While most babies sport a toothless grin, in rare cases, a child is born with one or more teeth. The phenomenon, known as natal teeth, may raise concern, mainly if it affects a child’s safety or ability to nurse. However, the good news is that a pediatric dentist can help. Here’s what you should know about the condition and treatment options.

What Causes Natal Teeth? 

The cause of natal teeth is unknown. Some researchers suggest they are caused by teeth that developed abnormally close to the surface, or they could be the result of issues such as infection, trauma, malnutrition, or maternal exposure to environmental toxins. Some medical conditions can increase the risk of natal teeth, including a cleft palate or lip, or irregular dentin. Syndromes such as Sotos, Hallerman-Streiff, Pierre Robin, and Ellis-van Creveld are also associated with an increased risk.

In most cases, babies with natal teeth have only one tooth since multiples are extremely rare. Even more rare are children who are not born with teeth but develop them right after birth, which is a phenomenon known as neonatal teeth. 

When Do the Teeth Normally Emerge? 

Usually, baby teeth emerge around six months, although the exact timing varies from one child to another. The incisors, or front teeth on the top jaw, are typically the first to grow in, followed by canines and molars. After about 18 months, the teeth on the bottom jaw develop. At around age six, adult teeth will start to develop, and the baby teeth will fall out. 

When Should You Seek Help?

Natal teeth are not always problematic, and, if they are not loose, your dentist may recommend leaving them alone. However, a loose tooth can be a choking hazard, as it could fall out and be aspirated. A dentist may need to remove it in this case, particularly if there is no root structure. The tooth may need to be removed or filed down if it is sharp, as it could hurt the baby’s tongue.

Natal teeth can impede nursing as well, causing discomfort for mothers. However, a mother may decide to pump breast milk and bottle feed if the tooth is not causing other issues.

If you’re a St. Louis County, MO, resident in need of a pediatric dentist, turn to Wheeler Family Dental. Locally-owned and operated, this Chesterfield general and cosmetic dentistry practice provides comprehensive oral health care for patients of all ages. From care for natal teeth to teeth cleaning and Invisalign®, they offer everything you need to keep your family smiling brightly. Call (314) 576-3737 to speak with a helpful staff member to schedule an appointment, or visit the website to learn more about how they can help you.