Why Are Some Babies Born with a Tooth or Two?
Posted on 1/1/2026 by NC Pediatric Dentisty |
 Have you ever heard of a baby being born with a tooth already in their mouth? It might sound unusual, but it actually happens! These teeth are called natal teeth, and while they're rare, they can sometimes surprise parents and healthcare providers alike. Let's explore why some babies are born with these early arrivals.
What Exactly Are Natal Teeth?
Natal teeth are teeth that are present in a baby's mouth at birth. They are different from neonatal teeth, which are teeth that erupt during the first month of life. Natal teeth are relatively uncommon, occurring in approximately 1 in every 2,000 to 3,000 births.
Why Do Natal Teeth Develop?
The exact reasons why some babies develop natal teeth aren't always clear, but there are several theories. In many cases, it is sporadic and there is no known cause. In other instances, genetics might play a role. If there is a family history of natal teeth, a baby may be more likely to be born with them.
Sometimes, natal teeth are associated with certain medical conditions, such as Ellis-van Creveld syndrome, Hallermann-Streiff syndrome, or cleft lip and palate. However, in most cases, natal teeth occur in otherwise healthy infants.
Another possible reason is that the tooth bud, the structure that forms the tooth, develops in a more superficial position in the gums than usual. This allows it to erupt earlier than normal.
Are Natal Teeth Normal Teeth?
Typically, natal teeth aren't fully developed. They often have weak roots and are attached to the gum by only soft tissue. This means they are usually wobbly. In most cases, natal teeth are extra teeth, not part of the usual set of 20 baby teeth.
What Should Parents Do If Their Baby Has a Natal Tooth?
If your baby is born with a tooth, the first step is to consult with your pediatrician or a child dentist. The dentist will examine the tooth and determine the best course of action.
In many cases, the dentist will recommend removing the tooth. This is because natal teeth can pose several potential problems. They can irritate the baby's tongue or the mother's nipple during breastfeeding. Because they are not strongly attached, there is a risk that the baby could swallow the tooth, which is why a child dentist will likely recommend extraction.
Caring for Baby's Gums After Extraction
If the natal tooth is extracted, your dentist will provide instructions on how to care for your baby's gums. Usually, this involves gently cleaning the area with a soft, damp cloth.
The Role of Your Child Dentist
Your child dentist is an important resource for any questions you have about your baby's oral health. They can provide guidance on everything from teething to tooth decay prevention. Regular dental check-ups are essential for ensuring your child's teeth and gums stay healthy as they grow.
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