Teeth that have erupted into the oral cavity at birth in an infant are called natal teeth. They neither have roots nor are firmly attached to the alveolar ridge. These teeth may be a supernumerary or prematurely erupted primary tooth. Natal or neonatal teeth occasionally result in pain and refusal to feed and can produce maternal discomfort because of abrasion or biting of the nipple during nursing. Ulceration, bleeding, and discomfort of the tongue due to its repetitive rubbing across a natal tooth during swallowing and movement is called Riga-Fede disease. If the tooth is mobile with a danger of detachment and aspiration, extraction may be warranted. Decisions regarding extraction of prematurely erupted primary teeth and smoothing the incisal edge should be made on an individual basis.