One of the current guiding principle of dentistry is to provide early infant care during the first year of life as a way of maintaining oral health. This is an unsual case report illustrating an intra oral mass on the gum pad of a 20 day old baby , which clinically mimicked neonatal tooth but was diagnosed to be an inflammatory abscess which could have led to septicemia .Clinical diagnosis of these conditions are important in order to provide necessary therapeutic procedure and suitable information to parents about the nature of the lesion and proper infant oral health care.

Key words: Neonate, Inflammatory abscess, Septicemia