Abstract
Primary failure of tooth eruption, which is extremely rare, has serious consequences and several possible causative factors. Teeth in the posterior quadrants of the upper and lower jaw are preferentially affected and when it occurs it usually results in an open bite extending from anterior to posterior. We report the case of a 29-year-old female patient who presented with primary failure of tooth eruption and mandibular deformity. The patient, who had no family history of tooth eruption failure, presented with impactions of the mandibular left molars. We discuss the clinical and radiographic features of this patient and describe the limitations of treatment for patients with eruption failure.