International Dentistry Journal (ISSN: 3065-4505) | Volume 5, Issue 1 | Case Series | Open Access DOI

Agenesis of Incisors: Challenges and Orthodontic Management Strategies

Mora Sathi Rami Reddy*

Abinaya Chandrasekaran1, Mora Sathi Rami Reddy2*, Mayank Trivedi3, Sathish Rajendrababu1, Nivedha Azhagudhurai1

1Post graduate student, Department of Orthodontics and dentofacial orthopedics, Adhiparasakthi Dental College and Hospital, Melmaruvathur,Tamilnadu

2Professor and Head, Department of Orthodontics and dentofacial orthopedics, Adhiparasakthi Dental College and Hospital, Melmaruvathur,Tamilnadu

3Reader, Department of Orthodontics and dentofacial orthopedics, Adhiparasakthi Dental College and Hospital, Melmaruvathur,Tamilnadu

*Correspondence to: Mora Sathi Rami Reddy 

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Abstract

Introduction: To address both functional and aesthetic issues, patients with mandibular incisor agenesis frequently seek treatment. These patient’s clinical evaluation and care may deviate from our usual procedures for diagnosis and therapy planning. Agenesis of mandibular incisors is a relatively rare dental anomaly that presents unique challenges in orthodontic diagnosis, treatment planning, and long-term stability. Its aetiology is multifactorial, involving genetic, developmental, and environmental influences, and it may occur as an isolated finding or in association with syndromes.

Aims and Objectives: This article provides an in-depth overview of the condition, including its definition, classification, aetiology, and prevalence. The diagnostic process, incorporating clinical and radiographic assessment, is discussed in relation to the orthodontic implications of maxillary and mandibular incisor agenesis.

Discussion: Orthodontic management strategies are explored in detail, encompassing initial assessment, space management, treatment techniques, and the value of a multidisciplinary approach. Long-term maintenance issues, potential complications, and emerging directions in research are highlighted, aiming to provide clinicians with evidence-based strategies for optimal patient care. The purpose of this article was to examine pertinent material, highlight the need for particular attention to the quantity and location of missing maxillary and mandibular incisors, and its correlation between Agenesis & Facial /Cranial Pattern.

Keywords:

Agenesis; Esthetics; Incisors; Long-term maintenance; Rehabilitation; Space management

Citation:

Abinaya Chandrasekaran, Mora Sathi Rami Reddy, Mayank Trivedi, Sathish Rajendrababu, Nivedha Azhagudhurai. Agenesis of Incisors: Challenges and Orthodontic Management Strategies. Int Dent Jour. 2026;5(1):1-14.