Corresponding author:
Dr. Anand Marya: amarya@puthisastra.edu.kh
Key clinical message: Complete agenesis of canines in the permanent dentition in the maxilla and mandible is extremely rare and has only been reported sporadically. Canines are essential for guidance during mandibular excursive movements. In such cases, substituting the missing canines with first premolars is a valid option to help in proper function.