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Multiple Neonatal Teeth in a Preterm Neonate: A Case Report.

Uttara Gautam¹, Rajan Phuyal¹, Abhin Sapkota¹

¹Department of Pediatrics, Kathmandu Medical College Teaching Hospital, Sinamangal, Kathmandu, Nepal.

JNMA; Journal of the Nepal Medical Association

|February 24, 2022

Summary

Preterm infants often experience delayed tooth eruption. This case highlights a rare instance of neonatal teeth present at birth in a very low birth weight preterm neonate.

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Area of Science:

Neonatal dentistry
Pediatric dentistry
Oral and maxillofacial surgery

Background:

Prematurity and low birth weight are commonly linked to delayed dentition.
Neonatal teeth (natal teeth) are rare, with few documented cases in preterm infants.
The etiology of neonatal teeth is multifactorial, potentially involving genetics, nutrition, endocrine factors, infections, or syndromes.

Observation:

A preterm male neonate, born at 28 weeks gestation with very low birth weight and respiratory distress, presented with three neonatal teeth.
The observed neonatal teeth included two maxillary central incisors and one mandibular central incisor.
This presentation is a rare deviation from the typical delayed dentition associated with prematurity.

Findings:

The presence of multiple neonatal teeth in a preterm infant is an unusual finding.

Keywords:

neonate; preterm infants; tooth eruption.

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The management of these neonatal teeth in a preterm infant requires careful consideration of the infant's overall health status.

This case adds to the limited literature on neonatal teeth in extremely preterm neonates.

Implications:

Understanding the potential causes and implications of neonatal teeth in preterm infants is crucial for clinical practice.
Further research is needed to elucidate the specific etiological factors contributing to this rare phenomenon.
Early identification and appropriate management are essential for the oral health and well-being of preterm infants with neonatal teeth.