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I breastfed Eli until he was 20 months so he had mouthful of teeth and he only occasionally scraped his teeth on me. I think one of my parents' friends' daughters was born with a couple of teeth. I don't know if she was breastfed though. I can imagine that it might be a bit painful if a brand new baby who is just learning to breastfeed has a tooth.
Ehhh...I dont know for sure. Those first couple of weeks when i was getting her latch right were rough...without teeth. She has a mouth full of teeth now, but she knows what shes doing & my nipples had many months to toughen up.