Nasoalveolar molding (NAM) is a standard presurgical intervention to improve feeding and nasolabial symmetry in infants with cleft lip and palate. Natal teeth are rare in this population and may complicate orthopedic care. This report describes the incidental exfoliation of a natal tooth during secondary impression making for NAM in a 2-week-old infant with unilateral cleft lip and palate. The case emphasizes the importance of careful neonatal oral examination to reduce the risk of bleeding, aspiration, and procedural complications.
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