Acidulated phosphate-fluoride (APF) is widely used for the prevention of enamel caries. The topical application of fluoride is a promising treatment for improving the acid-resistance of tooth, promoting its remineralization, and improving its crystallinity. APF contains a high concentration of fluorine ions (9,000 ppm); it first decalcifies the apatite in dentin, generating calcium and phosphate ions, which bind to fluoride ions, thus precipitating calcium fluoride. APF is prepared as an acidic solution (pH 3.5) and is used to reinforce the enamel. However, dentin is less resistant to acid than enamel. As such, APF treatment at the same acidity carries a risk of weakening the dentin after application. In many cases, wedge-shaped defect (WSD), root caries, and attrition can cause dentin exposure, to which the APF can attach. Therefore, in this study, we analyzed the effect of APF treatment on dentin by measuring Vickers hardness, making observations with scanning electron microscopy (SEM) and confocal laser scanning microscopy (CLSM), and measuring average surface roughness (Ra). The findings of this study suggested that an acidulated phosphate fluoride (APF) treatment of 3 min or longer caused marked dissolution of dentin and posed the risk of deterioration of its initial strength. Therefore, careful management is required to preclude dentin dissolution when performing APF treatment for preventing dental caries. Knutson et al. 7) later proposed applying sodium fluoride solution. In the 1950s, Howell et al. 8) proposed the use of stannous fluoride solutions, and in the 1960s, Brudevold et al. 9,10) proposed the use of acid phosphate-fluoride (APF) solutions. These topical fluoride application methods are still commonly used today. These methods have many benefits, including formation of fluoroapatite, improvement of the crystallinity of the enamel, promotion of remineralization, and antimicrobial activity 11-14) , and are thus considered an effective means of preventing dental caries. APF is prepared as an acidic solution (pH 3.5) with a high concentration of fluorine ions (9,000 ppm). Once applied to a tooth, it initially decalcifies the surface. Calcium ions and phosphate ions are then generated; calcium ions bind to fluoride ions, and this leads to the precipitation of calcium