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Abstract
Introduction: Natal teeth (present at birth) and neonatal teeth (teeth that erupt in the first month of life) are a rare disorder of the dental eruption [Citation1]. The lower central incisor is the most prevalent, with no preference for sex, and the natal teeth are more frequent than neonatal [Citation2–4]. The etiology is unknown, however its relation with infections (Congenital Syphilis), endocrine disorders, heredity and syndromes has been mentioned [Citation2]. Clinically these teeth may have normal appearance, but in most cases are small, conical and with rudimentary root development, and may have dental mobility [Citation2,Citation4]. The complications that these teeth can cause are considerable, being the danger of aspiration or swallowing, traumatic ulcer on the ventral aspect of the tongue (Syndrome Riga-Fede), and discomfort during breastfeeding some of them [Citation1–5], the treatment plan is a challenge, being the extraction or regularization of the edges of the tooth to be considered [Citation2]. Thus some factors must be taken into account, namely dental mobility, interference in breastfeeding, presence of traumatic injury and finally if it belongs to the deciduous dentition, or is a supernumerary tooth [Citation5]. So, the aim was to present a rare disorder of dental eruption.
Materials and methods: Informed Consent was signed. Newborn female. Eutocic delivery at 38 weeks and 6 days, birth weight 3,200 kg. In the objective examination a native tooth was detected, with no other associated changes. After 34 days she appears in the Pediatric Dentistry consultation, according to the pediatrician’s indications. In the consultation the presence of the tooth with mobility, without injury in the ventral face of the tongue and without complaints in the breastfeeding is verified. Given the risk of aspiration or swallowing, the treatment chosen was the exodontia of the same.
Results: Local anesthesia was not applied, given the mobility of teeth and exodontia was performed without complications of the tooth.
Discussion and conclusions: Natal teeth are a rarity, and of unknown etiology. Thus, the importance of this case for a multifactorial approach at the moment of the therapeutic decision and the knowledge of the pediatricians about this alteration is emphasized.
Figure 1. Natal tooth at 35 days.
Figure 2. Natal tooth.
