Neonatal teeth

Other names| Natal teeth
Specialty| Dentistry

Natal teeth are teeth that are present above the gumline (have already erupted) at birth, and neonatal teeth are teeth that emerge through the gingiva during the first month of life (the neonatal period).[1][2]

The incidence of neonatal teeth varies considerably, between 1:700 and 1:30,000 depending on the type of study; the highest prevalence is found in the only study that relies on personal examination of patients.[3]

Natal teeth, and neonatal teeth, can be the baby's normal deciduous teeth, sprouting prematurely.[4] These should be preserved, if possible. Alternately, they could be supernumerary teeth, extra teeth, not part of the normal allotment of teeth.[5]

## Contents

* 1 Signs and symptoms
* 2 Causes
* 3 Treatment
* 4 Society and culture
* 4.1 Notable cases
* 5 References
* 6 External links

## Signs and symptoms

Most often natal teeth are mandibular central incisors.[6] They have little root structure and are attached to the end of the gum by soft tissue and are often mobile.[7]

## Causes

Most of the time, natal teeth are not related to a medical condition. However, sometimes they may be associated with:[7]

* Ellis–van Creveld syndrome[7][8]
* Hallermann–Streiff syndrome[7]
* Pierre Robin syndrome[7]
* Sotos syndrome[7]

## Treatment

No intervention is usually recommended unless they are causing difficulty to the infant or mother.[3]

However some recommend that they be removed as the tooth can cut or amputate the tip of the tongue.

They should be left in the mouth as long as possible to decrease the likelihood of removing permanent tooth buds with the natal tooth.[9] They should also not be removed if the infant has hypoprothrombinemia.[9] In case of complications when the natal teeth need to be removed, dental radiographs should be obtained whenever possible, and evaluated and followed up with pediatric dentists.[9]

## Society and culture

### Notable cases

* Napoleon Bonaparte[5][10]
* Louis XIV[5][10]
* Richard III[5][10]
* Ivan the Terrible[10]
* Kate Mulgrew[11]
* Honoré Gabriel Riqueti, comte de Mirabeau[5]
* Cardinal Mazarin[5]
* Cardinal Richelieu[5]
* Zoroaster[5]
* Hannibal[5]
* Manius Curius Dentatus (purportedly this was the meaning of his surname)

## References

1. ↑ Seminario, AL; Ivancaková, R (2004). "Natal and neonatal teeth.". Acta Medica 47 (4): 229–33. doi:10.14712/18059694.2018.96. PMID 15841901.
2. ↑ Akash Ardeshana, Seema Bargale, Anuradha Karri, Bhavna Dave (January–March 2016). "Dentitia Praecox - Natal Teeth: A Case Report and Review". Journal of Applied Dental and Medical Sciences 2 (1). http://www.joadms.org/download/article1/12042016_51/1459953030.pdf. "Exact etiology for this condition is unknown. Different factors like heredity, environmental toxicant, endocrine disturbances, and superficial position of tooth germ are associated with etiology"
3. ↑ 3.0 3.1 MASSLER, M; SAVARA, BS (March 1950). "Natal and neonatal teeth; a review of 24 cases reported in the literature.". The Journal of Pediatrics 36 (3): 349–59. doi:10.1016/S0022-3476(50)80105-1. PMID 15405415. http://www.jpeds.com/article/S0022-3476(50)80105-1/abstract.
4. ↑ Vishal Khandelwal; Ullal Anand Nayak; Prathibha Anand Nayak; Yash Bafna (2013-06-02). "Management of an infant having natal teeth". BMJ Case Rep 2013: bcr2013010049. doi:10.1136/bcr-2013-010049. PMID 23737593. "If the erupted tooth is diagnosed as a tooth of the normal dentition, each of the other situations mentioned above should be considered. It also avoids future space management issues. The maintenance of these teeth in the mouth is the first treatment option, unless this would cause injury to the baby.".
5. ↑ 5.0 5.1 5.2 5.3 5.4 5.5 5.6 5.7 5.8 Alexander K.C. Leung, William Lane M. Robson (2006). "Natal Teeth: A Review". Journal of the National Medical Association 98 (2): 226–8. PMID 16708508. "Historical figures, such as Richard III, Louis XIV, Napoleon, Mirabeau, Mazarin, Cardinal Richelieu, Zoroaster and Hannibal, were described as examples of the former.".
6. ↑ Kates, GA; Needleman, HL; Holmes, LB (September 1984). "Natal and neonatal teeth: a clinical study". Journal of the American Dental Association 109 (3): 441–3. doi:10.14219/jada.archive.1984.0415. PMID 6592231.
7. ↑ 7.0 7.1 7.2 7.3 7.4 7.5 "Natal teeth". MedlinePlus : U.S. National Library of Medicine. https://medlineplus.gov/ency/article/003268.htm.
8. ↑ "Ellis-van Creveld syndrome". MedlinePlus : U.S. National Library of Medicine. https://medlineplus.gov/ency/article/001667.htm.
9. ↑ 9.0 9.1 9.2 Martinez, CR (March 1978). "Management of natal teeth". The Journal of Family Practice 6 (3): 654–5. PMID 632777.
10. ↑ 10.0 10.1 10.2 10.3 Berkovitz, Barry K.B (2012). Nothing but the Tooth: A Dental Odyssey. Newnes. p. 126. ISBN 978-0-12-397193-7. https://books.google.com/books?id=-qU3eFE5lg8C&pg=PA126. Retrieved 25 March 2024.
11. ↑ Fallon, Kevin (April 28, 2015). "Kate Mulgrew Bares Her Teeth". The Daily Beast. http://www.thedailybeast.com/articles/2015/04/28/kate-mulgrew-bares-her-teeth.html.

## External links

Classification|

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External resources|

* MedlinePlus: 003268

* v
* t
* e

Oral and maxillofacial pathology (K00–K06, K11–K14, 520–525, 527–529)

Lips

* Cheilitis
* Actinic
* Angular
* Plasma cell
* Cleft lip
* Congenital lip pit
* Eclabium
* Herpes labialis
* Macrocheilia
* Microcheilia
* Nasolabial cyst
* Sun poisoning
* Trumpeter's wart

Tongue

* Ankyloglossia
* Black hairy tongue
* Caviar tongue
* Crenated tongue
* Cunnilingus tongue
* Fissured tongue
* Foliate papillitis
* Glossitis
* Geographic tongue
* Median rhomboid glossitis
* Transient lingual papillitis
* Glossoptosis
* Hypoglossia
* Lingual thyroid
* Macroglossia
* Microglossia
* Rhabdomyoma

Palate

* Bednar's aphthae
* Cleft palate
* High-arched palate
* Palatal cysts of the newborn
* Inflammatory papillary hyperplasia
* Stomatitis nicotina
* Torus palatinus

Oral mucosa – Lining of mouth

* Amalgam tattoo
* Angina bullosa haemorrhagica
* Behçet's disease
* Bohn's nodules
* Burning mouth syndrome
* Candidiasis
* Condyloma acuminatum
* Darier's disease
* Epulis fissuratum
* Erythema multiforme
* Erythroplakia
* Fibroma
* Giant-cell
* Focal epithelial hyperplasia
* Fordyce spots
* Hairy leukoplakia
* Hand, foot and mouth disease
* Hereditary benign intraepithelial dyskeratosis
* Herpangina
* Herpes zoster
* Intraoral dental sinus
* Leukoedema
* Leukoplakia
* Lichen planus
* Linea alba
* Lupus erythematosus
* Melanocytic nevus
* Melanocytic oral lesion
* Molluscum contagiosum
* Morsicatio buccarum
* Oral cancer
* Benign: Squamous cell papilloma
* Keratoacanthoma
* Malignant: Adenosquamous carcinoma
* Basaloid squamous carcinoma
* Mucosal melanoma
* Spindle cell carcinoma
* Squamous cell carcinoma
* Verrucous carcinoma
* Oral florid papillomatosis
* Oral melanosis
* Smoker's melanosis
* Pemphigoid
* Benign mucous membrane
* Pemphigus
* Plasmoacanthoma
* Stomatitis
* Aphthous
* Denture-related
* Herpetic
* Smokeless tobacco keratosis
* Submucous fibrosis
* Ulceration
* Riga–Fede disease
* Verruca vulgaris
* Verruciform xanthoma
* White sponge nevus

Teeth (pulp, dentin, enamel)

* Amelogenesis imperfecta
* Ankylosis
* Anodontia
* Caries
* Early childhood caries
* Concrescence
* Failure of eruption of teeth
* Dens evaginatus
* Talon cusp
* Dentin dysplasia
* Dentin hypersensitivity
* Dentinogenesis imperfecta
* Dilaceration
* Discoloration
* Ectopic enamel
* Enamel hypocalcification
* Enamel hypoplasia
* Turner's hypoplasia
* Enamel pearl
* Fluorosis
* Fusion
* Gemination
* Hyperdontia
* Hypodontia
* Maxillary lateral incisor agenesis
* Impaction
* Wisdom tooth impaction
* Macrodontia
* Meth mouth
* Microdontia
* Odontogenic tumors
* Keratocystic odontogenic tumour
* Odontoma
* Dens in dente
* Open contact
* Premature eruption
* Neonatal teeth
* Pulp calcification
* Pulp stone
* Pulp canal obliteration
* Pulp necrosis
* Pulp polyp
* Pulpitis
* Regional odontodysplasia
* Resorption
* Shovel-shaped incisors
* Supernumerary root
* Taurodontism
* Trauma
* Avulsion
* Cracked tooth syndrome
* Vertical root fracture
* Occlusal
* Tooth loss
* Edentulism
* Tooth wear
* Abrasion
* Abfraction
* Acid erosion
* Attrition

Periodontium (gingiva, periodontal ligament, cementum, alveolus) – Gums and tooth-supporting structures

* Cementicle
* Cementoblastoma
* Gigantiform
* Cementoma
* Eruption cyst
* Epulis
* Pyogenic granuloma
* Congenital epulis
* Gingival enlargement
* Gingival cyst of the adult
* Gingival cyst of the newborn
* Gingivitis
* Desquamative
* Granulomatous
* Plasma cell
* Hereditary gingival fibromatosis
* Hypercementosis
* Hypocementosis
* Linear gingival erythema
* Necrotizing periodontal diseases
* Acute necrotizing ulcerative gingivitis
* Pericoronitis
* Peri-implantitis
* Periodontal abscess
* Periodontal trauma
* Periodontitis
* Aggressive
* As a manifestation of systemic disease
* Chronic
* Perio-endo lesion
* Teething

Periapical, mandibular and maxillary hard tissues – Bones of jaws

* Agnathia
* Alveolar osteitis
* Buccal exostosis
* Cherubism
* Idiopathic osteosclerosis
* Mandibular fracture
* Microgenia
* Micrognathia
* Intraosseous cysts
* Odontogenic: periapical
* Dentigerous
* Buccal bifurcation
* Lateral periodontal
* Globulomaxillary
* Calcifying odontogenic
* Glandular odontogenic
* Non-odontogenic: Nasopalatine duct
* Median mandibular
* Median palatal
* Traumatic bone
* Osteoma
* Osteomyelitis
* Osteonecrosis
* Bisphosphonate-associated
* Neuralgia-inducing cavitational osteonecrosis
* Osteoradionecrosis
* Osteoporotic bone marrow defect
* Paget's disease of bone
* Periapical abscess
* Phoenix abscess
* Periapical periodontitis
* Stafne defect
* Torus mandibularis

Temporomandibular joints, muscles of mastication and malocclusions – Jaw joints, chewing muscles and bite abnormalities

* Bruxism
* Condylar resorption
* Mandibular dislocation
* Malocclusion
* Crossbite
* Open bite
* Overbite
* Overeruption
* Overjet
* Prognathia
* Retrognathia
* Scissor bite
* Maxillary hypoplasia
* Temporomandibular joint dysfunction

Salivary glands

* Benign lymphoepithelial lesion
* Ectopic salivary gland tissue
* Frey's syndrome
* HIV salivary gland disease
* Necrotizing sialometaplasia
* Mucocele
* Ranula
* Pneumoparotitis
* Salivary duct stricture
* Salivary gland aplasia
* Salivary gland atresia
* Salivary gland diverticulum
* Salivary gland fistula
* Salivary gland hyperplasia
* Salivary gland hypoplasia
* Salivary gland neoplasms
* Benign: Basal cell adenoma
* Canalicular adenoma
* Ductal papilloma
* Monomorphic adenoma
* Myoepithelioma
* Oncocytoma
* Papillary cystadenoma lymphomatosum
* Pleomorphic adenoma
* Sebaceous adenoma
* Malignant: Acinic cell carcinoma
* Adenocarcinoma
* Adenoid cystic carcinoma
* Carcinoma ex pleomorphic adenoma
* Lymphoma
* Mucoepidermoid carcinoma
* Sclerosing polycystic adenosis
* Sialadenitis
* Parotitis
* Chronic sclerosing sialadenitis
* Sialectasis
* Sialocele
* Sialodochitis
* Sialosis
* Sialolithiasis
* Sjögren's syndrome

Orofacial soft tissues – Soft tissues around the mouth

* Actinomycosis
* Angioedema
* Basal cell carcinoma
* Cutaneous sinus of dental origin
* Cystic hygroma
* Gnathophyma
* Ludwig's angina
* Macrostomia
* Melkersson–Rosenthal syndrome
* Microstomia
* Noma
* Oral Crohn's disease
* Orofacial granulomatosis
* Perioral dermatitis
* Pyostomatitis vegetans

Other

* Eagle syndrome
* Hemifacial hypertrophy
* Facial hemiatrophy
* Oral manifestations of systemic disease

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