Enamel pearl

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC

Enamel pearl
Synonyms	Enameloma
Pronounce	N/A
Specialty	N/A
Symptoms	Usually asymptomatic, may cause periodontal disease if located near the gum line
Complications	Can contribute to periodontal pocket formation
Onset	Developmental
Duration	Permanent
Types	N/A
Causes	Developmental anomaly during tooth formation
Risks	Increased risk of periodontal issues
Diagnosis	Dental radiograph, clinical examination
Differential diagnosis	Dental calculus, cementicle
Prevention	None
Treatment	Usually none required, periodontal treatment if necessary
Medication	N/A
Prognosis	Generally benign
Frequency	Relatively uncommon
Deaths	N/A

An enamel pearl is a developmental anomaly of the teeth characterized by a small, spherical nodule of enamel that is found on the root surface of a tooth. These nodules are typically located near the cementoenamel junction or in the furcation area of molars. Enamel pearls are considered a type of ectopic enamel, meaning enamel that is located in an unusual place.

Formation

Enamel pearls form during the development of the tooth, specifically during the process of amelogenesis, which is the formation of enamel by ameloblasts. During this process, ameloblasts may become displaced and deposit enamel in areas where it is not typically found, such as the root surface. This results in the formation of an enamel pearl.

Clinical Significance

Enamel pearls are usually asymptomatic and are often discovered incidentally on dental radiographs. However, they can have clinical significance in certain situations. For example, enamel pearls can contribute to periodontal disease by providing a site for plaque accumulation, which can lead to inflammation of the surrounding periodontium. In some cases, enamel pearls may complicate endodontic or periodontal treatment. Their presence can make it difficult to clean the root surface effectively, and they may need to be removed if they are contributing to periodontal problems.

Diagnosis

Enamel pearls are typically diagnosed through dental radiographs, where they appear as radiopaque (white) nodules on the root surface of the tooth. They can also be identified during clinical examination if they are located in an accessible area.

Treatment

In most cases, enamel pearls do not require treatment unless they are associated with periodontal problems. If treatment is necessary, it may involve the removal of the enamel pearl to facilitate proper cleaning of the root surface and to prevent further periodontal complications.

See also

• Tooth development
• Amelogenesis
• Periodontal disease
• Dental radiography