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Enamel Pearls — MFDS Part 1 MCQ

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ModerateAnatomy (Head & Neck)Enamel PearlsMFDS Part 1

Enamel pearls are developmental ectopic deposits of enamel on root surfaces. On which group of permanent teeth are they most commonly found?

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Correct answer: D — Maxillary molars

The correct answer is **A, maxillary molars**. Enamel pearls are ectopic enamel deposits attached to root surfaces and show a marked predilection for permanent maxillary molars. They are particularly associated with second and third molars, although the exact ranking varies between populations and study methods. They often occur near a root furcation, where the absence of normal periodontal attachment over enamel can promote plaque retention and local periodontal breakdown. Mandibular molars are a plausible alternative because enamel pearls can occur there, but they are less commonly affected. Premolars and canines are uncommon sites. The option has therefore been phrased as “maxillary molars” without claiming that one specific maxillary molar is invariably the most frequently involved.

Reference: Korkmaz YN et al. Imaging characteristics of enamel pearls on CBCT and their co-relation with supernumerary tooth. Oral Radiology. 2021. https://pubmed.ncbi.nlm.nih.gov/34609699/