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Natal Teeth – All you need to know about them!

by | Newborn

What exactly are natal teeth?

The teeth that appear whenever a baby is born are known as natal teeth. Teeth that are underdeveloped and have a weak root are common.

Natal teeth are uncommon. They should not be confused with perinatal teeth, which appear in the mouth of the child during the first month of life.

What factors influence natal teeth?

What creates natal teeth is unknown. Natal teeth may be more common in children with certain health issues that interfere with growth. This includes Sotos syndrome. The condition is also linked to Ellis-van Creveld symptoms (chondroectodermal dysplasia), pachyonychia congenita, and Hallermann-Streiff syndrome.

What are the symptoms of natal teeth?

Natal teeth can sometimes resemble normal teeth. However, they are frequently:

• Small, loose, brown or yellow

How are natal teeth identified?

A physical exam of your child’s mouth by your child’s healthcare provider or dental hygienist can often diagnose natal teeth. X-rays may also be required for your child. Internal tissues, bones, teeth, and organs are imaged using an X-ray. An X-ray may reveal an incompletely formed tooth root.

How are natal teeth cared for?

The treatment will be determined by your child’s symptoms, age, and overall health. It will also depend on the severity of the condition.

Your child’s dentist or medical provider may determine that no treatment is required. In some cases, natal teeth become loose because the root has not fully developed. The teeth may then be extracted. This is done to reduce the possibility of your child breathing in the teeth into their airways, having breastfeeding issues, or damaging your baby’s tongue. Smoothing the top edges of the teeth is another option. This keeps your child’s tongue safe.

What are the risks associated with natal teeth?

The following complications may occur as a result of natal teeth:Problems with breastfeeding. This is because your baby may accidentally bite you while breastfeeding. 

Key points about natal teeth

• Natal teeth are those that appear when a baby is born. The reason is unknown.

• They are uncommon. They are not to be confused with neonatal teeth, which appear in the child’s mouth during the first month of life.

• They are frequently underdeveloped and have a weak root; they are small, loose, and discolored.

• If they are causing a problem, your child’s healthcare provider or dentist may advise having them removed.

Next steps

Tips to help you get the most from a visit to your child’s healthcare provider: 

  • Know why you’re going and what you want to occur.
  • Before your visit, make a list of the questions you want answered.
  • During the visit, take notes on any new diagnoses, medications, treatments, or tests. Make a note of any new instructions your child’s provider gives you.
  • Understand why a new medication or treatment is being prescribed and how it will benefit your child. Also, be aware of the potential side effects.
  • Find out if your child’s condition can be treated in any other way.
  • Understand why a test or process is recommended and what the results may imply.
  • Understand what to assume if your child does not take the medication or undergoes the test or procedure.

• If your child has a follow-up appointment, make a note of the date, time, and reason for the visit.

Learn how to reach your child’s provider after office hours. This is critical if your child becomes ill and you have questions or require assistance.

A few babies are born with one or two teeth (referred to as natal teeth) visible in the gum. In order to promote a better oral condition, it is necessary to investigate the possible local or systemic factors that may be connected to the outbreak of natal teeth, their association with other diseases, and the basis of differential diagnosis. 

  • Teeth with good support do not need to be extracted because research has shown that these elements will most likely compound the deciduous dentition. It is also important to remember that natal teeth are not the only oral abnormality that can be observed in neonates, as other lesions such as cysts and developmental disturbances can be observed. In newborns, a complete oral examination is recommended to establish the differential diagnosis. The strong preference for the lower central incisors is not surprising given that they are usually the first teeth to erupt. Their degree of maturity is far more important than the timing of their eruption. A mature natal tooth outperforms an immature tooth in terms of prognosis.
  • The most common explanation for perinatal tooth eruption is superior placement of the tooth germ; however, in most cases, specific pathophysiology factors cannot be identified. There was no obvious underlying cause for the natal tooth in this case, but it could be due to the superior placement of the tooth germ. There was no hereditary influence, and a one-year follow-up revealed no other defects. 
  • If the natal teeth are loose, they should be extracted while the newborn baby is still in the hospital. The possibility of aspirating or ingesting natal teeth has been reported as a reason for mobile tooth extraction. Teeth that are stable beyond four months have a good prognosis. Esthetically, they are not pleasing due to the discoloration. Pediatric dentists should make every effort to advise parents and the medical community about the best way to treat natal teeth If a natal tooth must be extracted, it should be done by a dentist to avoid unnecessary trauma to the area. A paediatric dentist’s regular follow-up to ensure preventive oral health care is critical. To avoid complications, early diagnosis and appropriate treatment should be prioritised in the management of natal teeth.
  • As reported by Ooshima et al. and Tsubone et al., extraction of the natal tooth should be followed by curettage of the socket to prevent continued development of the cells of the dental papilla, which would result in the eruption of tooth-like structures several months later. Teething symptoms such as those seen with the eruption of other primary teeth (infantile diarrhea, drooling of saliva, malaise, etc.), though reported by Massler, Savara, and Spouge, were not seen in the present case report
  • We conclude that infants with prematurely erupted teeth must be carefully examined for further treatment planning, and parent counseling to bring about awareness is also equally important. Longitudinal and more divergent studies are also necessary to confirm the etiology and nature of natal teeth and to determine whether they are deciduous or supernumerary teeth.
    • If the natal teeth are loose, they should be extracted while the newborn baby is still in the hospital. The possibility of aspirating or ingesting natal teeth has been reported as a reason for mobile tooth extraction. Teeth that are stable beyond four months have a good prognosis. Esthetically, they are not pleasing due to the discoloration. Pediatric dentists should make every effort to advise parents and the medical community about the best way to treat natal teeth If a natal tooth must be extracted, it should be done by a dentist to avoid unnecessary trauma to the area. A paediatric dentist’s regular follow-up to ensure preventive oral health care is critical. To avoid complications, early diagnosis and appropriate treatment should be prioritised in the management of natal teeth.
    • As reported by Ooshima et al. and Tsubone et al., extraction of the natal tooth should be followed by curettage of the socket to prevent continued development of the cells of the dental papilla, which would result in the eruption of tooth-like structures several months later. Teething symptoms such as those seen with the eruption of other primary teeth (infantile diarrhea, drooling of saliva, malaise, etc.), though reported by Massler, Savara, and Spouge, were not seen in the present case report
    • We conclude that infants with prematurely erupted teeth must be carefully examined for further treatment planning, and parent counseling to bring about awareness is also equally important. Longitudinal and more divergent studies are also necessary to confirm the etiology and nature of natal teeth and to determine whether they are deciduous or supernumerary teeth.

    What Do Natal Teeth Look Like?

    Natal teeth sometimes look like regular teeth. In such cases, you can’t differentiate them from normal teeth.

    Oftentimes, natal teeth are:

    • Small
    • Weak
    • Loose
    • Discolored (brown or yellow)

    Do Natal Teeth Cause Any Complications?

    Although natal teeth are not a medical emergency, they can cause complications as the baby grows. These complications can affect both the mother and the baby.

    Some complications that may arise as a result of natal teeth include: 

    • The mother being bitten by the infant while breastfeeding; and 

    • The baby inhaling the tooth as they grow. This could result in the tooth becoming lodged in their airway, causing a variety of problems.

    How Are Natal Teeth Diagnosed?

    The doctor will ask about your infant’s full medical history before performing a physical examination. Because the teeth are usually visible to the naked eye, the doctor diagnoses them based on a physical examination.

    To get a clearer picture, your child’s dentist may also require X-ray imaging. X-rays of your newborn’s mouth will be used by the doctor to confirm the diagnosis of natal teeth. If they find a discoloured and undeveloped tooth, it is likely to be a natal tooth.

    A doctor will then decide whether or not to extract the teeth. If they choose extraction, the procedure should be simple because these teeth can be removed with their fingers or a pair of forceps.

    What Is Natal Teeth Treatment?

    Treatment for natal teeth is usually determined by your child’s symptoms, age, and general health. It will also depend on their health.

    In most cases, no treatment is required. However, in some cases, they may recommend tooth extraction. This procedure reduces the possibility of your child trying to swallow the tooth. It may also aid in the prevention of problems that may arise while breastfeeding.

    Natal teeth can also cause damage to your baby’s tongue, so removal may be an option. Doctors, on the other hand, may advise smoothing this same top edges of the teeth. This can help protect your child’s tongue.

    When Should You See a Doctor for Natal Teeth?

    You should see a doctor as soon as you notice any problems with your natal teeth. They are usually harmless. If you want to get your child checked, here are some pointers to help you make the most of your visit.

    • Before going to the doctor, write down your questions.

    • Write down all of your provider’s instructions and precautionary measures for your child.

    • Inquire about all treatment options.

    • Be aware of all the consequences if you do not receive treatment.

    • Understand how to contact your child’s provider at any time of day or night.

    Risk Factors for Natal Teeth

    Aside from certain medical conditions, a few risk factors may increase a baby’s chances of being born with teeth. Close family members of about 15% of babies born with teeth also had natal teeth when they were born. Siblings and parents are examples of this.

    While studies on the role of gender and natal teeth differ, females appear to be more likely than males to be born with teeth.

    Another risk factor is malnutrition during pregnancy.

    Types of Natal Teeth 

    While some babies are born with teeth, it is not always the case. There are four different types of natal teeth. Your doctor can tell you which of the following conditions your baby has:

    • fully developed, albeit sloppy, crowns attached to a few root structures

    • loose teeth with no roots whatsoever 

    • small teeth just emerging from the gums

    • evidence of teeth about to pierce the gums

    The majority of natal teeth involve only one tooth. It’s even more unusual to be born with multiple teeth. Upper front teeth are more common than lower front teeth. Molars are born in less than 1% of babies with natal teeth. The exact type of teeth your newborn has will determine the risk for complications. This will also help your doctor determine if treatment is necessary.

    Early Teething 

    Some babies aren’t born with teeth, but get them shortly after birth. Generally seen within the Neonatal teeth are teeth that emerge within the first month of life.

    According to Pediatrics, perinatal teeth are even rarer than natal teeth. In other words, your baby has a better (though still rare) chance of being born with teeth than of getting teeth a few weeks later.

    Teething symptoms can appear as early as 3 months of age. However, in these cases, your baby will not have any actual teeth for at least a month. Because newborn teeth appear so quickly after birth, your baby may not exhibit typical teething symptoms such as drooling, fussiness, or biting their fingers.

    When to Seek Treatment 

    Natal teeth that are not loose are usually ignored. However, if your baby is born with loose teeth with no roots, your doctor may advise surgical removal. These natal teeth can put your baby at risk for: choking due to accidental swallowing of the loose tooth; feeding problems; tongue injuries; and injuries to the mother during breast-feeding.

    An X-ray will be taken of a loose tooth to determine whether it has a solid root structure. If no such structure exists, it may be necessary to remove it.

    • What Do Natal Teeth Look Like?

      Natal teeth sometimes look like regular teeth. In such cases, you can’t differentiate them from normal teeth.

      Oftentimes, natal teeth are:

      • Small
      • Weak
      • Loose
      • Discolored (brown or yellow)
      • Do Natal Teeth Cause Any Complications?

      Although natal teeth are not a medical emergency, they can cause complications as the baby grows. These complications can affect both the mother and the baby.

      Some complications that may arise as a result of natal teeth include: 

      • The mother being bitten by the infant while breastfeeding; and 

      • The baby inhaling the tooth as they grow. This could result in the tooth becoming lodged in their airway, causing a variety of problems.

      How Are Natal Teeth Diagnosed?

      The doctor will ask about your infant’s full medical history before performing a physical examination. Because the teeth are usually visible to the naked eye, the doctor diagnoses them based on a physical examination.

      To get a clearer picture, your child’s dentist may also require X-ray imaging. X-rays of your newborn’s mouth will be used by the doctor to confirm the diagnosis of natal teeth. If they find a discoloured and undeveloped tooth, it is likely to be a natal tooth.

      A doctor will then decide whether or not to extract the teeth. If they choose extraction, the procedure should be simple because these teeth can be removed with their fingers or a pair of forceps.

      What Is Natal Teeth Treatment?

      Treatment for natal teeth is usually determined by your child’s symptoms, age, and general health. It will also depend on their health.

      In most cases, no treatment is required. However, in some cases, they may recommend tooth extraction. This procedure reduces the possibility of your child trying to swallow the tooth. It may also aid in the prevention of problems that may arise while breastfeeding.

      Natal teeth can also cause damage to your baby’s tongue, so removal may be an option. Doctors, on the other hand, may advise smoothing this same top edges of the teeth. This can help protect your child’s tongue.

      When Should You See a Doctor for Natal Teeth?

      You should see a doctor as soon as you notice any problems with your natal teeth. They are usually harmless. If you want to get your child checked, here are some pointers to help you make the most of your visit.

      • Before going to the doctor, write down your questions.

      • Write down all of your provider’s instructions and precautionary measures for your child.

      • Inquire about all treatment options.

      • Be aware of all the consequences if you do not receive treatment.

      • Understand how to contact your child’s provider at any time of day or night.

      Risk Factors for Natal Teeth

      Aside from certain medical conditions, a few risk factors may increase a baby’s chances of being born with teeth. Close family members of about 15% of babies born with teeth also had natal teeth when they were born. Siblings and parents are examples of this.

      While studies on the role of gender and natal teeth differ, females appear to be more likely than males to be born with teeth.

      Another risk factor is malnutrition during pregnancy.

      Types of Natal Teeth 

      While some babies are born with teeth, it is not always the case. There are four different types of natal teeth. Your doctor can tell you which of the following conditions your baby has:

      • fully developed, albeit sloppy, crowns attached to a few root structures

      • loose teeth with no roots whatsoever 

      • small teeth just emerging from the gums

      • evidence of teeth about to pierce the gums

      The majority of natal teeth involve only one tooth. It’s even more unusual to be born with multiple teeth. Upper front teeth are more common than lower front teeth. Molars are born in less than 1% of babies with natal teeth. The exact type of teeth your newborn has will determine the risk for complications. This will also help your doctor determine if treatment is necessary.

      Early Teething 

      Some babies aren’t born with teeth, but get them shortly after birth. Generally seen within the Neonatal teeth are teeth that emerge within the first month of life.

      According to Pediatrics, perinatal teeth are even rarer than natal teeth. In other words, your baby has a better (though still rare) chance of being born with teeth than of getting teeth a few weeks later.

      Teething symptoms can appear as early as 3 months of age. However, in these cases, your baby will not have any actual teeth for at least a month. Because newborn teeth appear so quickly after birth, your baby may not exhibit typical teething symptoms such as drooling, fussiness, or biting their fingers.

      When to Seek Treatment 

      Natal teeth that are not loose are usually ignored. However, if your baby is born with loose teeth with no roots, your doctor may advise surgical removal. These natal teeth can put your baby at risk for: choking due to accidental swallowing of the loose tooth; feeding problems; tongue injuries; and injuries to the mother during breast-feeding.

      An X-ray will be taken of a loose tooth to determine whether it has a solid root structure. If no such structure exists, it may be necessary to remove it.

     

     

     

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