The present case report illustrates the rehabilitation of a 12-day old neonate with cleft palate. Since the palatal arch of the neonate was very small, a feeding spoon was innovatively modified to obtain the impression. The obturator was fabricated on the same day and delivered in one appointment.

Complete agenesis of the permanent canines in the maxilla and the mandible is extremely rare and has only been reported twice. Studies have shown that the incidence of missing canines is more in females. This report describes a sporadic case of congenital absence of maxillary (bilateral) and mandibular (bilateral) canines.