Natal teeth- usually are early erupting primary teeth rather than supernumerary. If removed, spacing may be disrupted and lead to orthodontia problems later. If the tooth is loose or is irritating mucous membranes or tongue, and interfering with nursing, tooth should be removed. Common with cleft palate and lip anomalies. Although teething may be associated with some discomfort and increased drooling, there is no scientific evidence that it causes systemic symptoms like fever, diarrhea, or rashes.
Treatment is symptomatic with acetaminophen and biting on hard, cold objects.
Eruption cysts are bluish blood filled lesions that are on the gums and may precede the eruption of a tooth. May be painful and resolves after the eruption of the tooth. With the addition of fluoride to public water supplies, the incidence of dental caries has declined sharply. If there is greater than 0.7 ppm of fluoride in the water, there is no reason to supplement. If there is less than 0.3 ppm the child should get 0.25 mg until two years of age followed by 0.5 mg. until adolescence.