Last month, R.F. John Holtzen, DMD, described the oral pathology case of a six-year-old child who presented with a complaint of retained primary teeth Nos. D and E. The parents were concerned that the permanent teeth in this area had failed to erupt. The contralateral permanent teeth had erupted normally following exfoliation of the primary teeth. A panoramic film taken by the general dentist revealed a large radiodense area in the region apical to teeth Nos. D and E. The patient was then referred to an oral and maxillofacial surgeon for a CBCT scan. Dr. Holtzen gives the differential diagnosis, treatment, final diagnosis, and prognosis for the case in this article.