eng Science and Education Publishing International Journal of Dental Sciences and Research 2333-1259 2021-02-06 9 1 20 22 10.12691/ijdsr-9-1-5 IJDSR2021915 article Nawaf Almutairi nawaf.almutairi@qu.edu.sa 1 Conservative Dental Science Department, College of Dentistry, Qassim University, Qassim, Saudi Arabia 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. http://pubs.sciepub.com/ijdsr/9/1/5/ijdsr-9-1-5.pdf guttapercha periapical tissues overfilling overinstumentaion