The aim of this study was to use ultrasonication and profilometry as method
s to study de- and remineralisation of citric acid-eroded enamel at differe
nt pH values. Seventy-eight polished human enamel samples were divided into
three test and three control groups of 13 specimens each. Three specimens
of each group were chosen for SEM examination. The samples were exposed to
0.3% citric acid at pH 2.54, 3.2 or 4.5 for 2 h. The depths of the resultin
g lesions were measured by profilometry, The test groups were placed in art
ificial saliva and the control groups were stored in saline (0.9% NaCl) for
24 h and new profiles recorded. Finally all specimens were ultrasonicated
in water for 5, 30, 120, 240 and 480 s with profilometric measurements at e
ach time point. Ultrasonication of the test groups after remineralisation s
howed little effect on the lesion depth, whereas the control groups had an
enamel loss of 2.1 mum at pH 2.54, 2.9 mum at pH 3.2 and 0.4 mum at pH 4.5
after 30-second ultrasonication. These differences from respective test gro
ups were statistically significant at pH 2.54 and 3.2 but not at pH 4.5. Ul
trasonication of control pH 2.54 and 3.2 specimens removed an amorphous cov
ering layer to reveal a flattened surface with prisms outlined by prism bou
ndaries. It can be concluded that remineralisation in artificial saliva sta
bilises the surface softened enamel against ultrasonication. Copyright (C)
2001 S. Karger AG, Basel.