Can Babies Be Born with Teeth? Understanding Natal Teeth

While it may surprise many, babies can indeed be born with teeth. These rare teeth, known as natal teeth, are present at birth and occur in approximately one out of every 2,000 live births. Though uncommon, the presence of natal teeth raises important questions about their causes, characteristics, and potential complications. This guide explores everything parents need to know about natal teeth and how to manage them.

What Are Natal Teeth?

Natal teeth are teeth that are visible in a baby’s mouth at birth. Unlike neonatal teeth, which emerge within the first month of life, natal teeth are already present when the baby is born. These teeth are usually part of the baby’s primary (milk) teeth and are most often located in the lower front of the mouth (the mandibular central incisors).

While natal teeth may look like regular baby teeth, they are often underdeveloped with weak roots. This can make them appear smaller, looser, and less stable than typical teeth.

Causes and Risk Factors

The exact cause of natal teeth is often unknown, but certain factors may increase their likelihood:

• Genetic Predisposition: About 15% of babies born with natal teeth have a family history of the condition, suggesting a hereditary component.
• Medical Conditions: Natal teeth are occasionally associated with specific syndromes or medical conditions, including:
  • Sotos Syndrome
  • Hallermann-Streiff Syndrome
  • Pierre Robin Syndrome
  • Ellis-van Creveld Syndrome
• Maternal Nutrition: Some studies suggest that malnutrition during pregnancy could increase the chances of a baby being born with natal teeth, though this link is not definitive.

Characteristics of Natal Teeth

Natal teeth are distinct from typical baby teeth in several ways:

• Underdeveloped Roots: Their root structures are incomplete, making the teeth less secure in the gums.
• Appearance: They are often smaller, more yellow, or irregularly shaped compared to regular baby teeth.
• Mobility: Due to their weak roots, natal teeth can be loose, which poses potential risks for the baby.

Potential Complications of Natal Teeth

While natal teeth do not always cause problems, they can sometimes lead to complications:

1. Breastfeeding Challenges: The presence of natal teeth can make breastfeeding uncomfortable for mothers, as the baby may accidentally bite or cause irritation. In some cases, babies may struggle to latch properly due to the teeth.
2. Choking Hazards: Loose natal teeth are a potential choking hazard if they dislodge and are aspirated into the airway.
3. Tongue Irritation: Some babies develop tongue ulcers, a condition known as Riga-Fede disease, caused by the friction between natal teeth and the tongue.
4. Feeding Difficulties: If the teeth cause discomfort or irritation in the baby’s mouth, they may have trouble feeding effectively.

Managing Natal Teeth

If your baby is born with natal teeth, it’s essential to consult a pediatrician or pediatric dentist for an evaluation. Depending on the condition of the teeth, a healthcare provider may recommend one of the following:

• Monitoring: If the natal teeth are stable and not causing any issues, they can often be left in place and monitored regularly.
• Extraction: In cases where the teeth are loose, causing feeding problems, or irritating the baby’s tongue, removal may be necessary to prevent complications. This procedure is usually straightforward and performed under local anesthesia.

Caring for Natal Teeth

Proper oral hygiene is crucial for managing natal teeth and preventing infection or decay:

• Gentle Cleaning: To keep the teeth and gums clean and free of bacteria after feedings, use a soft, damp cloth.
• Regular Dental Checkups: Schedule follow-up visits with a pediatric dentist to monitor the condition of the teeth and ensure they are not causing any problems.

For breastfeeding mothers experiencing discomfort, consider using a nipple shield to reduce irritation during feeding.

When to Seek Medical Advice

While natal teeth are often harmless, you should consult a healthcare professional if you notice any of the following:

• The teeth appear extremely loose or are at risk of dislodging.
• Your baby has difficulty feeding or shows signs of distress.
• The presence of tongue ulcers or other signs of irritation in the mouth.

Early evaluation and intervention can help address these issues and ensure your baby’s comfort and safety.

Summing Up

Although rare, natal teeth are typically manageable with proper care and attention. Understanding the causes, characteristics, and potential complications can help parents navigate this unique situation confidently. Whether the teeth are left in place or removed, regular monitoring and good oral hygiene are essential for your baby’s health.

If you suspect your baby has natal teeth, consult with a pediatrician or dentist to determine the best course of action. With the right guidance, you can ensure that this uncommon condition doesn’t interfere with your baby’s growth and development.