ABSTRACT
A 19 year old female patient presented at the Fatima Jinnah Dental College Hospital Karachi with a complaint of midline diastema and bilateral spaces distal to central maxillary central incisors. She wanted the alignment of the central incisors and closure of the spaces in the shortest possible timeframe. She had no complaints in the lower arch. Radiographic examination revealed the congenital absence of bilateral maxillary lateral incisors, maxillary second and third molars and mandibular left second premolar. The maxillary right permanent canine was conical. The maxillary left primary canine and mandibular left second primary molar was retained. She presented with a Class-I skeletal and dental relationship. The lower dental arch showed no malalignment except for the retained second primary molar. This molar had shorter roots but was in functional occlusion. Overjet and overbite were within normal limits