Dental enamel has been widely studied by particle-induced x-ray emission (PIXE), but less attention was paid to its demineralization, which leads to caries formation. Using broad-beam PIXE and m-PIXE, we investigated normal enamel and the in vitro formation of pre-carious lesion in lactic acid solution, aiming also to evaluate intercusp differences within the same tooth. Broad-beam PIXE was performed using 3.0 MeV protons, and m-PIXE maps of Ca, Fe and Zn were collected with 3.1 MeV protons at ∼4 µm resolution. In normal enamel a differentiated Ca-rich surface layer was observed, where Fe and Zn reached their highest levels. In deeper layers, Fe and Zn evidenced quasiperiodic patterns of maxima, possibly due to coupled diffusion-reaction catalytic processes involved in the enamel growth. Both Fe and Zn appeared to be located in a few distinct types of pools. Near the surface, demineralization induced an increase of Fe, Cu, Zn, Sr and Pb with respect to Ca, attributed to partial hydroxyapatite dissolution and/or to chelate extraction and concentration of trace metals. Ca maps revealed limited changes in the surface layer and a massive loss in the inner enamel; here, Fe was almost depleted and Zn partially removed. The maps of Ca, Fe and Zn demonstrated major intercusp variations in both normal and altered enamel. Thus, broad-beam PIXE and m-PIXE, which do not require (semi)thin sectioning of the tooth as the conventional methods, provide compositional and structural insight of normal dental enamel, of its intercusp variability and of the alterations produced by in vitro demineralization, largely not accessible to the current techniques, and highly relevant for understanding the incipient caries formation.experimental setups and were aimed, among others, at the analysis of trace elements in sound human enamel and dentine, 1,2 the identification of an ancient tooth inlay, 9 the characterization of changes in elemental distribution in enamel after CO 2 -laser irradiation, 12 and in the studies on diffusion of metallic components from amalgam restorations in the surrounding hard dental tissue. 10,15 Dental caries studies included various approaches, such as the establishing of trace elements correlations with the caries promotion or inhibition, age and gender of subjects, 3 -5 and the analysis of alterations of dominant and trace elements in naturally decayed enamel and dentin 13 and in the surface profiles across naturally occurring pre-carious lesions in teeth. 11 However, in the above studies, only teeth with natural carious-type lesions already expressed clinically were included, a procedure which does not allow a detailed understanding of the early stage of caries formation. The importance of this stage cannot be underestimated, because the microscopic alteration of the enamel surface layer which initiates the caries formation precedes the bacterial invasion ending in a gross dental cavity and eventually in the loss of the tooth. 21 Treatment of enamel in solution of organic acids such as lactic acid provides a s...