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Warning-sign checks

Natal teeth: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Call emergency services if the baby is choking, struggling to breathe, cannot cry normally, or develops blue or grey lips or skin.

    These signs could mean that an object has entered the airway.

    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Seek urgent same-day advice if:

    • The tooth is very loose or suddenly disappears
    • The baby coughs or wheezes after the tooth detaches
    • Feeding has dropped noticeably
    • A tongue sore is worsening or repeatedly bleeding
    • The baby has fewer wet nappies, a dry mouth, or unusual sleepiness
    • There is persistent bleeding, swelling, pus, or fever after removal

    Do not wait for a routine appointment if the tooth becomes highly mobile or feeding deteriorates.

  3. 3

    Does any of this apply?

    Book an appointment

    Arrange a prompt, non-emergency assessment after a natal tooth is noticed.

    A paediatrician, newborn care clinician, or paediatric dentist can check whether it is stable and whether it is affecting the tongue or feeding.

    Mild nipple discomfort, a small stable tooth, or a baby who is feeding well can usually be discussed during routine follow-up.

Every sign above is quoted from the sofidex article on Natal teeth. If you are not sure, err upward — it is always reasonable to be checked.