Primary failure of eruption (PFE) is a rare non-syndromic condition in which non-ankylosed teeth fail to erupt fully or partially due to malfunction of the eruption mechanism. 3 young patients are presented in this article with features consistent with a diagnosis of primary failure of eruption. The features of this condition are described together with different modalities of treatment planning for such patients. Zygoma implants as a new approach in the treatment of patients with primary failure of eruption requiring full mouth rehabilitation is discussed.