I had to summarise here so I may edit the wording if it's unclear. According to the Oxford English Dictionary "perle" had different meanings over the years in Old/Middle French:
perle pearl (c1140 in Old French; compare also Old French, Middle French perne ), bead (1260 in >Old French), the tincture argent in heraldry (a1458), highly esteemed person (1532), valuable thing >(1546), the teeth (1552), round capsule containing a medicinal substance (1853)
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I had to summarise here so I may edit the wording if it's unclear. According to the Oxford English Dictionary "perle" had different meanings over the years in Old/Middle French: