Enamel Pearls Implications on Periodontal Disease.
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.
Department of Dentistry, PUC Minas Master Program of Implantology and Periodontology, 500 Dom José Gaspar Avenida, 46 Hall, 30535-610 Belo Horizonte, MG, Brazil.
Elton Gonçalves
EG
Zenóbio
Department of Dentistry, PUC Minas Master Program of Periodontology, Belo Horizonte, MG, Brazil.
Thaís Ribeiral
TR
Vieira
Department of Dentistry, PUC Minas Master Program of Implantology, Belo Horizonte, MG, Brazil.
Roberta Paula Colen
RP
Bustamante
Department of Dentistry, PUC Minas, Belo Horizonte, MG, Brazil.
Hayder Egg
HE
Gomes
Dental Research Division, Department of Implantology and Periodontology, School of Dentistry, UNG, Guarulhos, SP, Brazil.
Jamil Awad
JA
Shibli
Department of Dentistry, PUC Minas Master Program of Implantology and Periodontology, 500 Dom José Gaspar Avenida, 46 Hall, 30535-610 Belo Horizonte, MG, Brazil.
Rodrigo Villamarin
RV
Soares