[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-460378-105":59,"doc-detail-460378-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","smile-rehabilitation-in-a-patient-with-maxillary-canine-agenesis-a-case-report","Smile Rehabilitation in a Patient with Maxillary Canine Agenesis - A Case Report","","Congenital absence of maxillary canines is a rare condition that can disrupt smile esthetics and oral function. A 25-year-old Saudi woman presented with anterior spacing and the absence of both upper canines, and prior orthodontic treatment 4 years earlier failed to achieve space closure. Imaging confirmed bilateral agenesis and insufficient bone volume for implants. The patient refused further orthodontics; diagnostic planning using wax-up and mock-up guided lithium disilicate veneer restoration, with premolars reshaped to mimic canines. At 6 months, veneers stayed intact with strong esthetic integration, functional stability, and high satisfaction scores.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/smile-rehabilitation-in-a-patient-with-maxillary-canine-agenesis-a-case-report/460378/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/smile-rehabilitation-in-a-patient-with-maxillary-canine-agenesis-a-case-report/460378.png","ImageObject",300,407,{"name":92,"@type":93},"hdkawk","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-04","2026-09-30",true,{"@type":102,"interactionType":103,"userInteractionCount":52},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"Why was implant therapy not selected in this case?","Question",{"text":112,"@type":113},"CBCT showed insufficient bone density/volume in the planned canine regions, and the patient refused further invasive surgical procedures.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What restorations were used to rehabilitate the smile?",{"text":117,"@type":113},"Lithium disilicate ceramic veneers were fabricated based on comprehensive diagnostic wax-up and mock-up procedures.",{"name":119,"@type":110,"acceptedAnswer":120},"How did the treatment perform at follow-up?",{"text":121,"@type":113},"At the 6-month review, all veneers remained intact with excellent esthetic integration, functional stability, and high patient satisfaction.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},460378,1791255739,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":52,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":24,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":144,"preview_page_count":4},3985747859855,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","Case Report  \nSmile Rehabilitation in a Patient with Maxillary Canine Agenesis: A Case Report  \nSouad Abdulaziz Alfouzan  \nSenior Registrar in Restorative Dentistry at Private Practice, Buraidah, Al‑Qassim, Saudi Arabia  \nSubmitted: 17‑Aug‑2025  \nRevised: 22‑Aug‑2025  \nAccepted: 30‑Aug‑2025  \nPublished: 17‑Dec‑2025  \nAbstract  \nCongenital absence of maxillary canines is a rare condition that significantly impacts smile esthetics and oral function. Successful management requires careful consideration of space distribution, occlusal guidance, and patient preferences. A 25‑year‑old Saudi woman presented with dissatisfaction regarding her smile due to anterior spacing and the absence of both upper canines. She had previously undergone orthodontic treatment 4 years before without achieving successful space closure. Clinical and radiographic examination confirmed bilateral agenesis of maxillary canines with insufficient bone volume for implant placement. The patient declined further orthodontic treatment. The treatment approach involved comprehensive diagnostic planning including wax‑up and mock‑up procedures, followed by restoration with lithium disilicate veneers. The maxillary first premolars were reshaped to mimic canine morphology. Bonding was performed under rubber dam isolation using light cure resin cement. At the 6‑month follow‑up, all veneers remained intact with excellent esthetic integration, functional stability, and high patient satisfaction scores. In cases where orthodontic space closure or implant therapy is contraindicated or refused, mock‑up guided ceramic veneerscan provide predictable esthetic and functional outcomes for patients with bilateral maxillary canine agenesis.  \nKeywords: Canine agenesis, ceramic veneers, congenital absence, esthetic  \ndentistry, lithium disilicate, space management   \nIntroduction  \nHypodof oonnetiaor, definedmore perasmathenent develteetho, pmmeonsttacloabmmseonncley affects mandibular second premolars and maxillary lateral incisors, with a reported prevalence of 2–10% in the permanent dentition.[1,2] By contrast, congenital absence of maxillary canines is exceptionally rare, with a prevalence below 0. 1% in most populations.[3,4] Maxillary canines play crucial roles in smile esthetics, occlusal guidance, and facial support.[5]  \nTreatment modalities for tooth agenesis include three primary approaches: space opening followed by implant‑supported or conventional fixed prosthetic replacement, orthodontic space closure with tooth substitution, and restorative camouflage to modify existing tooth morphology and proportions.  \n\n| Access this article online |  |\n| --- | --- |\n| Quick Response Code:\u003Cbr>| Website: [https://journals.lww.com/jpbs](https://journals.lww.com/jpbs) |\n|  | DOI: 10.4103/jpbs.jpbs_1464_25 |\n\nWhile interdisciplinary management remains the gold standard for complex cases, conservative restorative approaches particularly lithium disilicate veneers can effectively harmonize tooth proportions, improve smile symmetry, and re‑establish functional occlusal guidance while preserving natural tooth structure. This case report presents the successful minimally invasive management of bilateral maxillary canine agenesis using ceramic veneers.  \nCase Report  \nPatient information  \nA 25‑year‑old Saudi woman presented to our clinic seeking smile enhancement, expressing concern about anterior spacing. Her chief complaint was: “I’m not  \nAddress for correspondence: Dr. Souad Abdulaziz Alfouzan, Restorative Dentistry, Senior Registrar, Private Dental Practice, King Abdulaziz Road, 51411, Buraidah, Al-Qassim, Saudi Arabia.  \nE-mail: [souad.alfouzan@qudent.org](souad.alfouzan@qudent.org)  \nThis is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License (CC BY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without p","cbCaiqjwP5esMEme","https://ap.wps.com/l/cbCaiqjwP5esMEme","pdf",1880767,"English","# Abstract\n# Introduction\n# Case Report\n## Patient information\n## Clinical examination\n## Radiographic findings\n## Treatment planning","[{\"question\":\"Why was implant therapy not selected in this case?\",\"answer\":\"CBCT showed insufficient bone density/volume in the planned canine regions, and the patient refused further invasive surgical procedures.\"},{\"question\":\"What restorations were used to rehabilitate the smile?\",\"answer\":\"Lithium disilicate ceramic veneers were fabricated based on comprehensive diagnostic wax-up and mock-up procedures.\"},{\"question\":\"How did the treatment perform at follow-up?\",\"answer\":\"At the 6-month review, all veneers remained intact with excellent esthetic integration, functional stability, and high patient satisfaction.\"}]","Smile Rehabilitation in a Patient with Maxillary Canine Agenesis - A Case Report | PDF",1790758336,13]