Children often insert strange objects in their teeth either as an attempt to relieve pain or in a subconscious habit. Clinicians encounter such findings during a routine examination where the patient has pain or an infection as a sequela of the foreign body insertion. These foreign bodies not only cause discomfort to the patient but it can also lead to various complications and serve as a nidus of infection. Although accidental insertion of the foreign body is the main etiological factor, self- harming behaviour patterns and dental neglect should also be ruled out during clinical analysis of the patient. This case report describes about a 12-year-old female patient who came into the operatory with pain in the upper left back tooth region of the jaw. Clinical and radiographic examination revealed a plastic pearl bead impacted in the crown of maxillary deciduous second molar. The pearl was then retrieved by creating a space around the impacted pearl and then retrieval was done with a spoon excavator. Following the retrieval process, Indirect pulp capping was done ending the treatment with composite restoration.