** are benign neonatal epithelial inclusion cysts. They present as small, firm white papules on the buccal or alveolar gingival surface, often in small groups, matching the age, morphology and distribution described. Epstein pearls are similar inclusion cysts but occur on the midline of the hard palate, not the alveolar ridge. Natal teeth are erupted tooth-like structures rather than papules. Congenital epulis is an uncommon, usually solitary gingival mass, commonly arising anteriorly. Oral candidiasis produces wipeable white plaques, often leaving an erythematous surface, rather than discrete firm nodules. Herpetic infection causes vesicles that rupture to form painful erosions or ulcers and would not typically present as stable white papules along the ridge.

Reference: Wessex Neonatal Networks NHS. Baby check findings: mouth, 2023. https://neonatalnetworkssoutheast.nhs.uk/wp-content/uploads/2023/10/Wessex-postnatal-ward_Baby-check-findings-head-swellings.pdf