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Enamel Pearls: A Culprit of Localised Periodontitis.
Anuja Nitin Moharir1, Malya Akkottillam2, Sachin Bhagat1
1Department of Periodontology, DY Patil Dental School, Pune, Maharashtra, India.
Journal of Pharmacy & Bioallied Sciences
|July 14, 2025
Summary
Enamel pearls, small enamel growths on molars, can indicate advanced periodontal destruction. Their discovery during surgery highlights a potential cause for severe gum disease progression.
Area of Science:
- Dentistry
- Periodontology
- Oral Pathology
Background:
- Enamel pearls are developmental anomalies composed of enamel.
- They are typically found on the roots of maxillary molars.
- Advanced periodontal disease is associated with their formation.
Observation:
- A 45-year-old female patient presented with pain in her lower right posterior teeth.
- Intraoral examination revealed caries on tooth #2 and severe periodontal issues on tooth #30, including grade I mobility, grade III furcation involvement, and a deep periodontal pocket.
- The patient had no significant past medical history.
Findings:
- Following root canal treatment and flap surgery for tooth #30, enamel pearls were identified during root debridement in the middle and apical root sections.
- The presence of enamel pearls was noted in conjunction with advanced periodontal destruction.
Implications:
- Enamel pearls may contribute to or be a marker of significant periodontal destruction.
- This case underscores the importance of considering developmental anomalies in the etiology of severe periodontal disease.
- Further investigation into the role of enamel pearls in periodontal pathology is warranted.
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