Crystallographic and structural alterations in the mineral phase of human enamel with carious attacks

The present study aims to obtain further information about the crystallographic and structural alterations in the mineral phase of enamel with the onset of caries. For this purpose, X-ray microbeam diffraction analysis was carried out on ground sections prepared from natural white spot lesions. Electron spin resonance (ESR) analysis was also performed on block samples cut from white spot lesions and from undamaged enamel of the same teeth. The results of crystallinity measurements showed that enamel apatite in demineralized lesions was lower in crystallinity than the apatite in the surface layer and surrounding sound enamel. This X-ray diffraction study also revealed the presence of two non-apatitic minerals in the demineralized lesions. One type of the mineral is whitlockite, giving spotty rings. The nature of the other mineral, giving a single ring-like reflection, remains to be elucidated. A comparison of ESR spectra taken from the caries-attacked and undamaged enamel provided evidence that the former samples have a lower degree of alignment of apatite microcrystals. The occurrence of non-apatitic mineral phases and the observed difference in microcrystalline alignment may be the results of a remineralization process.