Natal Teeth in Newborns: Can Babies Really Be Born With Teeth

Key Facts

• Natal teeth are present at birth (commonly the lower front incisors) and occur in about 1 in 289 newborns. They usually have weak roots and irregular shapes.
• They are generally harmless but may cause breastfeeding difficulties, tongue ulcers (Riga-Fede disease), or choking risks if extremely loose.
• Removal is recommended only when natal teeth are very loose, painful, interfere with feeding, or pose an infection risk.
• Care includes routine dental checkups, gentle cleaning with a soft cloth, monitoring looseness, and adjusting feeding techniques (e.g., using nipple shields).

Can Babies Be Born With Teeth?

Although teeth usually begin forming months after birth, some babies are born with teeth known as natal teeth. These teeth are typically not harmful and often don’t require treatment, but they should be examined by your baby’s paediatrician.

Babies aren’t born with a full set of teeth—usually only one or two natal teeth appear. There are no documented cases of newborns having a full mouth of teeth. While not a serious condition, natal teeth do require careful monitoring, which this article explains in detail.

What Are Natal Teeth?

Natal teeth are teeth present at birth. They tend to have weak, underdeveloped roots, making them more likely to fall out early. The exact cause is unknown, but some studies suggest a possible link to certain medical conditions.

A 2023 study reported that about 1 in 289 newborns has natal teeth, while 1 in 2,212 has neonatal teeth (erupting within the first month).

Characteristics of Natal Teeth

• Usually appear in the lower front gums (incisor region)
• Often loose due to weak or incomplete roots
• May be tiny, discoloured, or oddly shaped
• Sometimes covered by soft tissue instead of enamel

These teeth may be part of the baby’s natural primary set or may be extra (supernumerary) teeth.

Difference Between Natal Teeth and Neonatal Teeth

Should Natal Teeth Be Removed?

Most natal teeth do not require removal. Extraction is considered only when:

• They are extremely loose, posing a choking or swallowing risk.
• The teeth irritate the baby’s tongue or the mother’s breast during feeding.
• Sharp edges cause tongue ulcers, such as Riga-Fede disease.
• They increase the risk of infection.
• They make breastfeeding difficult due to poor latching.

A paediatric dentist will determine whether extraction is necessary.

Complications Associated With Natal Teeth

Although not dangerous, natal teeth may lead to:

• Accidental swallowing if a loose tooth falls out
• Breastfeeding discomfort or difficulty sucking, which may affect nutrition
• Ulcers on the tongue or gums from friction

How to Care for Babies With Natal Teeth

1. Regular Checkups

Visit a paediatric dentist soon after birth to evaluate the teeth and plan appropriate care.

2. Gentle Oral Hygiene

Use a soft, clean cloth to wipe the gums and teeth after feeding. Avoid hard toothbrushes.

3. Monitor for Looseness

Check regularly for mobility. If the tooth becomes very loose, consult your doctor to avoid choking risks.

4. Breastfeeding Adjustments

Try different feeding positions or use a silicone nipple shield if the teeth cause discomfort.

5. Watch for Infection

Look for redness, swelling, or pus around the gums. Seek medical care if these symptoms appear.

6. Manage Sharp Edges

Dentists can smooth sharp edges or cover them with dental material to prevent ulcers.

Takeaway

Natal teeth are rare but usually harmless. With proper care, monitoring, and guidance from a paediatric dentist, most babies with natal teeth experience no major issues. If your child has natal teeth, early evaluation can help prevent complications such as feeding difficulties, infections, or accidental swallowing.

For expert advice and support, consult paediatric dentists at Nivea's Dental Care to ensure the best care for your baby’s oral health.