Introduction: Congenital epulis, also known as congenital granular cell tumor, is a rare benign intraoral tumor which occurs along the gingiva of alveolar ridges of the jaws. It has a female predilection with a female and male ratio of 8:1. It usually occurs as a single mass, however, multiple epulis have also been reported. It has the potential to interfere with feeding and cause airway obstruction.
Case Report: A two-year-old girl presented with the chief complaint of swelling in upper left back tooth region. The parent also reported bleeding from the swelling while brushing. The mass was soft in consistency with an irregular surface, approximately 3x2 cm in size, and caused vestibular obliteration. The parents reported that the mass had slowly increased in size from when they had first noticed it, nine months back. Based on the clinical appearance a provisional diagnosis of peripheral giant cell granuloma was given. Complete surgical excision of the mass under general anesthesia was performed and the specimen was sent for histopathology.
Conclusion: Pedodontists may be consulted initially regarding such cases and should be aware of the potential for complications like feeding difficulties and airway compromise.

Keywords: Congenital epulis, Congenital granular cell lesion, Intraoral tumor, Neumann’s tumor