Baby born with teeth: Causes, risk, treatment, and removal

Most newborns don't get their first teeth until months after birth, some babies are born with one or more teeth - known as natal teeth.

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What you need to know about natal teeth!

Teething is frequently a part of a baby's growth during the first year of life. The first teeth typically sprout in newborns between the ages of 4 and 7 months. The first teeth to pierce the gums are the central incisors, which are located on the bottom front.

Although most newborns don't get their first teeth until several months after birth, some babies are born with one or more teeth. They're known as natal teeth. A baby gets its first tooth at 1 out of every 2,000 births.

Natal Teeth

The teeth that a newborn possesses at birth are known as natal teeth. The teeth's roots may not be fully grown and may be weak.

Not many teeth are present at birth. The neonatal teeth, which emerge in the mouth of the newborn within the first month of life, are different from these teeth.

Most natal teeth are just typical primary teeth that erupt quite early. However, a sizable portion is not.

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A full set of twenty primary teeth includes these, however, occasionally children erupt with more than twenty. These extra teeth are known as supernumerary teeth. Less than 10% of a person's natal teeth are extra teeth.

A pediatric dentist can determine whether a baby tooth is extra by using dental X-rays.

Baby born with teeth: Natal teeth causes

Photo by Jonathan Borba

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No known cause for newborn teeth exists. They might, however, be more prevalent in children who have particular health conditions that limit growth.

It can be mysterious, but certain situations can increase the likelihood that a baby will have teeth. Infants who have a cleft lip or palate may have these teeth. Babies who are born with anomalies in the dentin (the calcified tissues that help teeth grow) may also have natal teeth.

It may be the result of underlying medical issues. They include the following syndromes:

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  • Sotos syndrome,
  • Ellis-van Creveld syndrome (chondroectodermal dysplasia),
  • Hallermann-Streiff syndrome (oculomandibulofacial syndrome with hypotrichosis), and
  • Jadassohn-Lewandowsky syndrome (congenital pachyonychia)

The most common medical issue associated with natal teeth is cleft lip and palate.

One study found that 30% of infants with bilateral cleft lip and palate and 5% of infants with unilateral cleft lip and palate had natal or neonatal teeth, respectively.

Another study found that natal or neonatal teeth were present in 2% of newborns with unilateral cleft lip and palate and 11% of infants with bilateral cleft lip and palate.

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Types of Natal Teeth

Although some infants do have teeth, the situation isn't always clear-cut. There are four different types of natal teeth. Your baby's condition can be determined by your doctor if:

  • a few root systems with fully developed, albeit loose, crowns connected.
  • teeth that are fully rootless and are loose
  • teeth that have just started to emerge from the gums
  • signs that the gums are ready for teeth to cut through them

Most cases of babies born with teeth only involve one tooth. Having several teeth from birth is even less common. The lower front teeth are the ones that are used the most, followed by the upper ones. Less than 1% of infants who have natal teeth have molars at birth.

READ MORE: 

Order of baby teeth appearance: All that you need to know

Yes, baby teeth fall out. But they're still important—here's how to help your kids look after them

Delayed tooth eruption: When to worry about baby teeth not coming in

Natal teeth vs neonatal teeth

In contrast to natal teeth, which are present at birth, neonatal teeth appear within the first 30 days of a baby's life. Due to the similarities in the issues that natal and neonatal teeth present, they are frequently examined and treated jointly. Both natal and neonatal teeth are covered by the information that follows.

Natal teeth superstition

Photo by Lisa

Babies born with teeth have long been associated with a variety of legends and superstitions. For instance, while the Chinese saw the presence of teeth during birth as a bad omen, the Malaysians thought it was a sign of good fortune. Its existence was considered to guarantee English global conquest.

Natal teeth: Risks and Complications

In addition to a few medical conditions, there are a few risk factors that could increase a baby's likelihood of being born with teeth. Approximately 15% of newborns with teeth have close relatives who were also born with teeth. They include siblings and parents. While data on the connection between gender and natal teeth is contradictory, it seems that girls are more likely than boys to be born with teeth. Malnutrition during pregnancy could also be another risk factor. There are a few potential problems with a baby having teeth during birth, including the possibility that the newborn will accidentally swallow the tooth, feeding issues, and tongue injuries. According to Dr. Greg Grillo of Express Dentist, complications are rare. If they are sharp, the baby's tongue might feel pain. If they are particularly slack, there is a chance that they could come loose from the gums and impede the airway. Dr. Margaret Madonian, a pediatric and special needs dentist, claims that problems with breastfeeding are common with a baby born with teeth. She underlines that breastfeeding mothers and their babies might both suffer from teething during pregnancy. Premature or neonatal tooth emergence can damage breastfeeding mothers' nipples and make it difficult for newborns to effectively nurse. If one of these issues is being caused by a natal tooth, Dr. Madonian suggests speaking with a pediatric dentist. The procedures could include smoothing or gluing the teeth if they are sufficiently solid and causing feeding issues, or they could involve extracting the natal teeth if they are at risk of aspiration.

Neonatal teeth treatment

Photo by Isaac Taylor

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Normally, untreated natal teeth are not removed. Your doctor may suggest having your child's loose, rootless teeth surgically removed if they are present at birth. These baby teeth throughout pregnancy can improve your baby's chances of developing:
  • swallowing the dislodged tooth unintentionally, which could result in choking
  • feeding problems
  • tongue abrasions
  • mother's injuries experienced during nursing

Baby teeth upon birth removal

A loose tooth will be examined with an X-ray to see whether a robust root structure is present. Removal might be necessary if such a structure doesn't exist. The course of treatment will be influenced by your child's symptoms, age, and general health. It will also depend on how bad the issue is. In other instances, baby teeth may be loose because the roots haven't fully formed. After that, the teeth could be pulled out. As a result, there is less chance that your youngster will unintentionally have a tooth in his or her airways. It might even be necessary to extract the teeth if they are causing damage to your child's tongue. 

Natal teeth management

Natal teeth that are not removed may require additional care and supervision. In teeth with defective enamel at birth, cavities are more likely to form. A pediatric dentist can teach you how to brush your child's teeth correctly and can also help you keep an eye out for tooth rot. Natal teeth can be mysterious, but certain situations can increase the likelihood that a baby will have teeth. If your baby is born with teeth, it is important to speak with a pediatric dentist to ensure that there are no complications.

Here at theAsianparent Philippines, it's important for us to give information that is correct, significant, and timely. But this doesn't serve as an alternative for medical advise or medical treatment. theAsianparent Philippines is not responsible to those that would choose to drink medicines based on information from our website. If you have any doubts, we recommend to consult your doctor for clearer information.

Written by

Margaux Dolores