The authors presented a case report of a seven-year-old male with eight sub
merged primary molars and a primary lateral incisor. Two major treatment mo
dalities, tooth extraction and observation, were reported. In this case we
applied the two alternative modalities and observed the patient for five ye
ars. The permanent successors were in the process of almost normal eruption
after the extraction of the submerged primary teeth; no eruption and more
severe submerging were observed, however, in the permanent successors of th
e submerged primary teeth that were not extracted. These results suggest th
at submerged or impacted primary teeth should be extracted immediately when
they are moderately or severely submerged.