Epulis synonymous with congenital granular cell tumor (CGCT) of the new born is an unusual hamartomatous benign lesion
arising from either the maxillary or mandibular alveolar ridge, the later being very rare. CGCT is a lesion of unknown histogenesis
with a strong predilection for the maxillary alveolar ridge of new born girls. Microscopically the tumor is composed of nests of
tightly packed, homogeneous, medium to large sized cells with eosinophilic granular cytoplasm. This case report describes the
management of the tumor in a one day old female child presenting with a mass on the mandibular alveolar ridge associated with
difficulty in breast feeding and inability to swallow the feed which was affecting her normal physical growth. Two modalities
of treatment include conservative and surgical therapy. The lesion was managed by electrosurgical removal and the infant was
initially followed up once a month for 3 months and there after every 6 months, for any post operative complications of which
non were reported.