One of my toddlers chipped his teeth repeatedly.  One chip made nursing
painful and, without giving it much thought, we just pinned him to the
floor and sanded it off quickly with sandpaper while he yelled in outrage.
No further problem.

So I was prepared when a client whose baby was born with two lower teeth
found an abraded spot under his tongue after a few days.  Baby was refusing
to nurse, and when mom tried to fingerfeed him he'd shift his tongue to the
side and his sucking would hurt her finger just as it had been hurting his
tongue.  The pediatrician insisted it could not be interfering with
feeding.

"Which sounds better to you?" I asked her, "An emery board or sandpaper?"
"An emery board," she said.  A couple quick swipes, a feel, a couple more
swipes, and the teeth were smooth.

I wonder if abnormally early teeth also tend to be abnormally shaped.  This
baby's tooth or teeth had a couple sharp little spines.  But they're easily
sanded.  In my two experiences, it was no big deal.  I've been *waiting* to
pass this story along!

Diane Wiessinger, MS, IBCLC, LLLL  Ithaca, NY