Natal teeth

Occasionally neonates are born with teeth. These are called 'natal teeth'. The incidence is 1/ 2,000 to 3,000 births. This term is different from neonatal teeth that appear in the first month of life. The majority of natal and neonatal teeth represent the early eruption of normal primary teeth. Less than 10% of natal teeth  are supernumerary. Although most natal teeth are isolated incidents, their presence may be associated with some medical syndromes (Ellis-van Creveld syndrome, Hallermann-Streiff syndrome, Pierre Robin Syndorme, Soto syndrome).

Natal teeth generally develop on the lower gum, where the central incisor teeth will appear.  They have little root structure and are attached to the end of the gum by soft tissue and are often wobbly. They may cause irritation and injury to the infant’s tongue, and be uncomfortable for mothers who are breastfeeding.

Frequently, natal teeth are removed shortly after birth especially if the tooth is loose and the child runs a risk of aspiration. Otherwise are left in place.