IJRR

International Journal of Research and Review

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Year: 2026 | Month: March | Volume: 13 | Issue: 3 | Pages: 73-79

DOI: https://doi.org/10.52403/ijrr.20260309

Orthodontic Considerations in a Rare Case of Mandibular Anterior and maxillary lateral tooth Agenesis with Midline Canine Eruption and Retained Deciduous Canines: A Case Report

Dr. Shubhangi Mani1, Dr. N.G. Toshniwal2, Dr. Abhishek Agale3, Dr. Apoorva Tonde4

1Professor, Department of Orthodontics and Dentofacial Orthopaedics, Rural Dental College, Loni, Maharashtra, India.
2Professor and HOD, Department of Orthodontics and Dentofacial Orthopaedics, Rural Dental College Loni Maharashtra, India.
3Postgraduate Student, Department of Orthodontics and Dentofacial Orthopaedics, Rural Dental College, Loni, Maharashtra, India.
4Postgraduate Student, Department of Orthodontics and Dentofacial Orthopaedics, Rural Dental College, Loni, Maharashtra, India.

Corresponding Author: Dr. Abhishek Agale

ABSTRACT

Congenital absence of permanent mandibular incisors is uncommon, and its association with ectopic eruption of mandibular canines and retention of deciduous canines presents a rare clinical scenario. This case report describes a patient with agenesis of permanent mandibular central and lateral incisors, permanent mandibular canines positioned in the anterior midline region, and retained deciduous canines distal to them. The case posed significant challenges in diagnosis, space management, and treatment planning. An individualized orthodontic approach was adopted to achieve functional occlusion and acceptable esthetics. This report highlights the importance of early diagnosis and tailored treatment strategies in managing complex patterns of dental agenesis.

Keywords: Dental agenesis, midline canine eruption, retained deciduous canines

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