Abstract
The prevalence of hypodontia is less than 6.5% in the UK. This is, however, higher in the oral cleft population and commonly affects teeth within the cleft region. The incidence of missing mandibular canines is very low in non-cleft and cleft populations. There are very few cases reported in the literature, with an incidence of less than 0.1%. In this paper, we report a case of bilateral agenesis of mandibular canines in a patient with a cleft palate and discuss possible management options for hypodontia. The management involves a multidisciplinary approach involving general dental practitioners, paediatric dentists, orthodontists, oral and maxillofacial surgeons and restorative dentists. The teams work together to redistribute the space and/or restore spaces to achieve optimum aesthetics and function.