Natal Teeth Research Articles

Natal Teeth in Newborn Infants

Natal Teeth in Newborn Infants

Neonatal Riga-Fede disease: A systematic review of 84 cases collected over 120 years

Background: Traumatic ulceration of the tongue due to congenital teeth is known as Riga-Fede disease (RFD). The literature on RFD consists largely of anecdotal case reports, thereby lacking valid clinical recommendations. While managing a newborn with RFD complicated by Ludwig’s angina, this knowledge gap was recognized. Therefore, this systematic review was conducted to gain insight into the optimal management and the possible complications of RFD. Methods: A literature search was conducted using PubMed, Google Scholar, and Science Direct, supplemented with African Journals Online, Indmed, and manual searches. Papers published between 1900 and July 2023 in any language were retrieved. Neonates with natal or neonatal teeth and ulceration of the oral mucosa were included. Papers with incomplete data and review articles were excluded. Results: A total of 84 newborns with RFD from 62 published reports (including the case reported herein) were analyzed. Most of the reports were from the Indian subcontinent, and the frequency of reporting has increased since the year 2000. Tongue ulceration in all cases was due to mandibular incisors. There was no significant difference in the median duration of healing between the tooth extraction group (14 days) and the conservative management group (18 days). There was only a very weak positive correlation between the duration of symptoms and healing time, which was statistically insignificant. Conclusion: Healing of mucosal ulcers in RFD is often protracted and does not appear to be influenced by the duration of symptoms or by the modality of treatment. Extraction of the offending teeth is more common (75% of cases) than conservative management, such as grinding (ameloplasty) or resin capping of teeth. RFD is mostly a benign disorder; however, serious complications such as meningitis, Ludwig’s angina, and soft tissue abscesses can rarely occur with Staphylococcus aureus infections.

Beyond the Norm: Natal Teeth in a Term Male Neonate in Rivers State, Nigeria—a Rare Case Report

This case report sheds light on a challenging obstetric and neonatal scenario involving a 31-year-old gravida 3 para 2 (2 alive) who presented with complications from a traditional birth attendant (TBA) home and subsequently was delivered of a stillbirth with two maxillary incisors in Rivers State, Nigeria. This case underscores the significance of inadequate antenatal care. It also highlights the challenges parents face in decision-making following the management of a stillbirth with natal teeth.

Early surprise: managing natal tooth in a 22-day-old infant

Early surprise: managing natal tooth in a 22-day-old infant

Ikterik Neonatorum Sebagai Efek dari Gigi Natal

Hyperbilirubinemia in neonates or also called neonatal jaundice is a clinical condition in neonates characterized by yellow staining of the skin, mucosa, sclera. Icteric in infants is caused by many things including an increase in bilirubin due to the baby's liver has not been able to remove the bilirubin produced. Many cases occur is the lack of infant intake, so that the baby is difficult to urinate, so that the bilirubin produced cannot be removed and hyperbilirubin occurs. One of the causes of low intake in infants is the presence of natal teeth. Christmas teeth are teeth that grow at the beginning of birth. Although some cases do not cause serious complications, the complication that often occurs is irritation of the baby's tongue and mother's nipples during breastfeeding that needs attention is the swallowing of teeth that can cause interference with the baby. Case report. It was reported that a new mother gave birth normally to a 2-day-old baby and there was a hard lump in the anterior region of the mandibulla. On intraoral examination there are incisor teeth that grow in the mandibular region. This tooth causes the baby to be unable to breastfeed and makes the baby's body condition weak and eventually the baby becomes yellow. Case management. Removal of the Christmas teeth is carried out, then trains the baby to be able to breastfeed directly to the mother and regular observation and evaluation is carried out to monitor the development of the baby's general condition. Conclusion. It can be concluded that with good handling management will provide good results for mother and baby.

Case Report: A rare case of bilateral molar natal teeth in a term newborn

Reports of natal and neonatal teeth have been well documented in the literature, though the presence of natal primary molars remains rare, and a clear management strategy does not exist. This is a case study of a female newborn delivered at a gestational age of 41 weeks 1 day to a 31-year-old G1P1001 mother. Apgar scores were 8 and 9 at 1 and 5 min, respectively. The infant was delivered by cesarean section and was admitted to the Mass General Hospital Newborn Nursery, where she received routine care. The patient had two posterior molars, which warranted consultation for oral maxillofacial surgery. Due to the gross mobility of the natal teeth and the risk of aspiration in a small breastfeeding newborn, the decision was made to extract the natal teeth immediately. Understanding the management of natal teeth is important for the pediatrician.

Natal Teeth: A Rare Case Report and Management Strategies

Background: The occurrence of teeth at birth is a rare phenomenon that can pose challenges for bothparents and health care professionals.Case presentation: A 30-year-old primigravida presented at 41 weeks in latent labor. She progressedwell and delivered by spontaneous vertex delivery, a live female infant, 3700 g with an Apgar score of 8and 10 at 1 and 5 minutes, respectively. On examination, two natal teeth were observed in themandibular anterior region. Vitamin K was administered to the infant after birth. The following day, it wasnoted that the baby had difficulty breastfeeding, and the mother reported bruising of the nipples and painwhile breastfeeding. A pediatric dentist noted that the teeth had severe mobility and planned forextraction. Extraction was performed under topical anesthetic gel successfully. Follow-up visits revealednormal breastfeeding with associated infant weight gain, and the gums had healed well.Conclusion: The occurrence of teeth at birth is a rare phenomenon that can pose challenges for bothparents and health care professionals. It is a culture-bound phenomenon that can cause parents to denytheir baby love and affection. Healthcare professionals need to be aware of this condition in order tocounsel the parents and manage the baby appropriately.

Management of natal tooth of a 2 months old infant: a case report

Natal and neonatal teeth are the type of supernumerary tooth which have various myths and superstitions associated with it. Natal teeth are the teeth which appear at the time of the birth whereas neonatal teeth appear within one month of life. Presence of natal teeth often risks the aspiration of teeth by infant and the mother also has difficulty in breast feeding and comes with the complaint of the same. The present case report of 2-month-old infant describes the management of natal teeth present in mandibular arch with mobility. After the consent of parents, the extraction of the shell-like tooth was done immediately and hemostasis was achieved. The follow up was carried out after 1 week to examine the normal healing of extraction site.

A rare case report of natal tooth, neonatal tooth (dentitia praecox) and fibrous hyperplasia (Riga fede disease) of same newborn patient

The natal tooth is present at the time of birth and neonatal tooth erupts within first 30 days of birth. Both are considered as an anomaly of a child. Due to mechanical irritation of those teeth there may be a chance of traumatic ulceration on the ventral surface of teeth known as Riga Fede disease (RFD). The term is used for the lesion in case of child less than two years old. The age above two years the term coined as traumatic granuloma. It may lead to a serious condition where the child denies to take any food or to suck breast milk due to the painful condition. In the present case study 21 days old newborn came to the clinic with a complaint of ulcerative lesion on the ventral surface of the tongue which was interfering in suckling. On examination 8 X5 mm ulcer extending from anterior border of the tongue to lingual frenum was found along with two mandibular incisors. He was detected with natal tooth (at the time of birth) and neonatal tooth (erupted on 16th day) which caused RFD.The case report throws some light on a possible treatment approach for successful management of the condition.

P-36 Hidden cause of decreased fertility rate during Grave's disease

Abstract Introduction Thyroid autoimmune disorders interfere with the physiology of reproduction, cause premature ovarianfailure, and mimic the early stage of menopause. Recently, no specific research was made to measure Grave's disease and infertility rates in young patients. Clinical Case Due to an inability to conceive for two years, a 24-year-old Caucasian female was referred to the clinic with typical symptoms and complaints of Grave's disease. She has a family history of Grave's disease and Diabetes mellitus. Ultrasound confirmed the presence of a highly vascularized non-homogeneous hyperplastic thyroid gland. A thyroid scan with Tc99m revealed generalized increased uptake. Laboratory investigations showed a decrease in TSH-!0.005mIU/ml (n.0.4mIU/ml - 4.0mIU/ml), elevated FT4-31.8 pmol/l (n.8.0pmol/l-22.0pmol/l), FT3- 9.69pmol/l (n3.4 pmol/l-6.76pmol/l) and positive Anti-TG -190.05 AU/ml (n>150), Anti-TPO - 75.7 IU/ml (n>75) Anti-TSHR-27.3 IU/l (n>1,5). Prolactin and gonadal hormones were within normal limits AMH - 1.8 ng/ml(n1.52ng/ml-9.95ng/ml), Fsh- 6mIU/ml(n3.9mIU/ml-12.4mIU/ml). The patient was started on Methimazole and Beta-blocker. While decreasing the Methimazole dosage for further discontinuation, disease recurrence developed, and a total thyroidectomy was performed. Post- operatively, the patient was maintained on Levothyroxine. After 6 months of follow-up due to irregular Levothyroxine intake, the patient reached a hypothyroid status, during which, the patient had 2 consecutive spontaneous pregnancies, from which, one ended with spontaneous miscarriage in the early weeks of pregnancy and another, ectopic pregnancy treated with right salpingectomy. HSG confirmed weak left fallopian tube patency. After several months of keeping TSH below 2.5 mIU/ml, IVF treatment was scheduled. The results of the infertility workup showed a decrease in ovarian reserve AMH - 0.163ng/ml (n1.52ng/ml-9.95ng/ml), Fsh-16.23 mIU/ml(n3.9mIU/ml- 12.4mIU/ml), due to it, modified natural cycle IVF was performed. She received 2 oocytes and 2 embryos. One high-grade blastocyst was transferred in a fresh cycle that ended with pregnancy and delivery. The child was born without a genetic disorder but with natal teeth. Conclusion This is a rare case of infertility with diminished ovarian reserve due to Grave's disease. A pregnancy was reached by proper correction of thyroid hormonal parameters and modified natural cycle IVF. It indicates a possible need for close monitoring of the functional ovarian reserve in patients planning pregnancy even at the young age group.

Management of natal teeth: A twin case report

Child’s evolution and growth right from conception up to the first couple of years of life is dotted with several transitions. Tooth eruption is one such phenomena which follows a chronology corresponding to the age of the child at which the tooth appears in the mouth. The exfoliation timeline has been documented in the literature but may vary based on several factors including hormonal, hereditary, and environmental. However, sometimes the eruption sequence undergoes a more drastic alteration where the first teeth may be present in the mouth at the time of birth or erupt within the first thirty days after birth. This paper was written with the aim to discuss the etiologic factors, clinical features, complications, and management of such natal or neonatal teeth, as well as their role in sublingual ulcer formation and discomfort during breastfeeding. Two cases are discussed where newborns, a 10-day old male, and a 7-day old female with a mandibular incisor natal tooth had reported to the Department of Pedodontics and Preventive Dentistry at Kalinga Institute of Dental Sciences. The teeth were extracted as they were mobile and there was fear of aspiration and refusal to feed. Extraction of the natal tooth accelerated healing of ulcers and relief from discomfort during breastfeeding.

Contemporary Diagnostic Approach of Natal Teeth in Identical Twins Utilizing Advanced Imaging Techniques: QLF and CBCT Imaging

Eruption of teeth at birth or immediately after is a rare phenomenon. The presence of teeth at birth is called natal teeth. However, the etiology of natal teeth is not deterministic. The natal teeth can lead to various medical associated problems and is also associated with various folklores and misconceptions. The diagnosis of natal teeth with its medical management along with counseling of the parents and family members is very important. The present case report provides an insight to the management of natal teeth in identical twins with a brief review of literature. Quantitative light-induced fluorescence imaging and cone beam computed tomography analysis of the teeth have also been done and compared with that of the primary dentition indicating hypo-mineralized tooth structure with decrease in radiodensity of the natal teeth. The present paper is a value addition in alternative diagnostic methods as an adjunct in the diagnosis of natal teeth and differentiating between the natal teeth and primary teeth.

FRI558 Hidden Cause Of Decreased Fertility Rate During Grave’s Disease

Abstract Disclosure: T. Kutchukhidze: None. T. Khurodze: None. Introduction: Thyroid autoimmune disorders interfere with the physiology of reproduction, cause premature ovarian aging, and mimic the early stage of menopause. Recently, no specific research was made to measure Grave’s disease and infertility rates in young patients. Case Report: Due to an inability to conceive for two years, a 24-year-old Caucasian female was referred to the clinic with typical symptoms and complaints of Grave's disease. She has a family history of Grave’s disease and Diabetes mellitus. Ultrasound confirmed the presence of a highly vascularized non-homogeneous hyperplastic thyroid gland. A thyroid scan with Tc99m revealed generalized increased uptake. Laboratory investigations showed a decrease in TSH-<0.005mIU/ml (n.0.4mIU/ml - 4.0mIU/ml), elevated FT4-31.8 pmol/l (n.8.0pmol/l-22.0pmol/l), FT3- 9.69pmol/l (n3.4 pmol/l-6.76pmol/l) and positive Anti-TG -190.05 AU/ml (n>150), Anti-TPO -75.7 IU/ml (n>75) Anti-TSHR-27.3 IU/l (n>1,5). Prolactin and gonadal hormones were within normal limits AMH - 1.8 ng/ml(n1.52ng/ml-9.95ng/ml), FSH- 6mIU/ml(n3.9mIU/ml-12.4mIU/ml). The patient was started on Methimazole and Beta-blocker. While decreasing the Methimazole dosage for further discontinuation, disease recurrence developed, and a total thyroidectomy was performed. Postoperatively, the patient was maintained on Levothyroxine. After 6 months of follow-up due to irregular Levothyroxine intake, the patient reached a hypothyroid status, during which, the patient had 2 consecutive spontaneous pregnancies, from which, one ended with spontaneous miscarriage in the early weeks of pregnancy and another, ectopic pregnancy treated with right salpingectomy. HSG confirmed weak left fallopian tube patency. After several months of keeping TSH below 2.5 mIU/ml, IVF treatment was scheduled. The results of the infertility workup showed a decrease in ovarian reserve AMH - 0.163ng/ml (n1.52ng/ml-9.95ng/ml), FSH-16.23 mIU/ml(n3.9mIU/ml-12.4mIU/ml), due to it, modified natural cycle IVF was performed. She received 2 oocytes and 2 embryos. One high-grade blastocyst was transferred in a fresh cycle that ended with pregnancy and delivery. The child was born without a genetic disorder but with natal teeth. Conclusion: This is a rare case of infertility with diminished ovarian reserve due to Grave’s disease. A pregnancy was reached by proper correction of thyroid hormonal parameters and modified natural cycle IVF. It indicates a possible need for close monitoring of the functional ovarian reserve in patients planning pregnancy even in the young age group. Presentation: Friday, June 16, 2023

Riga-Fede Syndrome : A Rare Case Report With Literature Review

Riga-Fede syndrome is characterised as an ulcerative lesion that originates on the ventral surface of a neonate’s tongue due to vigorous back and forth movements of the tongue over the precociously erupted mandibular anterior teeth. This condition has been receiving discernible attention as a progressing condition with escalating case reports over the years. The aetiology of this issue is not precisely deduced; however, there have been multiple treatment options discovered that have secured success with higher precision. The purpose of this research paper is to exhibit various case reports and aetiologies responsible for this disease, as well as an explanation of different treatment plans depending on the status of the tooth, that is, the mobility of the tooth and the precarious chances of aspiration. Moreover, radiographic study to visualise if it is a supernumerary or a primary regular tooth and if it is associated with hindrance in breast-feeding causing soft tissue injuries and the state of the child’s health. A 28-day-old female infant was presented to the oral pathology clinic with a natal tooth exhibiting grade 2 mobility along with a lesion on the ventral surface of the tongue, leading to the clinical diagnosis of Riga-Fede disease. The treatment performed, consisting of the extraction of natal teeth, was selected as the treatment of choice over more conservative treatments for the rapid resolution of the lesion and the limited risk of inadequate nutrient intake since the tooth was interfering with the feeding process. Following the extraction of the tooth, it underwent microscopic studies to identify diverse changes associated with the erupted tooth. There was regular monitoring of the patient, and complete wound healing was observed after 4 weeks. The proposed treatment was successful, and the patient is still in follow-up without recurrence of the lesion after one year. This paper presents a concise review of the literature about neonatal teeth and their role in Riga-Fede disease.

Management of Recurrence of Early Infancy Tooth Following Natal Teeth Extraction: An Unusual Case Report

Natal tooth are the teeth which can be present at birth whereas neonatal tooth appears within 30 days after birth which is an unusual and rare situation. The exact etiology behind this is unknown and various factors may be related to these teeth. Both natal and neonatal teeth are notably important for pediatric dentists and pediatricians. This case report describes the management of 24 days old infant with a mobile mandibular natal tooth related to Rigafede disease. After 45 days, there's a recurrence of early infancy tooth followed by extraction of natal tooth.

Dens connatalis – A rare case report of natal teeth with literature review

It is unusual for babies to have teeth at birth or within a month of delivery. For a good differential diagnosis of whether there are extra teeth, Bhon nodules, or dental lamina cysts, a proper clinical and radiographic examination is required. The clinic branch received a rare case of natal teeth for this report's subject. An 18-day-old male new-born was checked because he had two mandibular incisor natal teeth. Because of the risk of aspiration and the patient's refusal to eat, the movable teeth had to be removed. Each patient is assessed individually to determine the best course of treatment, which may involve observation, tooth whitening, or extraction.

Pedunculated Natal Tooth

A newborn male was found to have a 2mm x 3mm hard yellow mass attached to a fleshy pedunculated stalk connected to the inferior mandibular gingiva (Figure 1). No other abnormalities were noted. The patient was born to a 21-year-old Black female G1P0 at 39 weeks and 2 days via vaginal delivery. Prenatal care was uncomplicated.

Riga-Fede disease: a review of the literature and a description of clinical cases

Relevance. Riga-Fede disease (RFD) is a rare pathology that develops as a result of trauma to the mucous membrane of the tongue ventral surface with sharp edges of natal, neonatal or primary teeth erupting in time and manifests in the form of erosion or sublingual fibrous lesion with an ulcerated surface.Purpose. To analyze the literature and present our own RFD clinical cases.Material and methods. A search was performed of articles published in 2001-2023 on the research topic in the main scientific literature databases (PubMed, E-library, Google Scholar, etc.). We analyzed the data from 68 publications and presented three of our own clinical cases of RFD in children aged 5, 6 and 9 months.Results. Analysis of literature data revealed different approaches to the diagnosis and treatment of RFD in children. The diagnosis of RFD should rely on the clinical picture and exclude additional trauma to children by histological examination and lesion excision. Pronounced tooth mobility, ineffective infant feeding and the presence of neurological diseases in patients were the main indications for the extraction of teeth, which caused RFD development. In the absence of tooth mobility, non-surgical treatment methods should be preferable. In the presented clinical cases, erupted primary teeth caused BRF. In two cases, the treatment consisted of smoothing the sharp edges of the teeth and restoration with glass ionomer cement; in one case, a child with a neurological disease experienced extraction of lower central incisors. In all cases, recovery was within 3-4 weeks.Conclusion. Once clinically diagnosed with RFD, treatment method choice should consider tooth mobility and the child's overall health.

Non syndromic hypodontia with retained natal teeth-a rare case report

Teeth that erupt prematurely have been designated with various terms such as natal teeth, neonatal teeth, congenital teeth, pre-deciduous teeth and dentitio praecox. Tooth agenesis is one of very common finding in a person. Developmental or congenital absence of one or more teeth excluding the third molars is a highly prevalent condition referred to as hypodontia. The incidence of hypodontia usually varies from 1.6-6.9% while the incidence of natal teeth on the other hand is noted to be approximately 1:2,000-1:3,000. Lower primary central incisors are the most affected tooth. The occurrence of retained natal teeth and that too with hypodontia is not found in the literature. This case report presents a rare occurrence of hypodontia with presence of retained natal teeth in a 14-year-old male child. Diagnosis made as non-syndromic hypodontia and retained natal teeth.

Research on natal and neonatal teeth in Africa: A systematic scoping review of empirical evidence.

In Africa, natal and neonatal teeth is a culture-bound phenomenon which is associated with several sociocultural connotations which might affect child survival. Different empirical studies have been conducted in Africa on natal and neonatal teeth; however, no known scoping review has been conducted to map the empirical evidence. This systematic scoping review (SSR) aims to document the available empirical evidence, research gaps, and hotspots on neonatal and natal teeth in Africa. The methodology of this SSR was informed by the Joanna Brigg's Institute guidelines for SSRs, and it was reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. Eleven research databases were systematically searched to scooped out all literatures relevant to the scoping review question, after which they were screened for eligibility based on the review's selection criteria. Only the eligible literatures were included in the review. Data were extracted from the included literatures, after which the extracted data were collated, summarized, and presented as results. This review included only three journal articles. All the reviewed articles revealed knowledge gaps about natal/neonatal teeth. These articles also found misconceptions around natal/neonatal teeth; for example, nurses'and traditional birth attendants'beliefs about these teeth are contrary to scientifically known facts. Multiple myths associated with natal/neonatal teeth, as indicated in the reviewed studies, point to a poor understanding of the condition. Neonates and infants are highly vulnerable persons; they require care and safeguarding from dental myths that could threaten their survival. Educative information concerning natal/neonatal teeth should be included in public health education programs to address the observed knowledge gaps among African populations and correct wrong beliefs on neonatal and natal teeth.