{"id":2215,"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=2215"},"modified":"2026-02-12T13:44:13","modified_gmt":"2026-02-12T10:44:13","slug":"hiperplasia-do-esmalte","status":"publish","type":"diseases_post","link":"https:\/\/wiki.dev.voka.io\/pt\/doencas\/dentarias\/hiperplasia-do-esmalte\/","title":{"rendered":"Hiperplasia do esmalte (enameloma): etiologia, classifica\u00e7\u00e3o, diagn\u00f3stico e tratamento"},"content":{"rendered":"<p><?xml encoding=\"UTF-8\" ?><\/p>\n<p>O enameloma \u00e9 uma anomalia do desenvolvimento dent\u00e1rio que se manifesta como uma massa esf\u00e9rica e protuberante de esmalte na superf\u00edcie da raiz de um dente permanente ou dec\u00edduo. Tamb\u00e9m \u00e9 conhecido como hiperplasia do esmalte, gota de esmalte, p\u00e9rola de esmalte ou n\u00f3dulo de esmalte.<\/p>\n<h2 class=\"wp-block-heading\" id=\"epidemiologia\"><strong>Epidemiologia<\/strong><\/h2>\n<p>Enamelomas s\u00e3o raros. A incid\u00eancia de p\u00e9rolas de esmalte varia conforme o m\u00e9todo de estudo e da popula\u00e7\u00e3o estudada:<\/p>\n<ul class=\"wp-block-list\">\n<li>geralmente, em indiv\u00edduos: 0,23 a 4,82%;<\/li>\n<li>particularmente em molares (em estudos direcionados): 1,71 a 6,80%.<\/li>\n<\/ul>\n<p>A maior incid\u00eancia \u00e9 observada nos molares permanentes da mand\u00edbula superior.<\/p>\n<h2 class=\"wp-block-heading\" id=\"etiologia\">Etiologia<\/h2>\n<p>A interrup\u00e7\u00e3o dos processos de odontog\u00eanese \u00e9 a principal causa da hiperplasia do esmalte. A forma\u00e7\u00e3o do enameloma est\u00e1 associada \u00e0 transforma\u00e7\u00e3o local dos remanescentes do epit\u00e9lio do esmalte da bainha radicular de Hertwig em enameloblastos (c\u00e9lulas produtoras de esmalte). Consequentemente, desenvolve-se uma gota ect\u00f3pica de esmalte onde deveria estar o cemento radicular.<\/p>\n<h2 class=\"wp-block-heading\" id=\"efeito-do-enameloma-nos-orgaos-da-cavidade-oral\">Efeito do enameloma nos \u00f3rg\u00e3os da cavidade oral<\/h2>\n<p>As p\u00e9rolas de esmalte impedem que os tecidos periodontais se fixem \u00e0 superf\u00edcie da raiz, criam um nicho para a coloniza\u00e7\u00e3o bacteriana e reten\u00e7\u00e3o de placa e dificultam a higiene. Se o enameloma estiver localizado na \u00e1rea de contato com a cavidade oral, pode provocar a forma\u00e7\u00e3o r\u00e1pida de uma bolsa periodontal profunda e o desenvolvimento de periodontite local. Enamelomas na regi\u00e3o da bifurca\u00e7\u00e3o radicular de dentes dec\u00edduos podem causar a sua substitui\u00e7\u00e3o tardia e desvio da trajet\u00f3ria de erup\u00e7\u00e3o dos dentes permanentes. <\/p>\n<h2 class=\"wp-block-heading\" id=\"anatomia-e-classificacao\">Anatomia e classifica\u00e7\u00e3o<\/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 anat\u00f4mica do enameloma\"><figcaption class=\"wp-element-caption\">Variante anat\u00f4mica do enameloma \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\">Modelo 3D<\/a><\/figcaption><\/figure>\n<p>Macroscopicamente, o enameloma aparece como uma forma\u00e7\u00e3o branca, redonda ou hemisf\u00e9rica, com superf\u00edcie lisa e brilhante, firmemente aderida \u00e0 superf\u00edcie da raiz do dente. Seu tamanho varia de 0,3 a 4,48 mil\u00edmetros. <\/p>\n<h3 class=\"wp-block-heading\" id=\"classificacao-histologica\">Classifica\u00e7\u00e3o histol\u00f3gica<\/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\">Tipo de enameloma<\/th>\n<th class=\"has-text-align-center\" data-align=\"center\">Descri\u00e7\u00e3o da estrutura<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">P\u00e9rolas de esmalte verdadeiras<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">Cont\u00e9m apenas esmalte<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">P\u00e9rolas de esmalte-dentina<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">Cont\u00e9m um n\u00facleo de dentina revestido com esmalte<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">P\u00e9rolas de esmalte-dentina-polpa<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">Cont\u00eam polpa, que est\u00e1 geralmente associada \u00e0 cavidade pulpar ou ao canal radicular do dente<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/figure>\n<h3 class=\"wp-block-heading\" id=\"localizacao-das-perolas-de-esmalte\">Localiza\u00e7\u00e3o das p\u00e9rolas de esmalte<\/h3>\n<p>Na maioria das vezes, essa altera\u00e7\u00e3o anormal \u00e9 localizada:<\/p>\n<ul class=\"wp-block-list\">\n<li>mesialmente ou distalmente no colo do dente, pr\u00f3ximo \u00e0 jun\u00e7\u00e3o cemento-esmalte;<\/li>\n<li>pr\u00f3ximo \u00e0 furca radicular ou ao sulco entre ra\u00edzes incompletamente separadas.<\/li>\n<\/ul>\n<p>Al\u00e9m disso, em casos raros, os enamelomas podem ser encontrados na coroa do dente ou no ter\u00e7o coronal, m\u00e9dio ou apical da raiz do dente.<\/p>\n<p>Os enamelomas ocorrem com mais frequ\u00eancia nas \u00e1reas de furca dos molares superiores, entre as ra\u00edzes distobucal e palatina. P\u00e9rolas de esmalte grandes geralmente se desenvolvem nos molares inferiores e podem conter polpa. Os enamelomas dos molares superiores s\u00e3o menores em tamanho, mas podem existir v\u00e1rios deles em um mesmo dente. Foram documentados casos de desenvolvimento bilateral de m\u00faltiplos enamelomas em todos os molares superiores. <\/p>\n<p>Em pr\u00e9-molares, caninos e incisivos, os enamelomas s\u00e3o bastante incomuns. Por vezes, p\u00e9rolas de esmalte s\u00e3o encontradas em combina\u00e7\u00e3o com outras massas patol\u00f3gicas (epulis fibroso, 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=\"P\u00e9rola de esmalte na superf\u00edcie distal do primeiro molar da maxila\"><figcaption class=\"wp-element-caption\">P\u00e9rola de esmalte na superf\u00edcie distal do primeiro molar da maxila \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\">Modelo 3D<\/a><\/figcaption><\/figure>\n<h2 class=\"wp-block-heading\" id=\"manifestacoes-clinicas\">Manifesta\u00e7\u00f5es cl\u00ednicas<\/h2>\n<p>Uma p\u00e9rola de esmalte pode ser completamente assintom\u00e1tica.<\/p>\n<p>Se um enameloma causar o desenvolvimento de uma bolsa periodontal, o paciente poder\u00e1 queixar-se dos seguintes sintomas:<\/p>\n<ul class=\"wp-block-list\">\n<li>incha\u00e7o e sangramento das gengivas ao redor de um ou mais dentes;<\/li>\n<li>comida presa entre os dentes;<\/li>\n<li>dor ao mastigar;<\/li>\n<li>raiz do dente exposta;<\/li>\n<li>dentes soltos.<\/li>\n<\/ul>\n<p>Clinicamente, pode-se detectar uma massa hemisf\u00e9rica, s\u00f3lida e branca, com superf\u00edcie lisa, no colo ou na bifurca\u00e7\u00e3o do dente. Em casos de periodontite local concomitante, a gengiva ao redor da massa apresenta-se inchada, hiper\u00eamica e sangra \u00e0 sondagem, sendo que a profundidade de inser\u00e7\u00e3o da sonda periodontal no sulco gengival \u00e9 de 4 mm ou mais.<\/p>\n<h2 class=\"wp-block-heading\" id=\"diagnostico\">Diagn\u00f3stico<\/h2>\n<p>Os enamelomas podem ser diagnosticados clinicamente por meio de exame visual, durante retra\u00e7\u00e3o gengival, sondagem periodontal ou cirurgia de extra\u00e7\u00e3o dent\u00e1ria.<\/p>\n<p>A principal abordagem diagn\u00f3stica \u00e9 a radiol\u00f3gica, utilizando os seguintes m\u00e9todos:<\/p>\n<ul class=\"wp-block-list\">\n<li>radiografia intraoral (de contato); <\/li>\n<li>radiovisiografia; <\/li>\n<li>radiografia panor\u00e2mica odontol\u00f3gica; <\/li>\n<li>tomografia computadorizada de feixe c\u00f4nico (CBCT). <\/li>\n<\/ul>\n<p><strong>Achados radiogr\u00e1ficos:<\/strong> a radiografia mostra uma sombra arredondada, hiperintensa e bem definida na proje\u00e7\u00e3o do colo do dente, na superf\u00edcie da raiz ou na \u00e1rea da furca radicular do dente. Se a polpa fizer parte da massa, uma \u00e1rea radiotransparente poder\u00e1 ser detectada no centro da massa. <\/p>\n<h2 class=\"wp-block-heading\" id=\"tratamento-da-hiperplasia-do-esmalte\">Tratamento da hiperplasia do esmalte<\/h2>\n<p>O enameloma requer tratamento se estiver localizado em uma \u00e1rea acess\u00edvel \u00e0 penetra\u00e7\u00e3o da microflora oral e \u00e0 forma\u00e7\u00e3o de biofilme. <\/p>\n<p>A massa \u00e9 removida cirurgicamente com uma broca diamantada, a superf\u00edcie \u00e9 lixada e polida, e ent\u00e3o, \u00e9 administrada terapia remineralizante. O paciente tamb\u00e9m deve ser motivado a manter uma higiene oral cuidadosa. <\/p>\n<p><strong>Poss\u00edveis complica\u00e7\u00f5es da excis\u00e3o da massa: <\/strong><\/p>\n<ul class=\"wp-block-list\">\n<li>c\u00e1rie na raiz do dente; <\/li>\n<li>reabsor\u00e7\u00e3o externa; <\/li>\n<li>pulpite (se a p\u00e9rola de esmalte contiver polpa vital).<\/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. O que \u00e9 o enameloma e por que ele se desenvolve?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">O enameloma \u00e9 uma forma\u00e7\u00e3o esf\u00e9rica de esmalte localizada na superf\u00edcie da raiz do dente. A principal causa \u00e9 a transforma\u00e7\u00e3o local das c\u00e9lulas epiteliais da bainha radicular de Hertwig em ameloblastos, que normalmente formam cemento, mas que, em vez disso, produzem esmalte.<\/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. Qu\u00e3o comuns s\u00e3o as p\u00e9rolas de esmalte?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Essa \u00e9 uma anomalia rara, que ocorre em 1 a 5% da popula\u00e7\u00e3o. As p\u00e9rolas de esmalte s\u00e3o encontradas com maior frequ\u00eancia nas ra\u00edzes dos molares superiores, especialmente no local onde as ra\u00edzes dos dentes se separam (bifurca\u00e7\u00e3o).<\/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. Quais s\u00e3o os riscos das p\u00e9rolas de esmalte?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">O principal risco \u00e9 que isso interrompa a fixa\u00e7\u00e3o normal da gengiva ao esmalte. Cria-se um espa\u00e7o (\u201cbolsa\u201d) entre o dente e a gengiva, no qual o biofilme se acumula constantemente. Isso leva \u00e0 inflama\u00e7\u00e3o cr\u00f4nica dos tecidos periodontais e ao desenvolvimento de periodontite localizada, mesmo com boa higiene.<\/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. Como \u00e9 diagnosticado o enameloma?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Na maioria das vezes, essa anormalidade \u00e9 detectada durante um exame de raio-X (radiografia intraoral [de contato], radiovisiografia, radiografia panor\u00e2mica dent\u00e1ria ou CBCT). Em uma radiografia, o dentista consegue ver uma sombra n\u00edtida e densa de formato arredondado na proje\u00e7\u00e3o do colo ou da raiz do dente. Em casos raros, um dentista pode detectar essa massa durante a sondagem periodontal.<\/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. O enameloma requer tratamento? Se sim, qual?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">O tratamento s\u00f3 \u00e9 necess\u00e1rio se a p\u00e9rola de esmalte entrar em contato com a cavidade oral e causar inflama\u00e7\u00e3o dos tecidos periodontais. O dentista remove cuidadosamente a massa de esmalte desgastando-a com uma broca e, em seguida, lustra minuciosamente a superf\u00edcie da raiz para eliminar a bolsa de biofilme e permitir a fixa\u00e7\u00e3o da gengiva densa.<\/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=\"referencias\">\n<div class=\"sources-list-content\">\n<div class=\"sources-list-title\">\n<p class=\"small-text-bold text-black sources-list-title-text\">Refer\u00eancias<\/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 Anatomy & Pathology \u2013 Complete Anatomy and Pathology 3D Atlas (Atlas 3D completo de anatomia e patologia) [Internet]. VOKA 3D Anatomy & Pathology. <\/cite><\/p>\n<p><span class=\"small-text-medium text-grey\">Dispon\u00edvel em: 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 (P\u00e9rolas de esmalte: sua ocorr\u00eancia em popula\u00e7\u00f5es humanas recentes e primeiras manifesta\u00e7\u00f5es na linhagem humana moderna). Archives of Oral Biology [Internet]. 2019 Mar 16;101:147\u2013155.<\/cite><\/p>\n<p><span class=\"small-text-medium text-grey\">Dispon\u00edvel em: 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 (Implica\u00e7\u00f5es das p\u00e9rolas de esmalte na doen\u00e7a periodontal). Case Reports in Dentistry [Internet]. 2015 Jan 1;2015:1\u20133. <\/cite><\/p>\n<p><span class=\"small-text-medium text-grey\">Dispon\u00edvel em: 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 (Preval\u00eancia de p\u00e9rolas de esmalte em dentes de um banco de dentes humanos). Journal of Oral Science [Internet]. 2010 Jan 1;52(2):257\u2013260. <\/cite><\/p>\n<p><span class=\"small-text-medium text-grey\">Dispon\u00edvel em: 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 (P\u00e9rolas de esmalte: culpadas pela periodontite localizada). 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\">Dispon\u00edvel em: 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>O enameloma \u00e9 uma anomalia do desenvolvimento dent\u00e1rio que se manifesta como uma massa esf\u00e9rica e protuberante de esmalte na superf\u00edcie da raiz de um dente permanente ou dec\u00edduo. Tamb\u00e9m \u00e9 conhecido como hiperplasia do esmalte, gota de esmalte, p\u00e9rola de esmalte ou n\u00f3dulo de esmalte. Epidemiologia Enamelomas s\u00e3o raros. A incid\u00eancia de p\u00e9rolas de [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"template":"","diseases_category":[294],"class_list":["post-2215","diseases_post","type-diseases_post","status-publish","hentry","diseases_category-dentarias"],"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>Hiperplasia do esmalte (&quot;p\u00e9rola de esmalte&quot;): causas, diagn\u00f3stico e tratamento<\/title>\n<meta name=\"description\" content=\"Hiperplasia do esmalte: etiologia, patog\u00eanese e classifica\u00e7\u00e3o S\u00e3o descritas as manifesta\u00e7\u00f5es cl\u00ednicas, os algoritmos de diagn\u00f3stico e as t\u00e1ticas de tratamento em caso de forma\u00e7\u00e3o de &quot;p\u00e9rolas de esmalte&quot;.\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta 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