The deciduous teeth which are retained beyond the age of exfoliation are termed as over-retained deciduous teeth. There are numerous reasons for such teeth which include congenital absence or impaction or translation or transmigration of successor teeth or maybe because of existence of some kind of pathology, such as cysts, tumours, and odontoma under the primary tooth that results in the impaction of successor teeth. It may also be due to partial or total microdontia of permanent dentition. This leads to malalignment in permanent dentition which indirectly hampers the normal growth of the jaws. This case report shows several after-effects of over retained teeth along with the concerned multiple treatment options.