The authors describe the case of a patient who had tenderness when biting and mild sensitivity to palpation as well as a radiopaque lesion attached to the mesial root of a mandibular first molar. Evidence pointed to a benign cementoblastoma. The dentist redid the original endodontic treatment and surgically removed the lesion, leaving the involved tooth intact. The authors suggest that in certain cases, it may be possible to remove benign cementoblastomas affecting molars without extracting the involved teeth.