Aim & Background: Natal teeth are rare developmental anomalies present at birth and may pose significant clinical challenges in newborns. Their presence can interfere with breastfeeding, risk aspiration, and contribute to failure to thrive. This case report highlights the clinical presentation and successful management of natal teeth in a neonate, emphasizing the need for timely intervention.

Case Description: A 12-day-old full-term male infant presented with feeding difficulties, persistent crying, and weight loss. Clinical examination revealed two moderately mobile natal teeth in the anterior mandible. Given the risk of aspiration and failure to thrive, the teeth were extracted under local anesthesia. No radiographic imaging was performed due to parental concerns. Post-procedural recovery was uneventful, with immediate improvement in breastfeeding, comfort, and weight gain over four weeks.

Conclusion: Natal teeth, although uncommon, can cause significant neonatal complications. Clinical examination is essential for early diagnosis. In cases where mobility or feeding interference exists, extraction is recommended. Conservative management may be considered for asymptomatic teeth.

Clinical Significance: Early identification and management of natal teeth are vital to prevent aspiration, feeding difficulties, and growth impairment in neonates. This case underlines the importance of neonatal oral assessments and access to pediatric dental care, especially in low-resource settings.