Presence of natal teeth in the oral cavity itself is a rare condition, and it is extremely rare to find pathological conditions associated with the natal teeth. Gingival growth is the most frequently observed lesion in the oral cavity of which ossifying fibrous epulis (OFE) is one of the infrequently occurring gingival lesions in newborn. Parents of 3½-month-old infant reported to our department with the lump on the lower front gum pad which was noticed after the extraction of the natal tooth. A provisional diagnosis of irritational fibroma was made based on clinical a finding which was confirmed as OFE by histopathological findings. The growth was surgical excised. Complete healing was seen uneventfully after 15 days. Moreover, recall visits after 3 and 6 months showed no recurrence of the lesion.