Stages in the dissolution of human enamel crystals in dental caries.

Various stages in monocrystal dissolution occurring during human enamel were studied by high resolution transmission electron microscopy. After the development of a central core lesion, two mechanisms by which the dissolution spread laterally to the (100) faces of the crystal could be demonstrated on the basis of the systematic orientation of the crystallographic axes. In the first case, the destruction was developing parallel to (120) planes and the borders were limited by (100) planes. In the second type, the development of the lateral side lesion was observed parallel to (100) planes. The carious destruction of the enamel monocrystal occurred as a result of the development of several lateral side dissolutions of the two types described, proceeding along the entire central core lesion.