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Enamel Pearl

From: Roberto Cristescu
Sent: Tuesday, August 30, 2011 2:07 PM
Subject: [roots] Enamel Pearl ?

Sent for consult and start of endo in 26 due to intense pain and 
sinus tract & swelling bucaal.

In my chair he was completely asympmtomatic, bleeding from the D pocket, 
sinus tract bucaal which was stoping mid-way the DB root, and ofcourse 
tested vital.

CBCT scan revelead radiopaque structure more or less like a enamel pearl 
into the area between DB and P roots (exactely where the sinus tract stops).

The prevalence of enamel pearls is highest in maxillary upper molars and 
especially in between the DB and P roots.

Treatment involves surgically. removal of this structure. Sometimes I see 
also extraction as a
treatment choice.

Did someone actually performed such a treatment of removing the "pearl" ?
How "easy" and predictable is  ? Roberto

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