The occurrence of teeth at the time of birth is called natal teeth. The incidence of this anomaly has been approximately 1:1400 to 1:3500 live births. Most commonly seen in mandibular primary central incisor region and usually occur in pairs. The present case scenario describes about the management of natal teeth in a seven day old new born baby and also the role of paediatric dentist in its management as well as guidance for medical practitioners and parents.

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Metronidazole has been widely used in clinical dentistry, is specifically anti-anaerobic in nature and known for its effective antibacterial activity against anaerobic cocci as well as Gram-negative and Gram-positive bacilli. It has been used both systemically and topically in the treatment of periodontal disease. Application of its uses in paediatric dentistry is limited. The importance of metronidazole in paediatric dentistry has not been clearly demonstrated. Hence, the purpose of this short communication was to review uses of metronidazole in children with dental problems.