Case Series of Natal Teeth: A Comprehensive Overview

Bharti Peshwani; Gunjan Chouksey; Pankaj Goel; Jitendra Kumar; Zenish Bhatti

doi:10.5455/EJDR.20250216042751

Abstract
Natal teeth are a rare occurrence, showing the teeth present at time of birth. These teeth are most commonly seen in the mandibular incisor region, resulting from accelerated premature growth of normal primary teeth.Typically, natal teeth closely resemble the normal primary dentition in size and shape; but they often appear small, conical and yellowish colour with hypoplastic enamel and dentin additionally with poor or no root formation leads to increased mobility and further pose to risk of aspiration. Due to sharp edges of natal teeth it causes difficulty during suckling, trauma to the baby’s tongue or laceration on the mother's breast and sometime leads to Riga Fede disease (sublingual ulceration). However, no treatment is required if the teeth are asymptomatic and do not interfere with breastfeeding. Extraction is recommended if the teeth is supernumerary or excessively mobile. This article discusses a series of cases in which natal and neonatal teeth were extracted due to the risk of aspiration associated with the mobility.

Key words: Natal Tooth, Riga -Fede Disease, Vitamin K, Hypoplastic Enamel, Topical Anaesthesia.