The consequence of the material used during obturation being overextended out of the root canal may cause a reaction of an inflammatory process with a rarefaction area in periapical tissue. The process of healing is not affected by filling materials because the periapical tissues could tolerate it well, but a greater failure frequency is identified in teeth with an overfilled. Case report: This case report depicts an overextended guttapercha material and a different nonsurgical approach to remove this material. Conclusion: This conservative approach is a secure and plausible choice to remove extruded guttapercha in the periapical area. Clinical significance: The failure of endodontic treatment could increase with overextended guttapercha materials. One of the most common approaches to remove this overextended guttapercha cone is a surgical technique. Nonetheless, this nonsurgical technique could be a better alternative treatment technique and could increase success.

guttapercha, periapical tissues, overfilling, overinstumentaion