AU2008293411A1 - Chemically activated dental bleaching trays - Google Patents

Description

WO 2009/029781 PCT/US2008/074774 1 5 CHEMICALLY ACTIVATED DENTAL BLEACHING TRAYS BACKGROUND OF THE INVENTION 1. The Field of the Invention The present invention is in the field of shaped, flexible dental trays and strips used to deliver a dental bleaching composition to a person's teeth. More particularly, 10 the invention relates to flexible dental trays and strips with enhanced user comfort and tooth adhesion. 2. The Relevant Technology Virtually all people desire white or whiter teeth. A common bleaching method involves the use of a dental tray that is custom-fitted to a person's teeth and that is 15 therefore relatively comfortable to wear. One type of customized tray is made by vacuum forming a sheet of moisture resistant thermoplastic polymer material over a stone cast of a person's teeth, after which the custom tray may be cut out. Another is customized directly using a person's teeth as a template (e.g., "boil-and-bite" trays). Non-customized trays that approximate the shapes and sizes of a variety of users' 20 dental arches have also been used. A dental bleaching composition is placed into the tray and the tray placed over the person's teeth for a desired period of time. Another tooth bleaching method involves placing a flexible bleaching strip over a user's tooth surfaces. Conventional bleaching strips comprise a flexible plastic strip coated with a dental bleaching gel of moderate viscosity and relatively low 25 stickiness on the side of the strip facing the user's teeth. To install the bleaching strip, a portion of the bleaching strip is placed over the front surfaces of the user's teeth, and the remainder is folded around the occlusal edges of the teeth and against a portion of the lingual surfaces. Because of the generally poor adhesion of bleaching strips to the user's teeth, 30 coupled with their generally flimsy nature, it is often difficult for the user to maintain the bleaching strip in its proper position for the recommended time. Conventional bleaching strips are prone to slip off the teeth as a result of even minimal movement of the user's mouth, jaw or tongue. It is recommended that the user not eat, drink, smoke or sleep while wearing the bleaching strip. In some cases, the bleaching strip WO 2009/029781 PCT/US2008/074774 2 5 can become so dislodged or mangled that it must be removed by the user and replaced with a fresh bleaching strip to complete the recommended bleaching time. Ultimately, the main impediment to successful bleaching is the failure of users to complete the prescribed bleaching regimen. If the bleaching apparatus is difficult to install over a person's teeth, requires numerous repetitions to achieve observable 10 results, and/or is uncomfortable to wear, the user may simply give up and prematurely abort the prescribed bleaching regimen. Thus, even if dental bleaching is possible using a particular bleaching apparatus or method, it is less likely to occur if the inadequacies of the bleaching apparatus or method cause a user to become discouraged before desired results are attained. 15 BRIEF SUMMARY OF THE PREFFERED EMBODIMENTS The present invention generally relates to improved dental bleaching trays and strips used to deliver a dental bleaching composition to a person's teeth. The inventive dental bleaching trays and strips are formed from a moisture resistant (e.g., polymeric) material and include a bleaching agent destabilizer disposed on an inner 20 treatment surface of the barrier layer that is oriented toward and adjacent to the person's teeth during use. The bleaching agent destabilizer may be compounded with a polymeric or other moisture resistant material from which the barrier layer is formed so that at least some destabilizer is positioned on an inner treatment surface of the tray or strip during use. 25 Bleaching agent destabilizers may include any known bleaching agent destabilizer that is capable of destabilizing a dental bleaching agent in order to accelerate bleaching. When peroxides are destabilized they more rapidly release oxygen radicals, which are believed to be responsible for the tooth bleaching effect. The bleaching agent destabilizer is advantageously retained on the surface and/or 30 within the polymeric or other moisture resistant barrier layer of the tray or strip prior to use. Upon contact with a peroxide dental bleaching agent in the presence of water, the destabilizer is able to activate or destabilize the bleaching agent, resulting in the formation of free radicals from the peroxide for increased bleaching effect. One class of bleaching agent destabilizers includes transition and/or alkaline 35 earth metals or their ions. Non-limiting examples of suitable metals and metal ions WO 2009/029781 PCT/US2008/074774 3 5 include magnesium, iron, titanium, cobalt, nickel, copper, platinum, tin, zinc, manganese, chromium, aluminum, silver, and combinations thereof Magnesium and/or iron ions are particularly preferred. Another class of bleaching agent destabilizer includes enzymes, particularly organo-metallic enzyme containing transition metals, such as iron. Examples of organo-metallic enzymes include 10 "peroxidase" and "catalase". One embodiment provides a tray or strip in which the bleaching composition is prefilled within the tray or pre-applied to the strip. In one manner, this is made possible by providing the moisture-resistant barrier layer including the bleaching agent destabilizer with a protective rupturable membrane disposed between the barrier 15 layer and the dental bleaching composition so as to prevent premature contact between the dental bleaching agent and the bleaching agent destabilizer on or within the barrier layer. In another manner, this may be made possible by providing an anhydrous dental bleaching composition. The anhydrous dental bleaching composition may be disposed directly in contact with the barrier layer, and will not 20 react prematurely because of the anhydrous nature of the bleaching composition. As soon as water is added to the system (e.g., when contacted with saliva by placing the pre-filled tray or strip onto the teeth), reaction between the destabilizer and bleaching composition will begin. Embodiments including an anhydrous dental bleaching composition and no ruptureable membrane should preferably be sealed within a 25 protective package to prevent absorption of water from the surrounding air during shipment and storage. These and other advantages and features of the present invention will become more fully apparent from the following description and appended claims, or may be learned by the practice of the invention as set forth hereinafter.

WO 2009/029781 PCT/US2008/074774 4 5 BRIEF DESCRIPTION OF THE DRAWINGS To further clarify the above and other advantages and features of the present invention, a more particular description of the invention will be rendered by references to specific embodiments thereof, which are illustrated in the appended drawings. It is appreciated that these drawings depict only typical embodiments of 10 the invention and are therefore not to be considered limiting of its scope. The invention will be described and explained with additional specificity and detail through the use of the accompanying drawings in which: Figure 1 is a perspective view of an exemplary non-custom dental bleaching tray according to the invention; 15 Figure 2A is an exploded view of a dental bleaching tray having anatomical features to improve fit and an optional complementary outer support tray; Figure 2B is a perspective view showing the dental bleaching tray nested within the outer support tray; Figure 3 is a perspective view of an exemplary dental bleaching strip 20 according to the present invention; Figure 4 illustrates a pair of pre-filled tray assemblies similar to the assembly of Figure 2B contained within a sealed protective package having a peelable cover; Figure 5 is a cross-sectional view of a tray assembly including a rupturable membrane between the barrier layer and the bleaching composition; 25 Figure 6A illustrates a person placing a dental bleaching tray according to the invention over the person's upper dental arch; and Figure 6B illustrates dental bleaching trays according to the invention in place over both the upper and lower dental arches. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS 30 I. Introduction The present invention relates to dental bleaching trays and strips used to deliver a dental bleaching composition to a person's teeth. The trays and strips are formed from a moisture resistant material and include a bleaching agent destabilizer compounded within the moisture resistant material from which the barrier layer body WO 2009/029781 PCT/US2008/074774 5 5 is formed and/or disposed on an inner treatment surface of the barrier layer that is oriented toward and adjacent to the person's teeth during use. II. Exemplary Chemically Activated Dental Bleaching Trays and Strips Figure 1 illustrates an exemplary non-custom dental bleaching tray 100 which is formed from a moisture resistant material (e.g., a two-part silicone). Dental 10 bleaching tray 100 includes a barrier layer body 102 in the shape of a tray. The tray shaped body 102 includes a buccal-labial front side wall 104, a lingual rear side wall 106, and a bottom wall 108 bridging the buccal-labial wall 104 and buccal-labial wall 106. Bottom wall 108 is adjacent to buccal-labial wall 104 such that buccal-labial wall 104 extends laterally from bottom wall 108 in a substantially vertical direction. 15 Buccal-labial wall 104 is shown as including an optional v-shaped cut 105 formed along the top surface thereof, near the center where the incisors reside during use. Such a cut helps wall 104 to stretch and flex so as to better accommodate the incisors. Although not shown, such a similar cut or discontinuity may be formed within lingual wall 106. Lingual wall 106 is disposed at the opposite side of bottom wall 108, 20 extending laterally upwardly and outwardly therefrom. The buccal-labial wall 104, lingual wall 106, and bottom wall 108 together form a tray shaped body 102 having an approximate U-shaped cross section and a generally horseshoe-shaped curvature. The size, shape and curvature of the tray body 102 are advantageously selected in order for the horseshoe-shaped curvature to generally approximate the 25 curvature of a person's dental arch. The U-shaped cross section generally corresponds to and defines an interior cavity of the tray body 102. The depth of the interior cavity is selected in order for the buccal-labial and lingual walls 104 and 106 respectively to extend over a desired portion of a person's teeth, and optionally, over a portion of the person's gums. 30 Because of its non-custom nature (i.e., tray shaped body 102 is substantially devoid of structures corresponding to the size and shape of a person's unique dentition), the tray shaped barrier layer body 102 comfortably fits over a plurality of differently sized and/or shaped teeth corresponding to different people. Nevertheless, it is within the scope of the invention to provide separate dental trays that are sized 35 and configured to correspond to either a person's upper or lower dental arch, as the WO 2009/029781 PCT/US2008/074774 6 5 lower dental arch is typically smaller than the upper arch, with lower teeth that are typically smaller than the upper teeth. It is also within the scope of the invention to provide varyingly-sized bleaching trays to account for variability among different people's dental arches and/or teeth (e.g., adults versus children, larger mouths versus average or smaller mouths, and larger teeth versus average or smaller teeth). 10 The tray body 102 may be injection molded, vacuum formed, cut and/or stamped from a sheet of polymeric material, although injection molding is preferred over methods that involve cutting and/or stamping because the outer edges 109 of each wall may be injection molded so as to have a smooth, rounded edge surface as opposed to the sharp, angled surfaces formed when a tray is cut or stamped from a 15 sheet of material. Such smooth edges also contribute to the overall comfortable feel of the tray. Tray 100 includes an inner treatment surface 103 that includes the inwardly oriented surfaces of buccal-labial front side wall 104, bottom wall 108, and lingual rear side wall 106 that will be positioned against tooth tissue to be bleached during 20 use. At least a portion of inner surface 103 includes one or more bleaching agent destabilizers. In one embodiment, the destabilizer may be compounded with the moisture resistant (e.g., polymeric) material from which the tray 100 is formed. In such an example, the destabilizer is distributed substantially evenly throughout the material from which tray 100 is formed, so that at least some destabilizer is present on 25 inner treatment surface 103. In another embodiment, the destabilizer may be applied to at least a portion of inner surface 103, for example, by spraying, brushing, or otherwise applying the destabilizer onto the inner treatment surface 103. Advantageously, the destabilizer may be present on at least that portion of inner surface 103 corresponding to surfaces of the teeth to be bleached. For example, the 30 destabilizer may be present on at least the lower portion of buccal-labial front side wall 104 nearest bottom wall 108, which corresponds to the labial surface of the teeth to be bleached. Destabilizers may advantageously be absent from any portions of the tray designed to contact gingival tissue, where no bleaching is to take place. The one or more bleaching agent destabilizers act to destabilize the peroxide 35 dental bleaching agent during use. When peroxides are destabilized they more rapidly WO 2009/029781 PCT/US2008/074774 7 5 release free radicals, which cause tooth bleaching. For example, it is believed that peroxide dental bleaching agents are destabilized to form predominantly hydroxyl (HO-) free radicals, although peroxyl (-OOH), super oxide (-0), and super dioxide (-00) free radicals may also be formed. Upon decomposition, which is accelerated by the bleaching agent destabilizer, these free radicals are more easily able to pass 10 into the tooth enamel to the location of tooth stains as compared to the larger peroxide

(H

2 0 2 ) molecules, which may have increased difficulty passing through tight spaces of the enamel to stain locations because of their larger size. The bleaching agent destabilizer is advantageously retained on at least inner treatment surface 103 of the tray or strip prior to use, and upon contact with a peroxide dental bleaching agent in 15 the presence of water; the destabilizer becomes activated, resulting in formation of free radicals from the peroxide for increased bleaching effect. One class of bleaching agent destabilizers includes transition and/or alkaline earth metal ions. Non-limiting examples of suitable metal ions include magnesium ions, iron ions, titanium ions, cobalt ions, nickel ions, copper ions, platinum ions, tin 20 ions, zinc ions, manganese ions, chromium ions, silver ions, aluminum ions, and combinations thereof Magnesium and/or iron ions are particularly preferred. Another class of bleaching agent destabilizer includes enzymes, particularly organo metallic enzymes containing transition metals, such as iron. Examples include "peroxidase" and "catalase", which is described more particularly in U.S. Pat. No. 25 6,485,709 to Banerjee et al., herein incorporated by reference with respect to its disclosure of organo-metallic enzymes. One or more bleaching agent destabilizers including the above metal ions in available form and/or organo-metallic enzymes are preferably collectively included in an amount in a range of about 0.01% to about 2 0% by weight of the polymeric 30 material, more preferably in a range of about 0.05% to about 10% by weight, and most preferably about 0.1% to about 5% by weight. Examples of suitable metal compounds include iodides, nitrates, chlorates, borates, perchlorates, and perborates of suitable metal cations. Preferred specific compounds include MgO, ferric sulfate, ferric chloride, MnO 2 , and TiO 2 . Less preferred bleaching agent destabilizers include 35 elemental metals (e.g., iron, silver, platinum, copper, magnesium, titanium, cobalt, WO 2009/029781 PCT/US2008/074774 8 5 nickel, tin, zinc, chromium, aluminum, and/or manganese in powder form). Of course, any other metal ions mentioned herein may also be used in elemental form. Another class of bleaching agent destabilizers that may be used include iodine salts (e.g., potassium iodide and/or sodium iodide). Many of the metal ion containing compounds are believed to react with the 10 peroxide bleaching agent according to Fenton's Reaction, for example, ferric Fe2+ ions react to form ferrous Fe3+ ions in the presence of peroxide, releasing oxygen free radicals. During the course of the reaction, the peroxide is regenerated, allowing more ferric ions to react, resulting in production of more oxygen free radicals. Figure 2A illustrates an alternative non-custom dental bleaching tray 200 that 15 includes anatomical structural features that allow tray 200 to more closely conform to a person's teeth during use. Body 202 includes a buccal-labial front side wall 204, a bottom wall 208, and a lingual side wall 206 connected to bottom wall 208 at an opposite side relative to buccal-labial wall 204. An inner treatment surface 203 is defined by interior portions of bottom wall 208, buccal-labial front side wall 204, and 20 lingual side wall 206. Illustrated tray 200 is sized and configured for placement over a person's upper dental arch. As illustrated, lingual wall 206 may advantageously include a notch 205, which allows the non-custom tray 200 to more easily spread open or compress in the area of the incisors. This is helpful in allowing the lingual wall 206 of the non-custom tray 200 to more easily conform to differently-sized 25 dental arches. Bottom wall 204 includes an abrupt reduction in width positioned at locations 210 corresponding to a transition between posterior teeth (i.e., bicuspids and molars) and anterior teeth (i.e., canines and incisors). Bottom wall 208 also advantageously includes two v-shaped indentations 216 for insertion into the depression between the occlusal peaks of the posterior teeth (i.e., the bicuspids and 30 molars). Similar to tray 100, at least a portion of inner surface 203 of tray 200 includes one or more bleaching agent destabilizers. In a preferred example, the one or more dental bleaching agent destabilizers may be compounded with the moisture resistant polymeric material from which the tray 200 is formed. In such an example, the 35 destabilizers may be distributed substantially evenly throughout the material from WO 2009/029781 PCT/US2008/074774 9 5 which tray 200 is formed, so that at least some destabilizer is present on inner treatment surface 203. Alternatively, one or more bleaching agent destabilizers may be applied (e.g., after molding or otherwise forming tray body 202) to at least a portion of inner treatment surface 203 where dental bleaching composition will be applied during use, and which surfaces of the tray will be placed against tooth tissues 10 to be bleached during use. Figure 2A is an exploded view showing the dental bleaching tray 200 in combination with a corresponding optional outer support tray 250 that is complementarily shaped so as to be capable of receiving the dental bleaching tray 200 in a nested configuration (see Figure 2B). The outer support tray 250 may include the 15 same anatomical features as tray 200 in order to provide a closer fit. The outer support tray 250 advantageously includes a handle 252 extending outwardly from a central portion of the buccal-labial front wall in order to facilitate gripping by the user during placement of the dental bleaching tray 200 over the person's teeth. In Figure 2B, dental bleaching tray 200 is nested within outer support tray 250 20 so as to form a dental tray assembly 255. The handle 252 extends beyond the buccal labial wall of tray 200 in order to facilitate placement and removal of the outer support tray 250 after placement of tray 200 over the person's teeth. Figure 3 illustrates an exemplary dental bleaching strip 400 which is formed from a polymeric material. Dental bleaching strip 400 is initially substantially 25 rectangular and includes a planar surface 402 which can be positioned adjacent the teeth to be bleached and folded along the incisal edge of the teeth so as to cover the labial and incisal tooth surfaces. Depending on the position of the fold during placement, a portion (or substantially all) of the lingual tooth surfaces may also be covered by the strip 400 once placed. At least a portion of planar surface 402 defines 30 an inner treatment surface corresponding to portions of surface 402 which are positioned adjacent to particularly the labial teeth surfaces during use. At least a portion of inner planar surface 402 oriented toward a person's tooth surfaces includes one or more bleaching agent destabilizers. In a preferred example, the one or more dental bleaching agent destabilizers may be compounded with the 35 moisture resistant polymeric material from which the strip 400 is formed. In such an WO 2009/029781 PCT/US2008/074774 10 5 example, the destabilizers may be distributed substantially evenly throughout the material from which strip 400 is formed, so that at least some destabilizer is present on planar treatment surface 402. Alternatively, one or more bleaching agent destabilizers may be applied (e.g., after forming of strip barrier layer 400) to at least a portion of inner treatment planar surface 402 where dental bleaching composition will 10 be applied during use and which surfaces of the strip will be placed against tooth tissues to be bleached during use. Although conventional strips are less effective in bleaching teeth relative to tray shaped barrier layers because strips tend to readily slip off and/or become mangled before treatment is complete, an improved dental bleaching strip can be 15 provided according to the present invention by providing a bleaching agent destabilizer compounded within or otherwise disposed on an inner treatment surface of the strip. Such strips may provide for improved bleaching as the destabilizer acts to promote formation of active bleaching free radicals from the peroxide bleaching agent, which may be expected to result in faster bleaching, at least partially 20 counteracting the disadvantages (i.e., tendency to slip off and/or mangle) of strips. Any dental tray or strip according to the invention may be provided separately from a dental bleaching composition, which is introduced into the tray (e.g., adjacent the tray's inner treatment surface) or applied onto the strip by the user immediately prior to use so that there is no contact between the bleaching agent destabilizer of the 25 barrier layer and the bleaching composition until treatment begins. In one alternative embodiment, it may be possible to prefill a tray or preapply a dental bleaching composition to a strip if the bleaching composition is anhydrous. The anhydrous dental bleaching composition may be disposed directly in contact with the barrier layer, and will not react prematurely because of the anhydrous nature of the bleaching 30 composition. As soon as water is added to the system (e.g., when contacted by saliva by placing the pre-filled tray or pre-applied strip on the teeth), reaction between the destabilizer and bleaching agent will begin. Embodiments including an anhydrous dental bleaching composition may advantageously be sealed within a protective package to prevent absorption of water from the surrounding air during shipment and 35 storage.

WO 2009/029781 PCT/US2008/074774 11 5 Another alternative embodiment may include an anhydrous adhesive composition (e.g., including polyvinyl pyrollidone as an adhesive agent) that also includes a bleaching agent destabilizer (e.g., potassium iodide). The adhesive destabilizing composition may be coated over the barrier layer (e.g., as a thin layer or film). It is important to note that such a composition including the bleaching agent 10 destabilizer is applied to a region of the barrier layer corresponding to the tooth surfaces to be bleached. In other words, if the composition is not applied over substantially the entire interior surface of the barrier layer tray or strip, it is at least applied to that portion of the barrier layer which in use is positioned against the tooth surfaces to be bleached (e.g., at least the labial tooth surface). It is not necessary to 15 apply the bleaching agent destabilizer to regions of the barrier layer which will be positioned against gum tissue during use. In fact it may be preferable in some embodiments to ensure that no bleaching agent destabilizer is present in regions of the barrier layer which will be positioned against gingival tissue so as to prevent reaction with peroxide bleaching agents adjacent the gingival tissue, which may otherwise 20 cause discomfort and soreness. Of course, in embodiments where the destabilizer is compounded within the material of the barrier layer this may be impractical, although discomfort to gingival tissues may be prevented by limiting application of the bleaching composition to regions of the barrier layer corresponding to tooth surfaces to be bleached. 25 In other words, it may be preferred to apply the bleaching composition so that substantially no bleaching composition is applied adjacent any part of the barrier layer that will be positioned adjacent the gingival tissue, so that the bleaching agent and the destabilizer are only present together at portions of the tray corresponding to tooth surfaces to be bleached. In embodiments where the destabilizer is applied as a film or 30 composition layer, it may be preferable to maintain any portions of the barrier layer which will be positioned adjacent to gingival tissue so that they are substantially free of the bleaching agent destabilizers, and that the destabilizer film or layer is only applied to those portions of the barrier layer corresponding to tooth surfaces to be bleached (e.g., at least the labial tooth surface). In other words, in any embodiment, 35 the bleaching agent and the destabilizer may be present together only at those portions WO 2009/029781 PCT/US2008/074774 12 5 of the tray corresponding to tooth surfaces to be bleached. At portions of the tray that will be positioned adjacent to gingival tissue during use, only one or the other (or neither) of the bleaching agent destabilizer and the bleaching agent are present so as to prevent discomfort and soreness. In embodiments where the adhesive destabilizer composition is anhydrous, a 10 peroxide bleaching agent may also be included, so long as no water is present so as to prevent premature reaction between the bleaching agent destabilizer and the peroxide bleaching agent. Alternatively, a bleaching composition (e.g., an aqueous gel) may be applied over the layer or film adhesive layer just prior to use. The water within the bleaching composition and/or saliva within the user's mouth causes the bleaching 15 agent destabilizer to be activated in the presence of the bleaching agent. In another alternative embodiment, a non-custom dental tray or strip according to the invention may be preloaded with a dental bleaching composition. In order to prevent premature contact between the bleaching agent destabilizer and bleaching composition, the tray or strip further includes a protective rupturable membrane 20 disposed between the barrier layer and the bleaching composition. The membrane may be configured to be rupturable subsequent to placement of the tray over the person's teeth. For example, a rupturable membrane of a tray or strip bleaching device may be configured to rupture upon biting, bending and/or folding of the barrier layer and membrane. Such a rupturable membrane may comprise any rupturable 25 layer that is disposed between the bleaching composition and the tray or strip including a bleaching agent destabilizer. Examples of suitable materials include a protective coating layer of high molecular weight polyethylene glycol, a di-para xylene coating layer, and/or a wax coating. Di-para-xylene is available commercially as Parylene from Parylene Coating Services, Inc., located in Katy, TX. Such coatings 30 may serve to simply separate the bleaching composition from the barrier layer during storage and shipment, and the coating membrane is ruptured upon biting, bending, and/or flexing of the tray or strip. The rupturable membrane layer may be water degradable so as to dissolve, degrade, or become dispersed upon contact with moisture (e.g., saliva). 35 WO 2009/029781 PCT/US2008/074774 13 5 Such a tray or strip may be provided within a sealed container or package to protect the tray or strip, the bleaching composition, and rupturable membrane from contaminants and/or premature rupture during storage, transport, and prior to use. Figure 4 shows a first tray assembly 355 configured for placement over an upper dental arch and a second tray assembly 355' configured for placement over a lower 10 dental arch sealed within protective package 356. Each tray 300 and 300' includes a bleaching composition 354 pre-loaded therein. Protective package 356 includes a rigid support layer 358 and a peelable cover 360. Each tray assembly 355 and 355' may optionally include an additional removable protective layer (not shown) placed adjacent to the bleaching composition 354 for additional protection. When it is 15 desired to use the dental bleaching tray devices, the peelable cover 360 is removed and the tray assemblies 355 and 355' are removed or separated from support layer 358. Figure 5 illustrates a cross-sectional view through tray assembly 355 of Figure 4, including tray 300 and outer support tray 350, perhaps best illustrating protective 20 rupturable membrane 357 disposed adjacent to inner treatment surface 303 of tray 300. Another embodiment may include a multi-use tray, for example a custom dental tray formed by vacuum forming a sheet of moisture resistant thermoplastic polymer material over a stone cast of a person's teeth, after which the custom tray 25 may be cut out. Such custom trays can be very comfortable to wear as they provide an excellent fit to the user's dentition. A bleaching agent destabilizer (e.g., a ferric salt) may be compounded with the tray material or otherwise provided so that the bleaching agent destabilizer is present on the interior treatment surface of the tray. During use, the user applies a bleaching composition into the tray, and then places the 30 tray over the teeth for bleaching treatment. The bleaching agent destabilizer, for example, a ferric salt, is oxidized during use so as to form ferrous ions. Because at least some of the bleaching agent destabilizer will likely remain after use, the custom tray may be used multiple times before all the bleaching agent destabilizer has been consumed. Once all bleaching agent destabilizer has been consumed, the custom tray 35 may still be used as a conventional custom bleaching tray, although it will no longer WO 2009/029781 PCT/US2008/074774 14 5 provide the increased bleaching effect afforded by the bleaching agent destabilizer. The trays and strips may be used with any known dental bleaching composition. Exemplary bleaching compositions include a peroxide dental bleaching agent. The bleaching composition may comprise a sticky viscous gel, a less viscous gel, a highly viscous putty, or a substantially solid composition that is less adhesive 10 prior to being moistened with saliva or water but that becomes more sticky and adhesive when moistened. According to one embodiment, the barrier layer comprises a thin (e.g., about 1 mm or less), flexible membrane formed from a polymeric or other moisture-resistant material. Polymeric materials are preferred. In one embodiment, the barrier layer 15 comprises silicone. In another, it comprises ethyl vinyl acetate and polypropylene. According to another embodiment, it may be formed of a polyolefin or similarly moisture-resistant material, such as wax, paraffin, ethylene-vinyl acetate copolymer (EVA), ethylene-vinyl alcohol copolymer (EVAL), polycaprolactone (PCL), polyvinyl chloride (PVC), polyesters, polycarbonates, polyamides, polyurethanes or 20 polyesteramides. Examples of suitable polyolefins for use in making the barrier layer include, but are not limited to, polyethylene (PE), high density polyethylene (HDPE), low density polyethylene (LDPE), ultra low density polyethylene (ULDPE), polypropylene, and polytetrafluoroethylene (PTFE) (e.g., TEFLON). An example of a suitable polyester for use in making the barrier layer includes, but is not limited to, 25 polyethylene terephthalate (PET), an example of which is MYLAR, sold by DuPont. An example of a suitable polyurethane barrier material is a polyurethane film manufactured by ArgoTech, which is located in Greenfield, Massachusetts. The barrier layer may comprise a polymeric blend and/or multiple layers comprising two or more of the foregoing materials. Plasticizers, flow additives, and fillers known in 30 the art can be used as desired to modify the properties of any of the foregoing polymers used to form the barrier layer. The forgoing listing of polymeric materials is not meant to be exhaustive, as numerous other polymeric materials may be used. Other materials that can act as a barrier layer include metal foil, cellulosic ethers, cellulose acetate, polyvinyl acetate, polyvinyl alcohol, shellac, and chemical or 35 light-cure materials (e.g., methacrylate or acrylate resins). Examples of useful WO 2009/029781 PCT/US2008/074774 15 5 cellulosic ethers that can be used to form a barrier layer include, but are not limited to, ethyl cellulose, propyl cellulose, isopropyl cellulose, butyl cellulose, t-butyl cellulose, and the like. Although non-polymeric moisture resistant materials, e.g., metal foil, may be used, polymeric materials are preferred. Silicone and silicone like materials (i.e., materials exhibiting similar physical 10 characteristics) are one preferred class of polymeric materials for forming the barrier layer because of their excellent adaptability, flexibility, softness, elasticity, and resiliency. Exemplary suitable two-part silicone materials are available from Shin Etsu Silicones of America, located in Akron, OH. One preferred material is KEG2000-50A/B, the physical properties of which are described in the table below. 15 Various other Shin-Etsu silicone products and silicone materials from other suppliers can also be used. Property Value Hardness - Shore-A 52 Tensile Strength - MPa 11.1 Elongation - % 580 100% Modulus - Mpa 1.72 Tear Strength - kN/m 40 Comp Set 22h/302 0 F - 1h/302 0 F 31 Comp Set 22h/302 0 F - 4h/392 0 F 8 Linear Shrinkage 2.6 Specific Gravity 1.13 Viscosity - Part A-Pa.s 1700 Viscosity - Part B-Pa.s 1600 For example, a silicone material may initially comprise a two-part 20 composition including a first part comprising one or more siloxanes and a second part including an activator. Upon mixing the two liquid parts together, the siloxane molecules polymerize and cross-link so as to form a polysiloxane. Heat may be applied (e.g., by heating the mold) to accelerate polymerization of the silicone material. For example, part A and part B of the raw silicone precursor material are WO 2009/029781 PCT/US2008/074774 16 5 mixed together, which causes the material to begin to polymerize. For many exemplary silicone materials, this reaction could take 2-6 weeks to completely cure at room temperature. Heating the mixture significantly increases the rate at which the material polymerizes. For example, according to one method, the material is heated to 375'F so as to cause the material to polymerize in a matter of seconds. Actual 10 polymerization time depends on the thickness of the tray or strip being formed. Silicone trays and/or strips may also be formed by other methods, for example with a two part silicone in which polymerization is activated by mixing and/or by compression. Silicone polymeric materials include a platinum and/or tin catalyst within one 15 or both parts of the composition to assist with polymerization. Advantageously, residual catalyst is present within the material after the tray or strip has been formed. Residual platinum and/or tin catalyst disposed throughout the material, including on the inner treatment surface of the tray or strip, can also act as a bleaching agent destabilizer, acting to produce free radicals from the peroxide bleaching agent upon 20 contact of the barrier layer with a peroxide bleaching composition. Although platinum is a less preferred destabilizer because of its generally higher cost, it is within the scope of the present invention to utilize platinum when present. As the platinum and/or tin may be included in small, silicone-catalyzing amounts (e.g., typically less than 1000 ppm, more typically less than 100 ppm), it may be 25 advantageous to include an additional, more preferred destabilizer, for example magnesium and/or iron in addition to the residual platinum and/or tin, in order to boost the overall destabilizing effect. Styrene-ethylene-butylene-styrene (SEBS), and/or VERSAflex, a proprietary thermoplastic elastomer alloy exhibiting elasticity and other properties similar to 30 silicone, are examples of silicone-like materials. A suitable example of a SEBS material is SEBS TPE 45A, available from various providers. Physical properties for SEBS TPE 45A are summarized in the table below. Various other SEBS products may also be used in forming a polymeric moisture resistant barrier layer.

WO 2009/029781 PCT/US2008/074774 17 Property Value Density (g/cm 3 ) 0.94 Surface Hardness- Shore A 45 Tensile Strength (MPa) 6 Flexural Modulus (GPa) 0.02 Notched Izod (kJ/m) 1.06+ Linear Expansion (/C x 10-5) 16 Elongation at Break (%) 800 Water Absorption (%) 0.3 Oxygen Index (%) 19 Melting Temp. Range ( 0 C) 200 - 240 Mold Shrinkage (%) 1.5 Mold Temp. Range ( 0 C) 50 - 70 5 Several suitable VERSAFLEX TPE materials are available from GLS Corporation, located in McHenry, IL. Preferred VERSAFLEX materials include VERSAFLEX CL30 and VERSAFLEX CL40, properties of each of which are summarized in the table below. Various other VERSAFLEX products from GLS 10 Corporation can also be used. Property Product Test Method CL30 CL40 Shore A Hardness, 10 sec delay 30 43 ASTM D2240 Specific Gravity 0.89 0.89 ASTM D792, 23/23 0 C Tensile Strength 6619 kPa 5929 kPa ASTM D412-Die C, 2hrs, 23 0 C Elongation at Break 780% 690% ASTM D412-Die C, 2hrs, 23 0 C 100% Modulus 689 kPa 1379 kPa ASTM D412-Die C, 2hrs, 23 0 C 300% Modulus 1448 kPa 2413 kPa ASTM D412-Die C, 2hrs, 23 0 C Tear Strength 19 kN/m 23 kN/m ASTM D624 Melt Flow Rate @ 190'C, 2160g 18 g/10 min 13 g/10 min ASTM D 1238 Melt Flow Rate @ 200'C, 5000g 108 g/10 min 38 g/10 min ASTM D 1238 Apparent Viscosity @ 200'C 11170/sec 15 Pa-s 16 Pa-s ASTM D 3835 Compression Set, 22 hrs @ RT 11% 12% ASTM D 395B Preferred dental bleaching trays are characterized by wall thicknesses of no more than about 1 mm, more preferably between about 0.03 mm and about 1 mm, and most preferably between about 0.1 mm and about 0.5 mm. Wall thicknesses greater WO 2009/029781 PCT/US2008/074774 18 5 than about 1 mm are significantly less useful as a comfortable dental bleaching tray, as the thickness of the tray begins to seriously interfere with the normal relaxed position of the occlusal tooth surfaces when wearing such a tray (i.e., the tray(s) get in the way between teeth of opposite dental arches, preventing the user from completely closing their jaw), making the tray significantly less comfortable than a tray with wall 10 thicknesses that are no more than about 1 mm. For this same reason, existing mouth guards formed of silicone have little or no use as a comfortable dental treatment tray as their wall thickness is typically greater than 2 mm, and more typically about 4 mm so as to provide a cushioning effect to the teeth when accepting a blow to the mouth or jaw. Similarly, the inventive dental bleaching trays would be unacceptable for use 15 as a mouth guard, as their thin walls provide little or no protection to the teeth against such blows. The dental bleaching trays according to the invention can be designed to be worn for any desired time period. Due to the extremely comfortable fit between the inventive dental bleaching trays and the person's teeth, it is possible to wear such 20 trays for extended periods of time as desired. The dental bleaching trays can be worn for as little as a few minutes or as long as several hours. By way of example, not limitation, a typical bleaching session of fast duration may last from about 10 to about 30 minutes; a bleaching session of intermediate duration may last from about 30 minutes to about 2 hours; and a bleaching session of long duration, including 25 overnight bleaching while a person is sleeping, may last from about 2 hours to about 12 hours. When used in combination with a sticky bleaching composition, dental bleaching trays may possibly be worn while performing normal daily activities, such as talking, drinking, smoking, coughing, smiling, frowning, grimacing, or while 30 sleeping. Dental bleaching trays according to the invention may be worn over a person's upper dental arch, lower dental arch, or both simultaneously. Although trays provide an improved fit as compared to strips, it is of course within the scope of the invention to provide dental bleaching strips which can also be used to provide similar treatment. Such strips may be expected to be worn for similar ranges of time as 35 described above, and when used with an initially dry bleaching composition that WO 2009/029781 PCT/US2008/074774 19 5 becomes very sticky upon contact with water, may even be worn while engaging in the above described activities as the bleaching composition (e.g., a substantially dry bleaching composition) more effectively holds the strip in place against the tooth tissues to be bleached. Figure 6A illustrates a person 375 placing a dental bleaching assembly 355 10 over the person's upper dental arch. The outer support tray helps in placing the inner bleaching tray over the teeth. Figure 6B illustrates a dental bleaching tray 300 in place over the person's upper dental arch and a dental bleaching tray 300' over the lower dental arch, both outer support trays having been removed. To remove the dental bleaching tray after a desired time period, the user 15 simply grasps a corner or portion of the tray and pulls it off the teeth. Any residual bleaching composition that remains adhered to the person's teeth can be removed by washing or flushing with water and/or by brushing. EXAMPLES OF THE PREFERRED EMBODIMENTS Following are examples of polymeric compositions that may be used to 20 manufacture dental bleaching trays according to the invention. The exemplary formulations and manufacturing conditions are given by way of example, and not by limitation. Unless otherwise indicated, all percentages are by weight. EXAMPLE 1 25 A composition for injection molding a silicone dental treatment tray was formed from Shin-Etsu's KEG2000-50A/B two part thermoset silicone material. Part A containing the activator/hardener had a viscosity of about 1700 Pa-s, while part B containing the siloxane had a viscosity of about 1600 Pa-s. At least one part included a platinum catalyst. 30 The two parts of the silicone composition were pumped out of storage drums through hoses to a static mixing head where the two parts were mixed together. The mixed silicone material exits the static mixer and was forced into the screw and barrel of the injection molding machine. The mixed silicone material was injected into the heated mold (e.g., about 375'F), at which point the material quickly polymerized. 35 The tray was removed from the hot mold after polymerization was substantially WO 2009/029781 PCT/US2008/074774 20 5 complete. Exemplary formed trays exhibited excellent adaptability, flexibility, elasticity, and softness, while also being resilient. The molded trays were translucent, had a Shore A durometer hardness of about 50, an elasticity of about 580%. Trays having wall thicknesses of about 0.004 inch (0.10 mm), 0.006 inch (0.15 mm), 0.008 inch (0.2 mm), 0.01 inch (0.25 mm) and 0.014 inch (0.36 mm), respectively, were 10 formed. It is believed that the residual platinum catalyst content within the finished tray was less than 1000 ppm, more likely less than 100 ppm. The presence of residual platinum catalyst within the silicone material provided available platinum ions to act as a bleaching agent destabilizer when contacted with a peroxide dental bleaching agent. 15 EXAMPLE 2 A composition for injection molding a dental treatment tray was formed from SEBS TPE 45A material. The heated material was pumped so as to be forced into the screw and barrel of the injection molding machine. The material was injected into the mold. The cooled tray was removed from the mold. Exemplary formed SEBS trays 20 exhibited excellent adaptability, flexibility, elasticity, and softness, while also being resilient, similar to the silicone tray of Example 1. The molded trays were translucent, had a Shore A durometer hardness of about 45, an elasticity of about 8 00 % and a wall thickness of about 0.020 inch (0.5 mm). The trays were found to be very comfortable when worn over a person's dental arch, with excellent adaptability, 25 flexibility, elasticity, softness, and resiliency. A bleaching agent destabilizer (e.g., about 0.1 percent to about 5 percent by weight) may be compounded with the SEBS material prior to molding so that the finished trays include the bleaching agent destabilizer on the inner surface of the tray. 30 EXAMPLE 3 A composition for injection molding a dental treatment tray is formed from VERSAFLEX CL30. The heated TPE material is pumped so as to be forced into the screw and barrel of the injection molding machine. The material is injected into the mold. The cooled tray is removed from the mold. Exemplary formed VERSAFLEX 35 CL30 trays exhibit excellent adaptability, flexibility, elasticity, and softness, while WO 2009/029781 PCT/US2008/074774 21 5 also being resilient, similar to the silicone tray of Example 1. The molded trays are translucent, have a Shore A durometer hardness of about 30, an elasticity of about 78 0% and a wall thickness of about 0.020 inch (0.5 mm). The trays are very comfortable when worn over a person's dental arch, with excellent adaptability, flexibility, elasticity, softness, and resiliency A bleaching agent destabilizer (e.g., 10 about 0.1 percent to about 5 percent by weight) may be compounded with the VERSAFLEX material prior to molding so that the finished trays include the bleaching agent destabilizer on the inner surface of the tray. EXAMPLE 4 15 A composition for injection molding a dental treatment tray is formed from VERSAFLEX CL40. The heated TPE material is pumped so as to be forced into the screw and barrel of the injection molding machine. The material is injected into the mold. The cooled tray is removed from the mold. Exemplary formed VERSAFLEX CL40 trays exhibit excellent adaptability, flexibility, elasticity, and softness, while 20 also being resilient, similar to the silicone tray of Example 1. The molded trays are translucent, have a Shore A durometer hardness of about 40, an elasticity of about 6 9 0% and a wall thickness of about 0.020 inch (0.5 mm). The trays are very comfortable when worn over a person's dental arch, with excellent adaptability, flexibility, elasticity, softness, and resiliency A bleaching agent destabilizer (e.g., 25 about 0.1 percent to about 5 percent by weight) may be compounded with the VERSAFLEX material prior to molding so that the finished trays include the bleaching agent destabilizer on the inner surface of the tray. EXAMPLE 5 30 A composition for injection molding a dental treatment tray was formed by combining and mixing the following materials: ELVAX 450 98% Ferric sulfate 2% All fractions are by weight. ELVAX 450 is an EVA polymeric material 35 available from Dupont. The heated material was pumped so as to be forced into the WO 2009/029781 PCT/US2008/074774 22 5 screw and barrel of the injection molding machine. The material was injected into the mold. The cooled tray was removed from the mold. The finished trays included the ferric sulfate bleaching agent destabilizer on the inner surface of the tray. EXAMPLE 6 10 A composition for injection molding a dental treatment tray was formed by combining and mixing the following materials: ELVAX 450 98% Ferric chloride 2% All fractions are by weight. ELVAX 450 is an EVA polymeric material 15 available from Dupont. The heated material was pumped so as to be forced into the screw and barrel of the injection molding machine. The material was injected into the mold. The cooled tray was removed from the mold. The finished trays included the ferric chloride bleaching agent destabilizer on the inner surface of the tray. 20 EXAMPLE 7 A composition for injection molding a dental treatment tray was formed by combining and mixing the following materials: ELVAX 450 98% Magnesium powder 2% 25 All fractions are by weight. ELVAX 450 is an EVA polymeric material available from Dupont. The heated material was pumped so as to be forced into the screw and barrel of the injection molding machine. The material was injected into the mold. The cooled tray was removed from the mold. The finished trays included the elemental magnesium bleaching agent destabilizer on the inner surface of the tray. 30 EXAMPLE 8 A composition for injection molding a dental treatment tray was formed by combining and mixing the following materials: ELVAX 450 98% 35 Iron powder 2% WO 2009/029781 PCT/US2008/074774 23 5 All fractions are by weight. ELVAX 450 is an EVA polymeric material available from Dupont. The heated material was pumped so as to be forced into the screw and barrel of the injection molding machine. The material was injected into the mold. The cooled tray was removed from the mold. The finished trays included the elemental iron bleaching agent destabilizer on the inner surface of the tray. 10 EXAMPLE 9 A composition for injection molding a dental treatment tray was formed by combining and mixing the following materials: ELVAX 450 98% 15 Copper powder 2% All fractions are by weight. ELVAX 450 is an EVA polymeric material available from Dupont. The heated material was pumped so as to be forced into the screw and barrel of the injection molding machine. The material was injected into the mold. The cooled tray was removed from the mold. The finished trays included the 20 elemental copper bleaching agent destabilizer on the inner surface of the tray. EXAMPLE 10 A composition for injection molding a dental treatment tray was formed by combining and mixing the following materials: 25 ELVAX 450 98% Nickel powder 2% All fractions are by weight. ELVAX 450 is an EVA polymeric material available from Dupont. The heated material was pumped so as to be forced into the 30 screw and barrel of the injection molding machine. The material was injected into the mold. The cooled tray was removed from the mold. The finished trays included the elemental nickel bleaching agent destabilizer on the inner surface of the tray. 35 WO 2009/029781 PCT/US2008/074774 24 5 EXAMPLE 11 A composition for injection molding a dental treatment tray was formed by combining and mixing the following materials: ELVAX 450 98% Aluminum powder 2% 10 All fractions are by weight. ELVAX 450 is an EVA polymeric material available from Dupont. The heated material was pumped so as to be forced into the screw and barrel of the injection molding machine. The material was injected into the mold. The cooled tray was removed from the mold. The finished trays included the elemental aluminum bleaching agent destabilizer on the inner surface of the tray. 15 EXAMPLE 12 A composition for injection molding a dental treatment tray was formed by combining and mixing the following materials: ELVAX 450 98% 20 Chromium powder 2% All fractions are by weight. ELVAX 450 is an EVA polymeric material available from Dupont. The heated material was pumped so as to be forced into the screw and barrel of the injection molding machine. The material was injected into the mold. The cooled tray was removed from the mold. The finished trays included the 25 elemental chromium bleaching agent destabilizer on the inner surface of the tray. EXAMPLE 13 A composition for injection molding a dental treatment tray was formed by combining and mixing the following materials: 30 ELVAX 450 98% Zinc powder 2% All fractions are by weight. ELVAX 450 is an EVA polymeric material available from Dupont. The heated material was pumped so as to be forced into the screw and barrel of the injection molding machine. The material was injected into the WO 2009/029781 PCT/US2008/074774 25 5 mold. The cooled tray was removed from the mold. The finished trays included the elemental zinc bleaching agent destabilizer on the inner surface of the tray. EXAMPLE 14 A composition for injection molding a dental treatment tray was formed by 10 combining and mixing the following materials: ELVAX 450 98% Titanium powder 2% All fractions are by weight. ELVAX 450 is an EVA polymeric material available from Dupont. The heated material was pumped so as to be forced into the 15 screw and barrel of the injection molding machine. The material was injected into the mold. The cooled tray was removed from the mold. The finished trays included the elemental titanium bleaching agent destabilizer on the inner surface of the tray. EXAMPLE 15 20 A composition for injection molding a dental treatment tray was formed by combining and mixing the following materials: ELVAX 250 98% Magnesium powder 2% All fractions are by weight. ELVAX 250 is an EVA polymeric material 25 available from Dupont. The heated material was pumped so as to be forced into the screw and barrel of the injection molding machine. The material was injected into the mold. The cooled tray was removed from the mold. The finished trays included the elemental magnesium bleaching agent destabilizer on the inner surface of the tray. 30 EXAMPLE 16 A composition for injection molding a dental treatment tray was formed by combining and mixing the following materials: ELVAX 720 98% Magnesium powder 2% WO 2009/029781 PCT/US2008/074774 26 5 All fractions are by weight. ELVAX 720 is an EVA polymeric material available from Dupont. The heated material was pumped so as to be forced into the screw and barrel of the injection molding machine. The material was injected into the mold. The cooled tray was removed from the mold. The finished trays included the elemental magnesium bleaching agent destabilizer on the inner surface of the tray. 10 Following is an example of a dental bleaching composition that can be used in combination with dental bleaching trays or strips including a bleaching agent destabilizer. The dental bleaching composition may be pre-loaded in a tray or pre applied to a strip. 15 EXAMPLE 17 A sticky, viscous dental bleaching composition was prepared by mixing together the following components: Water 22.5% EDTA Disodium 0.1% 20 Carbamide Peroxide 18.5% Sucralose 2 5 % solution 0.75% Glycerine 41.6% Carbopol 974 5.3% Sodium Hydroxide 50% solution 2.25% 25 Polyvinyl Pyrrolidone (M.W. = 1.3 million) 2% Carboxymethyl Cellulose 4% Watermelon Flavor 3% All fractions are by weight. A bite ruptureable membrane is positioned adjacent the inner treatment surface of a tray shaped or strip shaped barrier layer. A 30 bead of dental bleaching composition is then spread along the ruptureable barrier layer adjacent the dental bleaching tray. The bleaching composition may be positioned adjacent the labial-buccal wall of the tray, as illustrated in Figure 5. In the case of a strip, the dental bleaching composition is applied evenly over one side of the strip shaped barrier layer, with the rupturable membrane between the composition and 35 the barrier layer. During placement and/or use the rupturable membrane is broken, WO 2009/029781 PCT/US2008/074774 27 5 contacting the composition to the barrier layer. Upon contact of the bleaching composition with the barrier layer, the peroxide dental bleaching agent is destabilized so as to accelerate production of free radicals. The trays and strips reliably adhere to tooth tissue, and exhibit excellent comfort and adhesiveness. Additional exemplary dental bleaching compositions, and methods for making 10 such compositions, which may be used with devices according to the invention are disclosed in U.S. Patent No. 5,376,006; U.S. Patent No. 5,785,527; U.S. Patent No. 5,851,512; U.S. Patent No. 5,858,332; U.S. Patent No. 5,985,249; U.S. Patent No. 6,306,370; U.S. Patent No. 6,309,625; U.S. Patent No. 6,312,671; U.S. Patent No. 6,322,774; U.S. Patent No. 6,368,576; U.S. Patent No. 6,387,353; U.S. Patent No. 15 6,500,408; U.S. Patent No. 6,503,485 and U.S. Patent Application Serial No. 11/460,016 filed July 26, 2006. For purposes of disclosing dental bleaching compositions, and methods of making such compositions, the foregoing patents and application are incorporated herein by reference. The present invention may be embodied in other specific forms without 20 departing from its spirit or essential characteristics. The described embodiments are to be considered in all respects only as illustrative and not restrictive. The scope of the invention is, therefore, indicated by the appended claims rather than by the foregoing description. All changes which come within the meaning and range of equivalency of the claims are to be embraced within their scope. 25 What is claimed is:

Claims (22)

1. A thin-walled, non-custom disposable dental bleaching tray or strip for use in applying a dental bleaching composition to a person's teeth, comprising: a barrier layer formed from a moisture resistant material, the barrier layer having a wall thickness less than about 1 mm and being in the shape of a 10 tray or a strip, the barrier layer having an inner treatment surface that is oriented toward a person's teeth during use; and a bleaching agent destabilizer compounded with and/or disposed on the inner treatment surface of the barrier layer such that at least some of the bleaching agent destabilizer is disposed on the inner treatment surface of the 15 barrier layer.

2. A dental bleaching tray or strip as recited in claim 1, wherein the bleaching agent destabilizer comprises a transition and/or alkaline earth metal source.

3. A dental bleaching tray or strip as recited in claim 2, wherein the bleaching agent destabilizer comprises a transition and/or alkaline earth metal source 20 selected from the group consisting of titanium, cobalt, nickel, copper, platinum, tin, zinc, manganese, aluminum, silver, and chromium.

4. A dental bleaching tray or strip as recited in claim 2, wherein the bleaching agent destabilizer comprises at least one of magnesium or iron.

5. A dental bleaching tray or strip as recited in claim 1, wherein the 25 bleaching agent destabilizer comprises iodine.

6. A dental bleaching tray or strip as recited in claim 1, wherein the bleaching agent destabilizer comprises an organo-metallic enzyme.

7. A dental bleaching tray or strip as recited in claim 6, wherein the organo-metallic enzyme comprises catalase and/or peroxidase. 30

8. A dental bleaching tray or strip as recited in claim 1, wherein the bleaching agent destabilizer comprises between about 0.1 percent and about 5 percent by weight of the barrier layer.

9. A dental bleaching tray as recited in claim 1, wherein the barrier layer has a thickness between about 0.03 mm and about 1 mm. WO 2009/029781 PCT/US2008/074774 29 5

10. A dental bleaching tray as recited in claim 1, wherein the barrier layer has a thickness between about 0.1 mm and about 0.5 mm.

11. A dental bleaching tray or strip as recited in claim 1, wherein the moisture resistant material comprises a polymeric material and the bleaching agent destabilizer is compounded within the polymeric material of the barrier layer such that 10 the destabilizer is substantially evenly distributed throughout the polymeric material of the barrier layer.

12. A dental bleaching tray or strip as recited in claim 1, further comprising an anhydrous dental bleaching composition comprising a peroxide bleaching agent, the anhydrous dental bleaching composition being disposed adjacent 15 to the inner treatment surface of the barrier layer.

13. A dental bleaching tray or strip comprising: a tray shaped or strip shaped barrier layer formed from a moisture resistant material and having an inner treatment surface that is oriented toward a person's teeth during use; and 20 a transition and/or alkaline metal bleaching agent destabilizer selected from the group consisting of magnesium and iron, the bleaching agent destabilizer being compounded with the moisture resistant material such that at least some of the magnesium and/or iron is disposed on the inner treatment surface of the tray shaped or strip shaped barrier layer. 25

14. A dental bleaching tray or strip as recited in claim 13, wherein the metal ions comprise between about 0.1 percent and about 5 percent by weight of the barrier layer.

15. A pre-filled dental bleaching tray or strip comprising: a tray shaped or strip shaped barrier layer comprising a moisture 30 resistant material and a bleaching agent destabilizer compounded with and/or on an inner treatment surface of the barrier layer such that at least some of the bleaching agent destabilizer is disposed on the inner treatment surface of the barrier layer; a dental bleaching composition comprising a peroxide bleaching agent; 35 and WO 2009/029781 PCT/US2008/074774 30 5 a protective rupturable membrane disposed between the inner treatment surface of the barrier layer and the dental bleaching composition so as to prevent premature contact between the bleaching agent destabilizer and the peroxide bleaching agent.

16. A dental bleaching tray or strip as recited in claim 15, wherein the 10 bleaching agent destabilizer comprises a transition and/or alkaline earth metal source.

17. A dental bleaching tray or strip as recited in claim 16, wherein the bleaching agent destabilizer comprises a transition and/or alkaline earth metal source selected from the group consisting of titanium, cobalt, nickel, copper, platinum, tin, zinc, manganese, aluminum, silver, and chromium. 15

18. A dental bleaching tray or strip as recited in claim 16, wherein the bleaching agent destabilizer comprises at least one of magnesium or iron.

19. A dental bleaching tray or strip as recited in claim 15, wherein the bleaching agent destabilizer comprises an organo-metallic enzyme.

20. A dental bleaching tray or strip as recited in claim 19, wherein the 20 organo-metallic enzyme comprises catalase and/or peroxidase.

21. A dental bleaching tray or strip as recited in claim 15, wherein the bleaching agent destabilizer comprises between about 0.1 percent and about 5 percent by weight of the barrier layer.

22. A dental bleaching tray or strip as recited in claim 15, wherein the bite 25 ruptureable membrane comprises at least one of a high molecular weight polyethylene glycol, parylene, or wax.