Hypercementosis is an excessive cementum deposition at the tooth root apex which occurs pathologically and represents as a body reaction to various stimulating factors including infection or endodontic treatment in most cases. Although hypercementosis mostly complicates teeth extraction, it is rare in daily dental practice. In the present case report, a generalised maxillary and mandibular hypercementosis in a young female patient is represented with a detailed description of its histologic, radiographic, and clinical characteristics followed by a review of surgical technique. It is clinically relevant to correlate hypercementosis of teeth, the feasibility of the best surgical method, in order to achieve a safe uncomplicated extraction.