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 revie...
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Series: | Case Reports in Dentistry |
Online Access: | http://dx.doi.org/10.1155/2015/236462 |
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doaj-ace6e167c38a45d3bdb67b3356003cfe2021-07-02T12:38:14ZengHindawi LimitedCase Reports in Dentistry2090-64472090-64552015-01-01201510.1155/2015/236462236462Enamel Pearls Implications on Periodontal DiseaseElton Gonçalves Zenóbio0Thaís Ribeiral Vieira1Roberta Paula Colen Bustamante2Hayder Egg Gomes3Jamil Awad Shibli4Rodrigo Villamarin Soares5Department of Dentistry, PUC Minas Master Program of Implantology and Periodontology, 500 Dom José Gaspar Avenida, 46 Hall, 30535-610 Belo Horizonte, MG, BrazilDepartment of Dentistry, PUC Minas Master Program of Periodontology, Belo Horizonte, MG, BrazilDepartment of Dentistry, PUC Minas Master Program of Implantology, Belo Horizonte, MG, BrazilDepartment of Dentistry, PUC Minas, Belo Horizonte, MG, BrazilDental Research Division, Department of Implantology and Periodontology, School of Dentistry, UNG, Guarulhos, SP, BrazilDepartment of Dentistry, PUC Minas Master Program of Implantology and Periodontology, 500 Dom José Gaspar Avenida, 46 Hall, 30535-610 Belo Horizonte, MG, BrazilDental 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.http://dx.doi.org/10.1155/2015/236462 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Elton Gonçalves Zenóbio Thaís Ribeiral Vieira Roberta Paula Colen Bustamante Hayder Egg Gomes Jamil Awad Shibli Rodrigo Villamarin Soares |
spellingShingle |
Elton Gonçalves Zenóbio Thaís Ribeiral Vieira Roberta Paula Colen Bustamante Hayder Egg Gomes Jamil Awad Shibli Rodrigo Villamarin Soares Enamel Pearls Implications on Periodontal Disease Case Reports in Dentistry |
author_facet |
Elton Gonçalves Zenóbio Thaís Ribeiral Vieira Roberta Paula Colen Bustamante Hayder Egg Gomes Jamil Awad Shibli Rodrigo Villamarin Soares |
author_sort |
Elton Gonçalves Zenóbio |
title |
Enamel Pearls Implications on Periodontal Disease |
title_short |
Enamel Pearls Implications on Periodontal Disease |
title_full |
Enamel Pearls Implications on Periodontal Disease |
title_fullStr |
Enamel Pearls Implications on Periodontal Disease |
title_full_unstemmed |
Enamel Pearls Implications on Periodontal Disease |
title_sort |
enamel pearls implications on periodontal disease |
publisher |
Hindawi Limited |
series |
Case Reports in Dentistry |
issn |
2090-6447 2090-6455 |
publishDate |
2015-01-01 |
description |
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. |
url |
http://dx.doi.org/10.1155/2015/236462 |
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