Natal Tooth: A Case Report highlighting Clinical Management and association with Maternal Risk Factors

Natal teeth are uncommon developmental findings present at birth and may cause functional and clinical concerns for both the infant and caregiver. These teeth may interfere with feeding, result in maternal discomfort during breastfeeding, and pose a potential risk of aspiration when excessively mobile. Early diagnosis and appropriate management are therefore essential. This report describes the case of a 23-day-old female infant presenting with a natal tooth in the mandibular anterior region. Maternal history was significant for gestational diabetes mellitus, anemia, and hypothyroidism, although any association with natal teeth remains speculative. Clinical examination revealed a conical, whitish-opaque crown with Grade III mobility, indicating inadequate attachment and increased aspiration risk. Based on the clinical findings and mobility, extraction was planned following confirmation of adequate vitamin K prophylaxis. The tooth was extracted atraumatically under topical anesthesia, and hemostasis was achieved successfully. Postoperative healing was uneventful, with satisfactory healing observed at one-week follow-up. This case highlights the importance of careful clinical assessment, risk evaluation, and timely intervention in the management of natal teeth.

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