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Enamel pearls or droplet,
nodules
General information
• It is presence of enamel at unusual location
Pathogenesis
• Activity of the Hertwig's epithelium
Clinical features
• Common in trifurcation of maxillary molars,
followed by bifurcation of mandibular molars
• rarely, tiny nodule may be sufficiently close to
the gingival margin to become involved in the
periodontal problems
• rarely small pulpal extensions may reach into
Centre of nodule and thereby constitute
additional hazard
Radiographic features
• Smooth round and well defined radiopacity
present along the root surface
• radiodensity is same as that of enamel
• it may have small core of dentine and rarely
pulp horn from the chamber of host tooth
Diagnosis
• Rounded opacity in the furcation area
Management
• Maintain oral hygiene – oral hygiene should
be maintained. If it is causing periodontal
problems, mass can be removed

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16 enamel pearls or droplet, nodules