Abstract
A small piece of enamel forms the basic structure of enamel pearls that appear in maxillary molars. Periodontal destruction at its most advanced stage leads to the formation of enamel pearls. A 45-year-old female patient sought treatment at the Department of Periodontics located at DY Patil Dental School Lohegaon due to pain in the lower right back teeth region of her jaw. The patient did not have any noteworthy health problems from her past. Tooth no. #2 displayed caries and #30 presented grade I mobility together with grade III furcation involvement and deep periodontal pocket during the intraoral exam. The patient underwent root canal treatment before receiving #30 flap surgery. Enamel pearls were noticed through the debridement process in the middle and apical segments of the root. Periodontal destruction could have progressed significantly as a result of the enamel pearl discovery reported in this case.