title: Scanning electron microscopy of softened enamel.
abstract: After exposing enamel specimens to 0.3% citric acid at pH 3.2 for various times, the acid was titrated to pH 7 before rinsing the specimens in water. After freeze-drying the specimens were examined by scanning electron microscopy. This procedure eliminates artefacts due to drying and mineral precipitation. The results showed that the outer region of softened enamel is much more delicate than previously thought, even after short (5- to 20-min) etching times. Mineral was lost from both prism boundaries and the prism bodies, resulting in a surface presenting thin, separate crystal bundles. In further studies, replicas of subsurface pores, created by resin impregnation, showed the softening depth to be several times greater than is suggested by techniques based on removing the softened enamel by physical forces. The results point to a need for improved methods of measuring softening depth. More importantly, it appears that the outer region of the softened layer remaining after an erosive challenge might be too fragile to resist frictional forces in vivo.
authors.affiliation: Department of Prosthetic Dentistry, Medical University of Hanover, Hanover, Germany. M.Eisenburger@gmx.de
authors.forename: M
authors.initials: M
authors.lastname: Eisenburger
authors.forename: R P
authors.initials: RP
authors.lastname: Shellis
authors.forename: M
authors.initials: M
authors.lastname: Addy
mesh_terms: D000134:Acid Etching, Dental / Q000009:adverse effects*; D019343:Citric Acid / Q000494:pharmacology; D003743:Dental Enamel / Q000187:drug effects* / Q000648:ultrastructure*; D003745:Dental Enamel Permeability; D003747:Dental Enamel Solubility; D006244:Hardness / Q000187:drug effects; D006801:Humans; D006863:Hydrogen-Ion Concentration; D008855:Microscopy, Electron, Scanning; D016628:Replica Techniques; D013499:Surface Properties / Q000187:drug effects; D014077:Tooth Erosion / Q000139:chemically induced / Q000473:pathology*
chemical_list: D019343:Citric Acid