This case report describes a unique approach in the treatment of a patient with severe crowding by an orthopaedic widening of the dental arches using a skeletally anchored rapid palatal expander. This approach can serve as a robust alternative to extractions and can be effective in a variety of situations.

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.