Enamel Pearl

Definition: A ball of enamel found on the roots of molars.

Radiographic Features:

Location: Molars, most commonly found on maxillary molars.

Edge: Well-defined

Shape: Round

Internal: Radiopaque, same radiopacity as enamel.

Other: None.

Number: May be single or multiple.

Tip: Two radiographs of same tooth with different horizontal angles is recommended to verify the presence of an enamel pearl and not the overlap of adjacent roots which can have a similar appearance on single radiographs.

Enamel pearl

(note the round radiopaque area over the roots of the third molar)

Enamel pearl

(arrows pointing to round radiopaque area near furcation)