Classifications

• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
  • A61C19/00—Dental auxiliary appliances
  • A61C19/06—Implements for therapeutic treatment
  • A61C19/063—Medicament applicators for teeth or gums, e.g. treatment with fluorides
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
  • A61C19/00—Dental auxiliary appliances
  • A61C19/06—Implements for therapeutic treatment
  • A61C19/063—Medicament applicators for teeth or gums, e.g. treatment with fluorides
  • A61C19/066—Bleaching devices; Whitening agent applicators for teeth, e.g. trays or strips

Definitions

• 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, the invention relates to flexible dental trays and strips with enhanced user comfort and tooth adhesion.
• a common bleaching method involves the use of a dental tray that is custom- fitted to a person's teeth and that is 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' 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 stickiness on the side of the strip facing the user's teeth.
• 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.
• bleaching strips Because of the generally poor adhesion of bleaching strips to the user's teeth, 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 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.
• 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 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.
• 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 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.
• Bleaching agent destabilizers may include any known bleaching agent destabilizer that is capable of destabilizing a dental bleaching agent in order to accelerate bleaching.
• the bleaching agent destabilizer is advantageously retained on the surface and/or 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 earth metals or their ions.
• suitable metals and metal ions 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 "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.
• 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 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.
• 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 react prematurely because of the anhydrous nature of the bleaching composition.
• Embodiments including an anhydrous dental bleaching composition and no ruptureable membrane should preferably be sealed within a protective package to prevent absorption of water from the surrounding air during shipment and storage.
• Figure 1 is a perspective view of an exemplary non-custom dental bleaching tray according to the invention
• 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 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
• Figure 6A illustrates a person placing a dental bleaching tray according to the invention over the person's upper dental arch
• Figure 6B illustrates dental bleaching trays according to the invention in place over both the upper and lower dental arches.
• 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 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.
• FIG. 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 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.
• 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, 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 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.
• 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.
• 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 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 use. At least a portion of inner surface 103 includes one or more bleaching agent destabilizers.
• 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 inner treatment surface 103.
• 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.
• the destabilizer may be present on at least that portion of inner surface 103 corresponding to surfaces of the teeth to be bleached.
• the 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 dental bleaching agent during use. When peroxides are destabilized they more rapidly 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 (O), and super dioxide (OO) 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 into the tooth enamel to the location of tooth stains as compared to the larger peroxide (H 2 O 2 ) molecules, which may have increased difficulty passing through tight spaces of the enamel to stain locations because of their larger size.
• HO hydroxyl
• OOH peroxyl
• OF super oxide
• OO super dioxide
• 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 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.
• suitable metal ions include magnesium ions, iron ions, titanium ions, cobalt ions, nickel ions, copper ions, platinum ions, tin 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. 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 20% by weight of the polymeric 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.
• 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 .
• bleaching agent destabilizers include elemental metals (e.g., iron, silver, platinum, copper, magnesium, titanium, cobalt, 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.
• iodine salts e.g., potassium iodide and/or sodium iodide.
• ferric Fe 2+ ions react to form ferrous Fe 3+ ions in the presence of peroxide, releasing oxygen free radicals.
• the peroxide is regenerated, allowing more ferric ions to react, resulting in production of more oxygen free radicals.
• FIG. 2A illustrates an alternative non-custom dental bleaching tray 200 that 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 lingual side wall 206.
• Illustrated tray 200 is sized and configured for placement over a person's upper dental arch.
• 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 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 molars).
• At least a portion of inner surface 203 of tray 200 includes one or more bleaching agent destabilizers.
• the one or more dental bleaching agent destabilizers may be compounded with the moisture resistant polymeric material from which the tray 200 is formed.
• the destabilizers may be distributed substantially evenly throughout the material from which tray 200 is formed, so that at least some destabilizer is present on inner treatment surface 203.
• 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 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 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.
• dental bleaching tray 200 is nested within outer support tray 250 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.
• FIG 3 illustrates an exemplary dental bleaching strip 400 which is formed from a polymeric material.
• Dental bleaching strip 400 is initially substantially 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 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.
• the one or more dental bleaching agent destabilizers may be compounded with the moisture resistant polymeric material from which the strip 400 is formed.
• 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.
• 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 be applied during use and which surfaces of the strip will be placed against tooth tissues to be bleached during use.
• an improved dental bleaching strip can be 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 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 barrier layer and the bleaching composition until treatment begins.
• 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 composition.
• 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 storage.
• an anhydrous adhesive composition e.g., including polyvinyl pyrollidone as an adhesive agent
• 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).
• such a composition including the bleaching agent destabilizer is applied to a region of the barrier layer corresponding to the tooth surfaces to be bleached.
• 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 apply the bleaching agent destabilizer to regions of the barrier layer which will be positioned against gum tissue during use.
• the bleaching composition 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.
• the destabilizer is applied as a film or 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).
• the bleaching agent and the destabilizer may be present together only at those portions 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.
• a 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.
• a bleaching composition e.g., an aqueous gel
• the water within the bleaching composition and/or saliva within the user's mouth causes the bleaching agent destabilizer to be activated in the presence of the bleaching agent.
• a non-custom dental tray or strip according to the invention may be preloaded with a dental bleaching composition.
• the tray or strip further includes a protective rupturable membrane 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.
• 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 layer that is disposed between the bleaching composition and the tray or strip including a bleaching agent destabilizer.
• 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.
• Parylene is available commercially as Parylene from Parylene Coating Services, Inc., located in Katy, TX.
• Such coatings 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).
• 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 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.
• 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 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 may be cut out.
• 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 may be cut out.
• a bleaching agent destabilizer e.g., a ferric salt
• the user applies a bleaching composition into the tray, and then places the 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 may still be used as a conventional custom bleaching tray, although it will no longer 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 prior to being moistened with saliva or water but that becomes more sticky and adhesive when moistened.
• 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.
• the barrier layer comprises silicone.
• it comprises ethyl vinyl acetate and polypropylene.
• 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 polyesteramides.
• 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).
• PE polyethylene
• HDPE high density polyethylene
• LDPE low density polyethylene
• ULDPE ultra low density polyethylene
• PTFE polytetrafluoroethylene
• An example of a suitable polyester for use in making the barrier layer includes, but is not limited to, polyethylene terephthalate (PET), an example of which is MYLAR, sold by DuPont.
• PET polyethylene terephthalate
• 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 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.
• barrier layer materials that can act as a barrier layer include metal foil, cellulosic ethers, cellulose acetate, polyvinyl acetate, polyvinyl alcohol, shellac, and chemical or light-cure materials (e.g., methacrylate or acrylate resins).
• useful 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.
• non-polymeric moisture resistant materials e.g., metal foil, may be used, polymeric materials are preferred.
• Silicone and silicone like materials 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.
• Various other Shin-Etsu silicone products and silicone materials from other suppliers can also be used.
• a silicone material may initially comprise a two-part 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 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.
• the material is heated to 375°F so as to cause the material to polymerize in a matter of seconds.
• Actual 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 or both parts of the composition to assist with polymerization.
• 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 contact of the barrier layer with a peroxide bleaching composition.
• 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.
• 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 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.
• 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.
• SEBS Styrene-ethylene-butylene-styrene
• VERS AfI ex a proprietary thermoplastic elastomer alloy exhibiting elasticity and other properties similar to silicone
• SEBS TPE 45 A A suitable example of a SEBS material is SEBS TPE 45 A, available from various providers. Physical properties for SEBS TPE 45 A are summarized in the table below.
• SEBS products may also be used in forming a polymeric moisture resistant barrier layer.
• 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 Corporation can also be used.
• 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 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 thicknesses that are no more than about 1 mm.
• 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 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.
• 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 overnight bleaching while a person is sleeping, may last from about 2 hours to about 12 hours.
• dental bleaching trays 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 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 described above, and when used with an initially dry bleaching composition that 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.
• an initially dry bleaching composition that becomes very sticky upon contact with water
• the bleaching composition e.g., a substantially dry bleaching composition
• Figure 6 A illustrates a person 375 placing a dental bleaching assembly 355 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.
• the user To remove the dental bleaching tray after a desired time period, the user 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.
• 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
• part B containing the siloxane had a viscosity of about 1600 Pa-s.
• At least one part included a platinum catalyst.
• 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.
• the tray was removed from the hot mold after polymerization was substantially 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 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.
• EXAMPLE 2 EXAMPLE 2
• a composition for injection molding a dental treatment tray was formed from SEBS TPE 45 A 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 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 800% 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, 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.
• 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 CL30 trays exhibit excellent adaptability, flexibility, elasticity, and softness, while 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 780% and a wall thickness of about 0.020 inch (0.5 mm).
• a bleaching agent destabilizer (e.g., 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 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 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 690% and a wall thickness of about 0.020 inch (0.5 mm).
• a bleaching agent destabilizer (e.g., 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 A composition for injection molding a dental treatment tray was formed by combining and mixing the following materials:
• 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 ferric sulfate bleaching agent destabilizer on the inner surface of the tray.
• EXAMPLE 6 A composition for injection molding a dental treatment tray was formed by combining and mixing the following materials:
• 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 ferric chloride bleaching agent destabilizer on the inner surface of the tray.
• a composition for injection molding a dental treatment tray was formed by combining and mixing the following materials:
• 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.
• a composition for injection molding a dental treatment tray was formed by combining and mixing the following materials:
• ELVAX 450 98% Iron 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 elemental iron bleaching agent destabilizer on the inner surface of the tray.
• a composition for injection molding a dental treatment tray was formed by combining and mixing the following materials:
• 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 copper bleaching agent destabilizer on the inner surface of the tray.
• a composition for injection molding a dental treatment tray was formed by combining and mixing the following materials:
• 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 nickel bleaching agent destabilizer on the inner surface of the tray.
• a composition for injection molding a dental treatment tray was formed by combining and mixing the following materials:
• 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.
• a composition for injection molding a dental treatment tray was formed by combining and mixing the following materials:
• 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 chromium bleaching agent destabilizer on the inner surface of the tray.
• a composition for injection molding a dental treatment tray was formed by combining and mixing the following materials: ELVAX 450 98%
• 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 zinc bleaching agent destabilizer on the inner surface of the tray.
• a composition for injection molding a dental treatment tray was formed by combining and mixing the following materials:
• 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 titanium bleaching agent destabilizer on the inner surface of the tray.
• EXAMPLE 15 A composition for injection molding a dental treatment tray was formed by combining and mixing the following materials:
• a composition for injection molding a dental treatment tray was formed by combining and mixing the following materials:
• 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.
• 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.
• a sticky, viscous dental bleaching composition was prepared by mixing together the following components:
• a bite ruptureable membrane is positioned adjacent the inner treatment surface of a tray shaped or strip shaped barrier layer.
• a 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.
• the dental bleaching composition is applied evenly over one side of the strip shaped barrier layer, with the rupturable membrane between the composition and the barrier layer. During placement and/or use the rupturable membrane is broken, contacting the composition to 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.
• the foregoing patents and application are incorporated herein by reference.

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• Health & Medical Sciences (AREA)
• Oral & Maxillofacial Surgery (AREA)
• Dentistry (AREA)
• Epidemiology (AREA)
• Life Sciences & Earth Sciences (AREA)
• Animal Behavior & Ethology (AREA)
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• 2008
  • 2008-08-29 EP EP08798954A patent/EP2182878A1/en not_active Withdrawn
  • 2008-08-29 BR BRPI0814928-3A2A patent/BRPI0814928A2/pt not_active IP Right Cessation
  • 2008-08-29 AU AU2008293411A patent/AU2008293411A1/en not_active Abandoned
  • 2008-08-29 WO PCT/US2008/074774 patent/WO2009029781A1/en active Application Filing

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