Abstract :This is a case report of one week old female child with a natal tooth. Solitary natal tooth without contributory family/medical history and not associated with any syndrome, makes this case report unusual. Since radiograph was not taken, we are not certain whether the tooth was supernumerary or a prematurely erupted deciduous mandibular incisor. If it is the latter, esthetic space maintainer has to be provided later, to fulfill the cosmetic and functional requirements.