Agenesis of Incisors: Challenges and Orthodontic Management Strategies

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.