Baby Born With Teeth? What Parents Need to Know About Natal Teeth

Seeing a baby born with teeth can be surprising – even a little alarming – for new parents. These early-appearing teeth, called natal teeth, are rare but usually harmless. In this article, we’ll explore what causes natal teeth, whether they’re something to worry about, and how to care for your baby if they’re one of the few born with teeth.

What Are Natal Teeth?

Natal teeth are teeth present at birth. They are not the same as neonatal teeth, which appear within the first 30 days of life. These early teeth are most often lower front teeth (mandibular central incisors), and they may be fully developed or just partially erupted.

Natal teeth are rare, occurring in approximately 1 in every 2,000 to 3,000 births.

Why Is My Baby Born With Teeth?

The exact cause isn’t always known, but several factors may contribute to natal teeth:

  • Genetic traits (they often run in families)
  • Developmental variations
  • Rarely, underlying syndromes (like Ellis-van Creveld or Sotos syndrome)

Most of the time, though, a baby born with teeth is completely healthy.

Are Natal Teeth Real Baby Teeth?

Most natal teeth are part of the primary (baby) teeth set that erupted early — not extra teeth. However, they can sometimes be supernumerary (extra), which a pediatric dentist can assess with an X-ray.

Are Natal Teeth a Problem?

It depends. While some babies with natal teeth have no issues, others may experience:

  • Feeding difficulties: Natal teeth can interfere with latching during breastfeeding.
  • Tongue irritation or injury: These teeth may irritate or cause ulcers on the baby’s tongue (called Riga-Fede disease).
  • Risk of loosening or swallowing: Natal teeth are often poorly rooted, increasing the risk of accidental aspiration.

Should Natal Teeth Be Removed?

Not always. If the teeth are stable, not causing feeding issues, and don’t pose a risk of being swallowed, they may be left alone. However, removal might be recommended if:

  • The tooth is very loose.
  • Feeding becomes painful for mom or difficult for baby.
  • The tooth causes injury to the baby’s tongue or lips.

A pediatric dentist will evaluate the situation and may refer you to a pediatric oral surgeon if needed.

How to Care for a Baby Born With Teeth

  • Gently wipe the teeth and gums with a clean, damp cloth after feedings.
  • Monitor for signs of redness, swelling, or mouth ulcers.
  • Visit a pediatric dentist within the first few weeks for an evaluation.
  • Use breast shields if nursing becomes painful due to the teeth.

Smiling Baby with Natal Tooth

When to See a Pediatric Dentist

If your newborn has teeth at birth or shortly after, a visit to the pediatric dentist is essential. At Brite Bite, we’re experienced in evaluating natal and neonatal teeth and can help guide you on whether any action is needed.

Quick Facts: Natal Teeth

  • Rare (1 in 2,000–3,000 babies)
  • Most often the lower front teeth
  • May interfere with feeding or cause tongue injury
  • Usually part of the normal baby teeth set
  • Should be evaluated by a pediatric dentist

Trust Brite Bite for Your Baby’s Oral Health

Being a parent comes with plenty of surprises — a baby born with teeth is just one of them! Whether you’re concerned about natal teeth or want guidance on your child’s dental development, our friendly pediatric dental team in North York and Vaughan is here to help.

Book your baby’s first dental visit today