It depends if the pearls have been glued in or crimped in - obviously glued in pearls will be easy to remove by (carefully) heating the back of the pearl holder in a flame to melt the glue, but ones that are crimped in (as on older Selmers) are more difficult to remove without the pearls being damaged.
If you're relacing worn pearls that have been crimped in (and you don't mind them getting damaged on removal), you can replace them with slightly narrower diameter pearls (narrower in diameter compared to the originals) that fit within the inside diameter of the crimped edge and glue them in place.
If you're relacing worn pearls that have been crimped in (and you don't mind them getting damaged on removal), you can replace them with slightly narrower diameter pearls (narrower in diameter compared to the originals) that fit within the inside diameter of the crimped edge and glue them in place.