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AR et al
International Journal of Clinical Pediatric
May-August 2009;2(2):40-44
CASE REPORT
Professor and Head, Department of Pedodontics and Preventive Dentistry, Bapuji Dental College and Hospital
Davangere-577004, Karnataka, India
2
Ex-Postgraduate Student, Department of Pedodontics and Preventive Dentistry, Bapuji Dental College and Hospital
Davangere-577004, Karnataka, India
3
Professor, Department of Pedodontics and Preventive Dentistry, Bapuji Dental College and Hospital
Davangere-577004, Karnataka, India
Reader, Department of Pedodontics and Preventive Dentistry, Bapuji Dental College and Hospital
Davangere-577004, Karnataka, India
Assistant Professor, Department of Pedodontics and Preventive Dentistry, Bapuji Dental College and Hospital
Davangere-577004, Karnataka, India
Correspondence: Prabhakar AR
Professor and Head, Department of Pedodontics and Preventive Dentistry, Bapuji Dental College and Hospital
Davangere-577004, Karnataka, India, Phone: 91-8192-220575, Fax: 91-8192-220578, e-mail: attiguppeprabhakar@yahoo.com
Abstract
Eruption of teeth at or immediately after birth is a relatively
rare phenomenon. This condition has been the subject of
curiosity and study since the time of beginning of beliefs
and assumptions. The present case report accentuates the
occurrence of neonatal teeth in twins; fraternal twins in
particular which is rarest of its kind.
Keywords: Neonatal teeth, fetal teeth, fraternal twins.
INTRODUCTION
Eruption of teeth at or immediately after birth is a relatively
rare phenomenon.1 According to Masler and Savara (1950),2
natal teeth are defined as any teeth present at birth, while
neonatal teeth are those erupting in the first month of life.3,4
These prematurely erupted primary teeth have also been
described in the literature as congenital teeth, fetal teeth
or dentition praecox. Neonatal teeth often present with
hypoplastic enamel and underdeveloped roots with resultant
mobility, however, such teeth also should be further
classified according to their degree of maturity.1,4 A mature
natal or neonatal tooth is one that exhibits normal
development, hence has a relatively good prognosis; while
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Prabhakar AR et al
Figs 1A and B: (A) Clinical photograph of the twin (B) showing the neonatal tooth
Figs 2A and B: (A) Clinical photograph of the twin (B) showing the neonatal tooth
DISCUSSION
Everyone everywhere seems fascinated with twins; it doesnt
seem to matter whether they are boys or girls or both. But
one thing frequently inquired about is if they are identical
or fraternal. Simply put, identical twins are identical in their
genetics and fraternal twins are no more alike that any
brother and sister.20 Identical twins must always be the same
gender while fraternal twins can be boys, girls or both. The
occurrence of neonatal teeth in twins (fraternal twins in
particular) is probably being reported for the first time. In
our case though the tooth located in the central incisor region
its position varied and this variation could always be seen
in nonidentical twins.
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Figs 3A and B: (A) Extracted neonatal tooth of the twin (B) and its ground sections under day-light and polarized-light
microscopic examination exhibiting formation of enamel, dentin and pulp
Figs 4A and B: (A) Extracted neonatal tooth of the twin (B) and its ground sections under day-light and polarized-light
microscopic examination exhibiting formation of enamel, dentin and pulp
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Prabhakar AR et al
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