{"id":2212,"date":"2025-12-23T16:01:58","date_gmt":"2025-12-23T13:01:58","guid":{"rendered":"https:\/\/wiki.dev.voka.io\/?post_type=diseases_post&#038;p=2212"},"modified":"2026-02-12T13:43:59","modified_gmt":"2026-02-12T10:43:59","slug":"hyperplasie-email","status":"publish","type":"diseases_post","link":"https:\/\/wiki.dev.voka.io\/fr\/maladies\/odontologie\/hyperplasie-email\/","title":{"rendered":"Hyperplasie de l&rsquo;\u00e9mail (\u00e9namelome)&nbsp;: \u00e9tiologie, classification, diagnostic et traitement"},"content":{"rendered":"<p><?xml encoding=\"UTF-8\" ?><\/p>\n<p>L\u2019\u00e9namelome est une anomalie du d\u00e9veloppement dentaire qui se manifeste par une masse d\u2019\u00e9mail sph\u00e9rique et saillante sur la surface de la racine d\u2019une dent, permanente ou primaire. Il est \u00e9galement appel\u00e9 hyperplasie de l\u2019\u00e9mail, goutte d\u2019\u00e9mail, perle d\u2019\u00e9mail ou nodule d\u2019\u00e9mail.<\/p>\n<h2 class=\"wp-block-heading\" id=\"epidemiologie\"><strong>\u00c9pid\u00e9miologie<\/strong><\/h2>\n<p>Les \u00e9namelomes sont assez rares. L\u2019incidence des perles d\u2019\u00e9mail varie en fonction de la m\u00e9thode d\u2019\u00e9tude et de la population\u00a0:<\/p>\n<ul class=\"wp-block-list\">\n<li>en g\u00e9n\u00e9ral chez les particuliers\u00a0: de 0,23\u00a0% \u00e0 4,82\u00a0%\u00a0;<\/li>\n<li>en particulier sur les molaires (dans des \u00e9tudes cibl\u00e9es)\u00a0: de 1,71\u00a0% \u00e0 6,80\u00a0%.<\/li>\n<\/ul>\n<p>L\u2019incidence la plus \u00e9lev\u00e9e est observ\u00e9e au niveau des molaires permanentes de la m\u00e2choire sup\u00e9rieure.<\/p>\n<h2 class=\"wp-block-heading\" id=\"etiologie\">\u00c9tiologie<\/h2>\n<p>La perturbation des processus d\u2019odontogen\u00e8se est la cause principale de l\u2019hyperplasie de l\u2019\u00e9mail. La formation de l\u2019\u00e9namelome est associ\u00e9e \u00e0 la transformation locale des restes de l\u2019\u00e9pith\u00e9lium d\u2019\u00e9mail de la gaine radiculaire de Hertwig en \u00e9nameloblastes (cellules productrices d\u2019\u00e9mail). Par cons\u00e9quent, une goutte d\u2019\u00e9mail ectopique se d\u00e9veloppe \u00e0 l\u2019endroit o\u00f9 devrait se trouver le c\u00e9ment de la racine.<\/p>\n<h2 class=\"wp-block-heading\" id=\"effet-de-l-enamelome-sur-les-organes-de-la-cavite-buccale\">Effet de l\u2019\u00e9namelome sur les organes de la cavit\u00e9 buccale<\/h2>\n<p>Les perles d\u2019\u00e9mail emp\u00eachent les tissus parodontaux de s\u2019attacher \u00e0 la surface de la racine, ce qui cr\u00e9e une niche pour la colonisation bact\u00e9rienne et la r\u00e9tention de la plaque, et rend difficiles les soins d\u2019hygi\u00e8ne. Si l\u2019\u00e9namelome est situ\u00e9 dans la zone de connexion avec la cavit\u00e9 buccale, il peut provoquer la formation rapide d\u2019une poche parodontale profonde et le d\u00e9veloppement d\u2019une parodontite locale. Les \u00e9namelomes dans la zone de furcation des racines des dents primaires peuvent entra\u00eener un remplacement tardif des dents primaires et une d\u00e9viation de la trajectoire d\u2019\u00e9ruption des dents secondaires. <\/p>\n<h2 class=\"wp-block-heading\" id=\"anatomie-et-classification\">Anatomie et classification<\/h2>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/dermatology\/enamel-hyperplasia\/enameloma-anatomy-variant.webp\" alt=\"Variante anatomique de l'\u00e9namelome\"><figcaption class=\"wp-element-caption\">Variante anatomique de l\u2019\u00e9namelome \u2013 <a href=\"https:\/\/catalog.voka.io\/en\/models\/3ed27118-f048-4865-b4ec-042c2caa7e2f\/d71e52c8-7f5a-4179-abae-97ddefd10630\/bcd9d422-b653-4a86-a3c5-eedf5c20ed34\/592cf9ae-bf72-4cda-b97a-9bf34bf5eff7\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">mod\u00e8le 3D<\/a><\/figcaption><\/figure>\n<p>Macroscopiquement, l\u2019\u00e9namelome se pr\u00e9sente sous la forme d\u2019une formation blanche, ronde ou h\u00e9misph\u00e9rique, \u00e0 la surface lisse et brillante, \u00e9troitement attach\u00e9e \u00e0 la surface de la racine de la dent. Sa taille varie de 0,3 \u00e0 4,48\u00a0millim\u00e8tres. <\/p>\n<h3 class=\"wp-block-heading\" id=\"classification-histologique\">Classification histologique<\/h3>\n<figure class=\"wp-block-table table-to-cards\">\n<table class=\"has-fixed-layout\">\n<thead>\n<tr>\n<th class=\"has-text-align-center\" data-align=\"center\">Type d\u2019\u00e9namelome<\/th>\n<th class=\"has-text-align-center\" data-align=\"center\">Description de la structure<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">Perles en \u00e9mail v\u00e9ritable<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">Contient uniquement de l\u2019\u00e9mail<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">Perles d\u2019\u00e9mail et de dentine<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">Contient un noyau de dentine recouvert d\u2019\u00e9mail<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">Perles d\u2019\u00e9mail, de dentine et de pulpe<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">Contient de la pulpe, qui est souvent associ\u00e9e \u00e0 la cavit\u00e9 pulpaire ou au canal radiculaire de la dent<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/figure>\n<h3 class=\"wp-block-heading\" id=\"emplacement-des-perles-d-email\">Emplacement des perles d\u2019\u00e9mail<\/h3>\n<p>Le plus souvent, cette anomalie est localis\u00e9e\u00a0:<\/p>\n<ul class=\"wp-block-list\">\n<li>m\u00e9sialement ou distalement sur le collet de la dent, pr\u00e8s de la jonction c\u00e9ment-\u00e9mail\u00a0;<\/li>\n<li>\u00e0 proximit\u00e9 de la furcation de la racine ou du sillon entre des racines incompl\u00e8tement s\u00e9par\u00e9es.<\/li>\n<\/ul>\n<p>Dans de rares cas, les \u00e9namelomes peuvent \u00e9galement se trouver sur la couronne de la dent ou dans le tiers coronal, central ou apical de la racine de la dent.<\/p>\n<p>Le plus souvent, les \u00e9namelomes apparaissent dans les zones de furcation des molaires maxillaires, entre les racines distobuccales et palatines. Les grosses perles d\u2019\u00e9mail se d\u00e9veloppent le plus souvent sur les molaires inf\u00e9rieures et peuvent contenir de la pulpe. Les \u00e9namelomes des molaires maxillaires sont plus petits, mais il peut y en avoir plusieurs sur une seule dent. Des cas de d\u00e9veloppement bilat\u00e9ral d\u2019\u00e9nam\u00e9lomes multiples sur toutes les molaires maxillaires ont \u00e9t\u00e9 document\u00e9s. <\/p>\n<p>Sur les pr\u00e9molaires, les canines et les incisives, les \u00e9namelomes sont assez rares. Parfois, les perles d\u2019\u00e9mail sont associ\u00e9es \u00e0 d\u2019autres masses pathologiques (\u00e9pulis fibreuse, etc.).<\/p>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/dermatology\/enamel-hyperplasia\/enameloma.webp\" alt=\"Perle d'\u00e9mail sur la surface distale de la premi\u00e8re molaire du maxillaire sup\u00e9rieur\"><figcaption class=\"wp-element-caption\">Perle d\u2019\u00e9mail sur la surface distale de la premi\u00e8re molaire du maxillaire sup\u00e9rieur \u2013 <a href=\"https:\/\/catalog.voka.io\/en\/models\/3ed27118-f048-4865-b4ec-042c2caa7e2f\/d71e52c8-7f5a-4179-abae-97ddefd10630\/bcd9d422-b653-4a86-a3c5-eedf5c20ed34\/592cf9ae-bf72-4cda-b97a-9bf34bf5eff7\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">mod\u00e8le 3D<\/a><\/figcaption><\/figure>\n<h2 class=\"wp-block-heading\" id=\"manifestations-cliniques\">Manifestations cliniques<\/h2>\n<p>Une perle d\u2019\u00e9mail peut \u00eatre totalement asymptomatique.<\/p>\n<p>Si un \u00e9namelome a provoqu\u00e9 le d\u00e9veloppement d\u2019une poche parodontale, le patient peut se plaindre des sympt\u00f4mes suivants\u00a0:<\/p>\n<ul class=\"wp-block-list\">\n<li>gonflement et saignement des gencives autour d\u2019une ou de plusieurs dents\u00a0;<\/li>\n<li>aliments coinc\u00e9s entre les dents\u00a0;<\/li>\n<li>douleur lors de la mastication\u00a0;<\/li>\n<li>racine dentaire expos\u00e9e\u00a0;<\/li>\n<li>d\u00e9chaussement des dents.<\/li>\n<\/ul>\n<p>Cliniquement, une masse h\u00e9misph\u00e9rique, solide, blanche avec une surface lisse sur le collet de la dent ou sur la bifurcation peut \u00eatre d\u00e9tect\u00e9e. En cas de parodontite locale concomitante, les gencives autour de la masse sont gonfl\u00e9es et hyper\u00e9miques et saignent au sondage, la sonde parodontale \u00e9tant plac\u00e9e dans le sillon gingival \u00e0 une profondeur de 4\u00a0mm ou plus.<\/p>\n<h2 class=\"wp-block-heading\" id=\"diagnostic\">Diagnostic<\/h2>\n<p>Les \u00e9namelomes peuvent \u00eatre diagnostiqu\u00e9s cliniquement lors d\u2019un examen visuel, d\u2019une r\u00e9traction gingivale, d\u2019un sondage parodontal ou d\u2019une op\u00e9ration d\u2019extraction dentaire.<\/p>\n<p>La principale approche diagnostique est radiologique et fait appel aux m\u00e9thodes suivantes\u00a0:<\/p>\n<ul class=\"wp-block-list\">\n<li>radiographie intrabuccale (de contact)\u00a0; <\/li>\n<li>radiovisiographie\u00a0; <\/li>\n<li>radiographie panoramique dentaire\u00a0; <\/li>\n<li>tomographie informatis\u00e9e \u00e0 faisceau conique (CBCT). <\/li>\n<\/ul>\n<p><strong>R\u00e9sultats radiographiques\u00a0:<\/strong> la radiographie montre une ombre arrondie, hyperintense et clairement d\u00e9finie dans la projection du collet de la dent, sur la surface de la racine ou dans la zone de furcation de la racine de la dent. Si de la pulpe fait partie de la masse, une zone de radiotransparence peut \u00eatre d\u00e9tect\u00e9e au centre de la masse. <\/p>\n<h2 class=\"wp-block-heading\" id=\"traitement-de-l-hyperplasie-de-l-email\">Traitement de l\u2019hyperplasie de l\u2019\u00e9mail<\/h2>\n<p>L\u2019\u00e9namelome n\u00e9cessite un traitement s\u2019il est situ\u00e9 dans une zone accessible \u00e0 la p\u00e9n\u00e9tration de la microflore buccale et \u00e0 la formation d\u2019un biofilm. <\/p>\n<p>La masse est excis\u00e9e \u00e0 l\u2019aide d\u2019une fraise diamant\u00e9e, la surface est meul\u00e9e et polie, et un traitement remin\u00e9ralisant est administr\u00e9. Le patient doit \u00e9galement \u00eatre motiv\u00e9 pour maintenir une hygi\u00e8ne buccale rigoureuse. <\/p>\n<p><strong>Complications possibles de l\u2019excision de la masse\u00a0: <\/strong><\/p>\n<ul class=\"wp-block-list\">\n<li>racine dentaire cari\u00e9e\u00a0; <\/li>\n<li>r\u00e9sorption externe\u00a0; <\/li>\n<li>pulpite (si la perle d\u2019\u00e9mail contenait de la pulpe vitale).<\/li>\n<\/ul>\n<div>\n<h2 class=\"faq-title h2-article\" id=\"faq\">FAQ<\/h2>\n<div class=\"faq-section\">\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">1. Qu\u2019est-ce que l\u2019\u00e9namelome et pourquoi se d\u00e9veloppe-t-il\u00a0?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">L\u2019\u00e9namelome est une formation sph\u00e9rique d\u2019\u00e9mail situ\u00e9e \u00e0 la surface de la racine de la dent. La cause principale est la transformation locale des cellules \u00e9pith\u00e9liales de la gaine radiculaire de Hertwig en am\u00e9loblastes, qui forment normalement le c\u00e9ment mais produisent de l\u2019\u00e9mail \u00e0 la place.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">2. Les perles d\u2019\u00e9mail sont-elles communes\u00a0?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Il s\u2019agit d\u2019une anomalie rare, qui touche 1 \u00e0 5\u00a0% de la population. Le plus souvent, les perles d\u2019\u00e9mail se trouvent sur les racines des molaires sup\u00e9rieures, en particulier \u00e0 l\u2019endroit o\u00f9 les racines des dents se s\u00e9parent (furcation).<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">3. Quelles sont les risques de la perle d\u2019\u00e9mail\u00a0?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Le principal risque est de perturber l\u2019attachement normal de la gencive \u00e0 l\u2019\u00e9mail. Elle cr\u00e9e un espace (\u00ab\u00a0poche\u00a0\u00bb) entre la dent et la gencive, dans lequel le biofilm se d\u00e9veloppe continuellement. Cela conduit \u00e0 une inflammation chronique des tissus parodontaux et au d\u00e9veloppement d\u2019une parodontite localis\u00e9e, m\u00eame avec une bonne hygi\u00e8ne.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">4. Comment l\u2019\u00e9namelome est-il diagnostiqu\u00e9\u00a0?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Le plus souvent, cette anomalie est d\u00e9tect\u00e9e lors d\u2019un examen radiographique (radiographie intrabuccale [de contact], radiovisiographie, radiographie panoramique dentaire ou CBCT). Sur une radiographie, le dentiste peut voir une ombre claire et dense d\u2019une forme arrondie dans la projection du collet ou de la racine de la dent. Dans de rares cas, le dentiste peut d\u00e9tecter une telle masse lors d\u2019un sondage parodontal.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">5. L\u2019\u00e9namelome n\u00e9cessite-t-il un traitement et, si oui, lequel\u00a0?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Le traitement n\u2019est n\u00e9cessaire que si la perle d\u2019\u00e9mail entre en contact avec la cavit\u00e9 buccale et provoque une inflammation des tissus parodontaux. Le dentiste \u00e9limine soigneusement la masse d\u2019\u00e9mail en la meulant \u00e0 l\u2019aide d\u2019une fraise, puis il polit soigneusement la surface de la racine afin d\u2019\u00e9liminer la poche de biofilm et de permettre l\u2019attachement dense de la gencive.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"sources-list-block sources-list-hidden\" id=\"references\">\n<div class=\"sources-list-content\">\n<div class=\"sources-list-title\">\n<p class=\"small-text-bold text-black sources-list-title-text\">R\u00e9f\u00e9rences<\/p>\n<div class=\"sources-expand-button-wrapper-mobile\">\n<div class=\"sources-expand-button\"><svg width=\"32\" height=\"32\" viewbox=\"0 0 32 32\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M8 12L16 20L24 12\" stroke=\"#8C9AAB\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/div>\n<\/div>\n<\/div>\n<div class=\"sources-list-items\">\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">1.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>VOKA 3D Anatomie et Pathologie \u2013 Atlas 3D complet d\u2019anatomie et de pathologie [Internet]. VOKA 3D Anatomie et Pathologie. <\/cite><\/p>\n<p><span class=\"small-text-medium text-grey\">Disponible \u00e0 l\u2019adresse\u00a0: https:\/\/catalog.voka.io\/<\/span><\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">2.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Grine FE, Holt S, Brink JS, Du Plessis A. Enamel pearls: Their occurrence in recent human populations and earliest manifestation in the modern human lineage (Perles d\u2019\u00e9mail\u00a0: leur pr\u00e9sence dans les populations humaines r\u00e9centes et leur premi\u00e8re manifestation dans la lign\u00e9e humaine moderne). Archives of Oral Biology [Internet]. 2019 Mar 16;101:147\u2013155.<\/cite><\/p>\n<p><span class=\"small-text-medium text-grey\">Disponible \u00e0 l\u2019adresse\u00a0: https:\/\/doi.org\/10.1016\/j.archoralbio.2019.03.004<\/span><\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">3.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Zen\u00f3bio EG, Vieira TR, Bustamante RPC, Gomes HE, Shibli JA, Soares RV. Enamel Pearls implications on periodontal disease (Implications des perles d\u2019\u00e9mail sur les maladies parodontales). Case Reports in Dentistry [Internet]. 2015 Jan 1;2015:1\u20133. <\/cite><\/p>\n<p><span class=\"small-text-medium text-grey\">Disponible \u00e0 l\u2019adresse\u00a0: https:\/\/doi.org\/10.1155\/2015\/236462<\/span><\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">4.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Chrcanovic BR, Abreu MHNG, Cust\u00f3dio ALN. Prevalence of enamel pearls in teeth from a human teeth bank (Pr\u00e9valence des perles d\u2019\u00e9mail dans les dents d\u2019une banque de dents humaines). Journal of Oral Science [Internet]. 2010 Jan 1;52(2):257\u2013260. <\/cite><\/p>\n<p><span class=\"small-text-medium text-grey\">Disponible \u00e0 l\u2019adresse\u00a0: https:\/\/doi.org\/10.2334\/josnusd.52.257<\/span><\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">5.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Moharir AN, Akkottillam M, Bhagat S, Pagare V, Hakkepatil A, Bagde H. Enamel Pearls: A Culprit of Localised Periodontitis (Perles d\u2019\u00e9mail\u00a0: un coupable de la parodontite localis\u00e9e). Journal of Pharmacy and Bioallied Sciences [Internet]. 2025 Jun 1;17(Suppl 2):S2007\u2013S2009. <\/cite><\/p>\n<p><span class=\"small-text-medium text-grey\">Disponible \u00e0 l\u2019adresse\u00a0: https:\/\/doi.org\/10.4103\/jpbs.jpbs_566_25<\/span><\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"sources-expand-button-wrapper\">\n<div class=\"sources-expand-button\"><svg width=\"32\" height=\"32\" viewbox=\"0 0 32 32\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M8 12L16 20L24 12\" stroke=\"#8C9AAB\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>L&rsquo;\u00e9namelome est une anomalie du d\u00e9veloppement dentaire qui se manifeste par une masse d&rsquo;\u00e9mail sph\u00e9rique et saillante sur la surface de la racine d&rsquo;une dent, permanente ou primaire. Il est \u00e9galement appel\u00e9 hyperplasie de l&rsquo;\u00e9mail, goutte d&rsquo;\u00e9mail, perle d&rsquo;\u00e9mail ou nodule d&rsquo;\u00e9mail. \u00c9pid\u00e9miologie Les \u00e9namelomes sont assez rares. L&rsquo;incidence des perles d&rsquo;\u00e9mail varie en fonction [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"template":"","diseases_category":[231],"class_list":["post-2212","diseases_post","type-diseases_post","status-publish","hentry","diseases_category-odontologie"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.0 (Yoast SEO v26.5) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Hyperplasie de l&#039;\u00e9mail (\u00ab\u00a0perle d&#039;\u00e9mail\u00a0\u00bb)\u00a0: causes, diagnostic et traitement<\/title>\n<meta name=\"description\" content=\"Hyperplasie de l&#039;\u00e9mail\u00a0: \u00e9tiologie, pathog\u00e9nie et classification Nous d\u00e9crivons ici les manifestations cliniques, les algorithmes de diagnostic et les tactiques de traitement en cas de \u00ab\u00a0perles d&#039;\u00e9mail\u00a0\u00bb.\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, 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