Abstract: Developmental milestones are anxiously awaited by every parent, particularly in the first year of their child's life. One such milestone is the eruption of their child's first tooth. Natal and neonatal teeth are most commonly a part of deciduous dentition and erupt in the same position as that of deciduous teeth in the arch .natal teeth are those teeth that are present at the time of birth and neonatal teeth are those that erupt within 30 days of life. Clinically, natal teeth are small or normal size, conical or of normal shape. They may reveal an immature appearance with enamel hypoplasia and small root formation. The management of natal and neonatal teeth is largely aimed at their preservation for aesthetics and maintenance of space for eruption of successor tooth. Paediatric dentists should make every effort to educate the parents and the paediatrician on the preferred treatment for the natal teeth. Extraction should be done only by the paediatric dentist to avoid any undue trauma to the underlying tissue. Periodic follow-up by a paediatric dentist to ensure preventive oral health is very essential. Hence, to avoid any further complication, early diagnosis and adequate treatment should be a prime concern in the management of natal and neonatal teeth.