Natal and neonatal teeth: A case series and management flow chart

Natal and neonatal teeth newborns have a prevalence range of 1:2000–3500 live births. Depending on the extent of consequent mobility, natal and neonatal teeth can pose a risk of aspiration, or cause trauma to the mother during nursing or intra-oral ulceration in the infant. A retrospective audit of paediatric dentistry clinics was conducted covering December 2019 to March 2023, identifying infants who were referred shortly after birth (up to 3 months of age). Thirty infants were identified with a range of oral diagnoses. A majority had natal or neonatal teeth (n=19), followed by soft tissue anomalies such as eruption cyst, Bohn's nodules, Epstein's pearls, and an alveolar notch. Natal and neonatal teeth are rare, but can be distressing for parents. Cases were managed with reassurance and monitoring, or extraction of natal/neonatal teeth in certain circumstances. A management flow chart is presented to help neonatal teams and general dental practitioners to determine the most appropriate course of action. CPD/Clinical Relevance: Depending on the extent of mobility, natal and neonatal teeth can pose a risk of aspiration or result in trauma to the mother during nursing.