Abstract :A tooth that fails to erupt as expected is “impacted” and can produce mild-to-severe symptoms. Here we report a case of an 81-year-old man who presented to our clinic with a 2-week history of pain without swelling, under his removable total denture, in the right posterior molar region of the mandible. He reported difficulty during eating and pain during mastication. On intraoral examination, we noted part of wisdom tooth in the right posterior region. The tissue surrounding the tooth was erythematic and the patient reporting pain on its palpation. We extracted the tooth under local anesthesia, with minimal mucosal incision. After extraction, we curetted and irrigated the socket and sutured the mucosa. Edentulous geriatric patients who use removable total or partial dentures can experience problems from impacted teeth. If overlooked, these patients may experience unnecessary pain and odontogenic infection. Consequently, tooth impaction should be considered by dentists and physicians who treat elderly or edentulous patients.