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Case Reports in Dentistry
Volume 2015, Article ID 236462, 3 pages
Case Report

Enamel Pearls Implications on Periodontal Disease

1Department of Dentistry, PUC Minas Master Program of Implantology and Periodontology, 500 Dom José Gaspar Avenida, 46 Hall, 30535-610 Belo Horizonte, MG, Brazil
2Department of Dentistry, PUC Minas Master Program of Periodontology, Belo Horizonte, MG, Brazil
3Department of Dentistry, PUC Minas Master Program of Implantology, Belo Horizonte, MG, Brazil
4Department of Dentistry, PUC Minas, Belo Horizonte, MG, Brazil
5Dental Research Division, Department of Implantology and Periodontology, School of Dentistry, UNG, Guarulhos, SP, Brazil

Received 21 June 2015; Revised 24 August 2015; Accepted 26 August 2015

Academic Editor: Samir Nammour

Copyright © 2015 Elton Gonçalves Zenóbio et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Dental anatomy is quite complex and diverse factors must be taken into account in its analysis. Teeth with anatomical variations present an increase in the rate of severity periodontal tissue destruction and therefore a higher risk of developing periodontal disease. In this context, this paper reviews the literature regarding enamel pearls and their implications in the development of severe localized periodontal disease as well as in the prognosis of periodontal therapy. Radiographic examination of a patient complaining of pain in the right side of the mandible revealed the presence of a radiopaque structure around the cervical region of lower right first premolar. Periodontal examination revealed extensive bone loss since probing depths ranged from 7.0 mm to 9.0 mm and additionally intense bleeding and suppuration. Surgical exploration detected the presence of an enamel pearl, which was removed. Assessment of the remaining supporting tissues led to the extraction of tooth 44. Local factors such as enamel pearls can lead to inadequate removal of the subgingival biofilm, thus favoring the establishment and progression of periodontal diseases.