title: Enamel pearl on an unusual location associated with localized periodontal disease: A clinical report.
abstract: Bacterial plaque has been implicated as the primary etiologic factor in the initiation and progression of periodontal disease. Anatomic factors (such as enamel pearls) are often associated with advanced localized periodontal destruction. The phenomenon of ectopic development of enamel on the root surface, variedly referred to as enameloma, enamel pearl, enamel drop or enamel nodule, is not well-understood. Such an anomaly may facilitate the progression of periodontal breakdown. A rare case of enamel pearl on the lingual aspect of mandibular central incisor associated with localized periodontal disease is presented. Removal and treatment of enamel pearl along with possible mechanisms to account for the pathogenesis of ectopic enamel formation are also discussed.
authors.affiliation: Department of Periodontics, Kalka Dental College, Meerut, Uttar Pradesh, India.
authors.forename: Shivani
authors.initials: S
authors.lastname: Sharma
authors.affiliation: Department of Periodontics, Kalka Dental College, Meerut, Uttar Pradesh, India.
authors.forename: Sumit
authors.initials: S
authors.lastname: Malhotra
authors.affiliation: Department of Periodontics, Sharad Pawar Dental College, Wardha, Maharashtra, India.
authors.forename: Vidya
authors.initials: V
authors.lastname: Baliga
authors.affiliation: Department of Endodontics, Vyas Dental College and Hospital, Jodhpur, Rajasthan, India.
authors.forename: Manoj
authors.initials: M
authors.lastname: Hans
keywords: Bacterial plaque; ectopic enamel; enamel pearl; enameloma; etiology; periodontal disease; tooth