A 38-year female was referred from the Restorative Department for extraction of an unrestorable tooth. The patient was referred to an oral and maxillofacial surgery clinic to complete the case rehabilitation. The patient's medical history was clear. On preoperative clinical examination, there were multiple attrited teeth with mild gingivitis with no other abnormal features. Upper left third molar was indicated for extraction due to chronic periodontitis and over-eruption as no opposing tooth was present.From the orthopantomogram radiograph, a generalised hypercementosis was noticed in almost all the maxillary