RT Journal Article T1 Fetal Development of Human Oral Epithelial Pearls with Special Reference to Their Stage-Dependent Changes in Distribution A1 Kim, Ji Hyun A1 Jin, Zhe Wu A1 Shibata, Shunichi A1 Yang, Jae Do A1 Murakami, Gen A1 Rodríguez Vázquez, José Francisco A1 Cho, Baik Hwan AB Objective To access detailed distribution and age-dependent changes of oral epithelial pearls. Design Investigation and analysis with human fetal serial sections. Setting Institute of Embryology. Methods This study examined serial frontal sections of the upper and lower jaws of 19 human fetuses at 12 to 18 weeks and of the lower jaws of four late-stage fetuses. Results The upper jaw contained more than 20 midline and more than 60 lateral pearls greater than 20 μm in diameter, whereas the lower jaw contained fewer than 30 pearls of the same size. Midline pearls in the upper jaw were often cylindrical or rugby-ball shaped, whereas all pearls in the lower jaw were small and spherical. Epithelial pearls in the upper jaw started developing along the upper midline until 12 weeks; lateral pearls and additional midline pearls (or strictly, paramedian pearls) developed until 15 weeks. In the lower jaw, however, pearl development started at 18 weeks and was almost always from the dental lamina. Some of the fetuses assessed had an open nasopalatine canal without a duct, but there was no fibrous connection between this canal and pearls. Similarly, the lip frenulum or incisive suture was not connected with these pearls. Conclusion The timing and sequence of development suggest that postfusion rupture of the palate by midline pearls was unlikely. PB SAGE Publications SN 1055-6656 YR 2017 FD 2017-05 LK https://hdl.handle.net/20.500.14352/114249 UL https://hdl.handle.net/20.500.14352/114249 LA eng NO Kim JH, Jin ZW, Shibata S, et al. Fetal Development of Human Oral Epithelial Pearls with Special Reference to Their Stage-Dependent Changes in Distribution. The Cleft Palate Craniofacial Journal. 2017;54(3):295-303. doi:10.1597/15-291 DS Docta Complutense RD 22 abr 2025