Impacted teeth and orthodontists share a long-standing relationship where the oral surgeon plays a pivotal role towards the
success of orthodontic treatment. Third molar and canine impactions, their effects and management have been discussed in
depth in history. Impacted premolars are less commonly encountered in the literature, especially maxillary premolars. This
paper describes 3 case reports - a rare case of bilaterally horizontally impacted maxillary premolars; a case of mandibular
premolar impaction; a case of sequelae following the denial of treatment at the time of detection of an impaction,
emphasizing treatment planning, management and consequences of delaying treatment.