Hypodontia is uncommon in the deciduous dentition with a prevalence that ranges from 0.5% to 0.9%, with the maxillary lateral incisor being the most affected unilaterally or bilaterally.This paper reports a case of a 6 year old female with the chief complaint of missing teeth in the upper right and left tooth region. Thorough evaluation of the primary dentition visually and permanent dentition radiographically was done. There was missing 52 and 62, along with a lack of initiation of permanent successors 12 and 22. The case was non-syndromic. Though several treatment options are available but the treatment planning depends on the evolution of the case. It requires extensive and complex treatments with early and prior identification of missing primary dentition anomalies that can guide the dentist to prevent future permanent dentition ailments and planning interceptive dental treatment at the appropriate time. At present the case is under follow up.
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