Causes and risk factors
In most of the cases, the cause remains unknown; however, in some cases the studies have revealed that it may be associated with certain medical conditions. They are often commonly associated with Ellis-van Creveld syndrome or Sotos syndrome or Hallermann-Streiff syndrome.
Clinical presentation:
At the time of birth, small teeth are seen. Usually they appear on the lower gums. These teeth are attached to the soft tissue and may also have little root. These teeth are, however, loose. They can lead to irritation and injury to the tongue. It can also lead to discomfort to the nursing mother. The loose tooth can also pose a risk for aspiration by the baby.
Investigations:
The complaints narrated by the mother are taken into consideration. Clinical examination carried out helps in confirming the diagnosis. Dental x-ray is done. If required certain other investigations can also be advised.
Treatment:
The treatment consists of either conservative methods or surgical extraction. Grinding or smoothing of the edges of the teeth can be done. Composite resins or protective rings to cover the edges of tooth are applied. In surgical intervention, extraction of tooth is done under topical anesthetic cream. Vitamin K injections are given before surgery. Topical fluoride application is prescribed along with maintenance of dental hygiene.
Facts and figures:
The incidence of natal tooth is 1 in every 2000-3000 live births.
