WO2016105440A1 - Oral care compositions and methods of use - Google Patents

Oral care compositions and methods of use Download PDF

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Publication number
WO2016105440A1
WO2016105440A1 PCT/US2014/072451 US2014072451W WO2016105440A1 WO 2016105440 A1 WO2016105440 A1 WO 2016105440A1 US 2014072451 W US2014072451 W US 2014072451W WO 2016105440 A1 WO2016105440 A1 WO 2016105440A1
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WO
WIPO (PCT)
Prior art keywords
oral care
care composition
oral
present
composition
Prior art date
Application number
PCT/US2014/072451
Other languages
French (fr)
Inventor
Wilbens Josias
Richard Robinson
Adam PEPPERNEY
Kimdra Smith-Webster
Original Assignee
Colgate-Palmolive Company
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority to BR112017012804-7A priority Critical patent/BR112017012804B1/en
Priority to RU2017121851A priority patent/RU2701374C2/en
Application filed by Colgate-Palmolive Company filed Critical Colgate-Palmolive Company
Priority to MX2017007694A priority patent/MX367037B/en
Priority to CA2971580A priority patent/CA2971580C/en
Priority to AU2014415226A priority patent/AU2014415226B2/en
Priority to CN201480084269.0A priority patent/CN107106447B/en
Priority to PCT/US2014/072451 priority patent/WO2016105440A1/en
Priority to US15/539,230 priority patent/US12109442B2/en
Priority to MYPI2017701946A priority patent/MY182599A/en
Priority to EP14825580.5A priority patent/EP3223773B1/en
Publication of WO2016105440A1 publication Critical patent/WO2016105440A1/en
Priority to IL252602A priority patent/IL252602B/en
Priority to PH12017501033A priority patent/PH12017501033A1/en
Priority to ZA2017/03834A priority patent/ZA201703834B/en
Priority to CONC2017/0005995A priority patent/CO2017005995A2/en
Priority to AU2018229469A priority patent/AU2018229469B2/en

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61QSPECIFIC USE OF COSMETICS OR SIMILAR TOILETRY PREPARATIONS
    • A61Q11/00Preparations for care of the teeth, of the oral cavity or of dentures; Dentifrices, e.g. toothpastes; Mouth rinses
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K8/00Cosmetics or similar toiletry preparations
    • A61K8/18Cosmetics or similar toiletry preparations characterised by the composition
    • A61K8/19Cosmetics or similar toiletry preparations characterised by the composition containing inorganic ingredients
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K8/00Cosmetics or similar toiletry preparations
    • A61K8/18Cosmetics or similar toiletry preparations characterised by the composition
    • A61K8/19Cosmetics or similar toiletry preparations characterised by the composition containing inorganic ingredients
    • A61K8/24Phosphorous; Compounds thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K8/00Cosmetics or similar toiletry preparations
    • A61K8/18Cosmetics or similar toiletry preparations characterised by the composition
    • A61K8/19Cosmetics or similar toiletry preparations characterised by the composition containing inorganic ingredients
    • A61K8/27Zinc; Compounds thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K8/00Cosmetics or similar toiletry preparations
    • A61K8/18Cosmetics or similar toiletry preparations characterised by the composition
    • A61K8/30Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds
    • A61K8/33Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds containing oxygen
    • A61K8/34Alcohols
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K8/00Cosmetics or similar toiletry preparations
    • A61K8/18Cosmetics or similar toiletry preparations characterised by the composition
    • A61K8/30Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds
    • A61K8/33Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds containing oxygen
    • A61K8/36Carboxylic acids; Salts or anhydrides thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K8/00Cosmetics or similar toiletry preparations
    • A61K8/18Cosmetics or similar toiletry preparations characterised by the composition
    • A61K8/30Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds
    • A61K8/40Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds containing nitrogen
    • A61K8/44Aminocarboxylic acids or derivatives thereof, e.g. aminocarboxylic acids containing sulfur; Salts; Esters or N-acylated derivatives thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K8/00Cosmetics or similar toiletry preparations
    • A61K8/18Cosmetics or similar toiletry preparations characterised by the composition
    • A61K8/30Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds
    • A61K8/46Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds containing sulfur
    • A61K8/466Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds containing sulfur containing sulfonic acid derivatives; Salts
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K8/00Cosmetics or similar toiletry preparations
    • A61K8/18Cosmetics or similar toiletry preparations characterised by the composition
    • A61K8/30Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds
    • A61K8/49Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds containing heterocyclic compounds
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61QSPECIFIC USE OF COSMETICS OR SIMILAR TOILETRY PREPARATIONS
    • A61Q11/00Preparations for care of the teeth, of the oral cavity or of dentures; Dentifrices, e.g. toothpastes; Mouth rinses
    • A61Q11/02Preparations for deodorising, bleaching or disinfecting dentures

Definitions

  • This invention relates to oral care compositions comprising a basic amino acid or salt thereof, a mix lute comprising zinc oxide and zinc citrate, and a. preservative to prevent microbial contamination, as well as to methods of using and of making these compositions.
  • Oral care compositions present particular challenges in preventing microbial contamination.
  • Arginine and other basic amino acids have been proposed for use in oral care and are believed to have significant benefits in combating cavity formation and tooth sensitivity.
  • arginine-based toothpaste such as ProClude® toothpaste or DenClude® toothpaste, for example, contains arginine bicarbonate and precipitated calcium carbonate, but not fluoride. The carbonate ion is believed to have cariostatic properties, and the calcium is believed to form in complex with arginine to provide a protective effect.
  • oral care compositions comprising arginine or basic amino acids may have a basic pH, increasing potential for microbial contamination compared to acidic formulations.
  • preservatives are active at higher pH. Some preservatives negatively affect the taste or aesthetics of the product While certain preservatives, such as ethanol or parabens, are known to be effective at a range of pHs, these preservatives are not suitable for all products or all markets.
  • Zinc is a well-known antimicrobial agent used in toothpaste compositions. At effective concentrations, zinc has been shown to inhibit bacterial glycolysis and the activity of bacterial proteases. Zinc is also a well-known essential mineral for human health, and has been reported to help strengthen dental enamel and to promote cell repair.
  • conventional toothpaste formulations often require a high concentrations of zinc, e.g., 2% by weight or more, to achieve efficacy. At this concentration, the zinc imparts a notably astringent taste to the composition. There is thus a need for improved antibacterial toothpaste formulations that do not suffer from the drawbacks of conventional compositions.
  • a zinc oxide and/or zinc citrate selected at certain concentrations and amounts, unexpectedly increase the antibacterial effect of oral care compositions comprising an amino acid, e.g., arginine, in the oral cavity of a user.
  • the current formulations offer the advantage of robust microbial protection without significantly interfering with the stability of the oral care composition and by allowing for formulations which use less zinc - which may have undesirable aesthetic qualities (e.g., poor taste).
  • the presence of the amino acid may help to increase the amount of soluble zinc which can then have an unexpected increased effect on inhibiting bacterial growth in the oral cavity of a user.
  • composition 1.0 an oral care composition
  • a basic amino acid in tree or salt form (e.g.,
  • ii an effective amount of a mixture comprising zinc oxide and zinc citrate iii . an effective amount of a preservative, wherein the preservative is selected from the group consisting of:
  • compositions e. polyphosphate; and combinations of any of the preservatives a. - e., thereof.
  • the invention contemplates any of the following compositions (unless otherwise indicated, values are given as percentage of the overall weight of the composition):
  • composition 1.0 wherein the basic amino acid is arginine, lysine, serine, citrullene, ornithine, creatine, histidine, diaminobutanoic acid,
  • compositions wherein the basic amino acid is provided in the form of a di- or tri-peptide comprising the basic amino acid, or salts thereof.
  • compositions wherein the basic amino acid is present in an amount corresponding to 1% to 15%, e.g., 3% wt, to 10% wt. of the total composition weight, e.g., about 8% wt. the weight of the basic amino acid being calculated as free base form.
  • compositions wherein the basic amino acid is arginine.
  • composition 1.8 wherein the basic amino acid is arginine phosphate.
  • Composition 1.8 wherein the basic amino acid is arginine hydrochloride.
  • Composition 1.8 wherein the basic amino acid is arginine bicarbonate.
  • compositions wherein the basic amino acid is ionized by neutralization with an acid or a salt of an acid.
  • compositions wherein the benzyl alcohol is present from 0.6 - 0.9% wt., e.g. about 0.7%.
  • pyrophosphate tripoiyphosphaie, or hexametaphosphate, e.g., in salt form, e.g., sodium or potassium salt form, e.g., in an amount of from 0.1 - 3%.
  • salt form e.g., sodium or potassium salt form
  • pyrophosphate is tetrasodium pyrophosphate
  • composition of 1.26, wherein the tetrasodium pyrophosphate is in an amount of 0.2% - 1.0% (e.g., 0.5% by wt.)
  • compositions wherein sodium methyl cocoyl taurate (tauranol) is present from 1.0 % - 2.0 % wt.
  • compositions wherein the composition is ethanol-free.
  • compositions further comprising a fluoride source (e.g. , a soluble fluoride salt).
  • a fluoride source e.g. , a soluble fluoride salt
  • composition of 1.25 wherein the fluoride source is a soluble fluoride salt selected from: stannous fluoride, sodium fluoride, potassium fluoride, sodium monofluorophosphate, sodium fluorosilicate, ammonium fluorosilicate, amine fluoride (e.g., N , -octadecyltrimethylendiamine-N,N,N'- tris(2-ethanol)- dihydrofluoride), ammonium fluoride, titanium fluoride, hexafluorosulfate. and combinations thereof.
  • a soluble fluoride salt selected from: stannous fluoride, sodium fluoride, potassium fluoride, sodium monofluorophosphate, sodium fluorosilicate, ammonium fluorosilicate, amine fluoride (e.g., N , -octadecyltrimethylendiamine-N,N,N'- tris(2-ethanol)- dihydrofluoride), ammonium fluoride,
  • compositions further comprising calcium carbonate.
  • a precipitated calcium carbonate high absorption e.g. 20% to 30% by weight of the composition
  • composition of 1.34 further comprising a precipitated calcium carbonate - light (e.g., about 10% precipitated calcium carbonate - light) (e.g., about 10% natural calcium carbonate).
  • a precipitated calcium carbonate - light e.g., about 10% precipitated calcium carbonate - light
  • a natural calcium carbonate e.g., about 10% natural calcium carbonate
  • compositions further comprising an abrasive or
  • particulate e.g., silica
  • compositions wherein the nonionic surfactant, is in an amount of from 0.5 -5%, e.g, 1-2%, selected from poloxamers (e.g., poloxamer 407), polysorbates (e.g., polysorbate 20), polyoxyl hydrogenated castor oil (e.g., polyoxyl 40 hydrogenated castor oil ), and mixtures thereof.
  • poloxamers e.g., poloxamer 407
  • polysorbates e.g., polysorbate 20
  • polyoxyl hydrogenated castor oil e.g., polyoxyl 40 hydrogenated castor oil
  • any of the preceding compositions wherein the ratio of the amount of zinc oxide (e.g., wt.%) to zinc citrate (e.g., wt%) is from 1.5:1 to 4.5:1 (e.g., 2:1, 2.5:1 , 3: 1, 3.5:1, or 4:1).
  • compositions comprising flavoring, fragrance and/or coloring.
  • composition of 1.50 wherein the flavoring agent is sodium saccharin, sucralose, or a mixture thereof.
  • the flavoring agent is sodium saccharin, sucralose, or a mixture thereof.
  • Any of the preceding compositions comprising from 5% - 35%, e.g., 10% - 20%, e.g., 15%, water.
  • compositions comprising an additional antibacterial agent selected from halogenated diphenyl ether (e.g. triclosan), herbal extracts and essential oils (e.g., rosemary extract, tea extract, magnolia extract, thymol, menthol, eucalyptol, geraniol, carvacrol, citral, hinokitol, catechol, methyl salicylate, epigallocatechin gallate, epigallocatechin, gallic acid, irtiswak extract, sea-buckthorn extract), bisguanide antiseptics (e.g., chlorhexidine, alexidine or octenidine), quaternary ammonium compounds (e.g.,
  • cetylpyridinium chloride CPC
  • benzalkonium chloride tetradecylpyridinium chloride
  • TPC tetradecylpyridinium chloride
  • TDEPC N-tetradecyl-4-ethylpyridinium chloride
  • phenolic antiseptics hexetidine, octenidine, sanguinarine, povidone iodine, delmopinol, salifluor
  • metal ions e.g., zinc salts, for example, Zinc Chloride, Zinc Lactate, Zinc Sulfate, stannous salts, copper salts, iron salts
  • sanguinarine propolis and oxygenating agents (e.g., hydrogen peroxide, buffered sodium
  • phthalic acid and its salts monoperthalic acid and its salts and esters, ascorbyl stearate, oleoyl sarcosine, alky! sulfate, dioctyl sulfosuccinate, salicylani!ide, domiphen bromide, delmopinol, octapinol and other piperidino derivatives, irrigationn preparations, chlorite salts; and mixtures of any of the foregoing.
  • compositions comprising an antioxidant, e.g., selected from the group consisting of Co-enzyme Q10, PQQ, Vitamin C, Vitamin E, Vitamin A, BHT, anethole-dilhiothione, and mixtures thereof.
  • an antioxidant e.g., selected from the group consisting of Co-enzyme Q10, PQQ, Vitamin C, Vitamin E, Vitamin A, BHT, anethole-dilhiothione, and mixtures thereof.
  • compositions comprising a whitening agent.
  • compositions comprising a whitening agent selected from a whitening active selected from the group consisting of peroxides, metal chlorites, perborates, percarbonates, peroxyacids, hypochlorites, and combinations thereof.
  • a whitening agent selected from a whitening active selected from the group consisting of peroxides, metal chlorites, perborates, percarbonates, peroxyacids, hypochlorites, and combinations thereof.
  • compositions further comprising hydrogen peroxide or a hydrogen peroxide source, e.g., urea peroxide or a peroxide salt or complex (e.g., such as peroxyphosphate, peroxycarbonate, perborate, peroxysilicate, or persulphate salts; for example calcium peroxyphosphate, sodium perborate, sodium carbonate peroxide, sodium, peroxyphosphate, and potassium persulfate), or hydrogen peroxide polymer complexes such as hydrogen peroxide-polyvinyl pyrrolidone polymer complexes.
  • urea peroxide or a peroxide salt or complex e.g., such as peroxyphosphate, peroxycarbonate, perborate, peroxysilicate, or persulphate salts; for example calcium peroxyphosphate, sodium perborate, sodium carbonate peroxide, sodium, peroxyphosphate, and potassium persulfate
  • hydrogen peroxide polymer complexes such as hydrogen peroxide-polyvinyl
  • compositions further comprising an agent that interferes with or prevents bacterial attachment, e.g., ELA or chitosan.
  • compositions effective upon application to the oral cavity, e.g., by rinsing, optionally in conjunction with brushing, to (i) reduce or inhibit formation of dental caries, (ii) reduce, repair or inhibit pre-carious lesions of the enamel, e.g., as detected by quantitative light-induced fluorescence (QLF) or electrical caries measurement (ECM), (iii) reduce or inhibit demoralization and promote remineralization of the teeth, (iv) reduce hypersensitivity of the teeth, (v) reduce or inhibit gingivitis, (vi) promote healing of sores or cuts in the mouth, (vii) reduce levels of acid producing bacteria, (viii) to increase relative levels of arginolytic bacteria, (ix) inhibit microbial biofilm formation in the oral cavity, (x) raise and/or maintain plaque pH at levels of at least pH 5.5 following sugar challenge, (xi) reduce plaque accumulation, (xii) treat, relieve or reduce dry mouth., (xiii) clean the teeth and oral cavity
  • oral composition may be any of the following oral compositions selected from the group consisting of: a toothpaste or a dentifrice, a mouthwash or a mouth rinse, a topical oral gel, and a denture cleanser.
  • composition obtained or obtainable by combining the ingredients as set forth in. any of the preceding compositions.
  • composition 1.0, and 1.1 - 1.53, wherein the composition is a
  • dentifrice comprising:
  • PCC precipitated calcium carbonate
  • non-ionic surfactant e.g., Poloxamer 407 (pluronic) (e.g., about 1.5% by wt.)
  • composition obtained or obtainable by combining the ingredients as set forth in any of the preceding compositions.
  • the invention encompasses a method to improve oral health comprising applying an effective amount of the oral composition of any of the embodiments set forth above to the oral cavity of a subject in need thereof, e.g., a method to
  • xii. treat dry mouth
  • xiii. enhance systemic health, including cardiovascular health, e.g., by reducing potential for systemic infection via the oral tissues
  • the invention further comprises the use of sodium bicarbonate, sodium methyl cocoyl taurate (tauranol), methylisothiazoiinone (MIT), and benzyl alcohol and combinations thereof in the manufacture of a composition of the invention, e.g., for use in any of the indications set forth in the above method of Composition 1.0, et seq.
  • oral composition means the total composition that is delivered to the oral surfaces.
  • the composition is further defined as a product which, during the normal course of usage, is not, the purposes of systemic administration of particular therapeutic agents, intentionally swallowed but is rather retained in the oral cavity for a time sufficient to contact substantially all of the dental surfaces and/or oral tissues for the purposes of oral activity.
  • examples of such compositions include, but are not limited to, toothpaste or a dentifrice, a mouthwash or a mouth rinse, a topical oral gel, a denture cleanser, and the like.
  • dentifrice means paste, ge!, or liquid formulations unless otherwise specified.
  • the dentifrice composition can be in any desired form such as deep striped, surface striped, multi-layered, having the gel surrounding the paste, or any combination thereof.
  • the oral composition may be dual phase dispensed from a separated compartment dispenser.
  • the basic amino acids which can be used in the compositions and methods of the invention include not only naturally occurring basic amino acids, such as arginine, lysine, and histidine, but also any basic amino acids having a carboxyl group and an amino group in the molecule, which are water-soluble and provide an aqueous solution with a pH of 7 or greater.
  • basic amino acids include, but are not limited to, arginine, lysine, serine, citrullene, ornithine, creatine, histidine, diaminobutanoic acid,
  • the basic amino acids are selected from arginine, cirrullene, and ornithine.
  • the basic amino acid is arginine, for example, L- arginine, or a salt thereof.
  • compositions of the invention are intended for topical use in the mouth and so salts for use in the present invention should be safe for such use, in the amounts and concentrations provided.
  • Suitable salts include salts known in the art to be pharmaceutically acceptable salts are generally considered to be physiologically acceptable in the amounts and concentrations provided.
  • Physiologically acceptable salts include those derived from pharmaceutically acceptable inorganic or organic acids or bases, for example acid addition salts formed by acids which form a physiological acceptable anion, e.g., hydrochloride or bromide salt, and base addition salts formed by bases which form a physiologically acceptable cation, for example those derived from alkali metals such as potassium and sodium or alkaline earth metals such as calcium and magnesium.
  • Physiologically acceptable salts may be obtained, using standard procedures known in the art, for example, by reacting a sufficiently basic compound such as an amine with a suitable acid affording a physiologically acceptable anion.
  • the oral care compositions may further include one or more fluoride ion sources, e.g., soluble fluoride salts.
  • fluoride ion sources e.g., soluble fluoride salts.
  • fluoride ion-yielding materials can be employed as sources of soluble fluoride in the present compositions. Examples of suitable fluoride ion-yielding materials are found in U.S. Pat. No. 3,535,421 , to Briner et al.; U.S. Pat. No. 4,885,155, to Parran, Jr. et al. and U.S. Pat. No. 3,678,154, to Widder et al., incorporated herein by reference.
  • Representative fluoride ion sources include, but are not limited to, stannous fluoride, sodium fluoride, potassium fluoride, sodium monoftuorophospbate, sodium fluorosilicate, ammonium fluorosilicate, amine fluoride, ammonium fluoride, and combinations thereof.
  • the fluoride ion source includes stannous fluoride, sodium fluoride, sodium monofluorophosphate as well as mixtures thereof.
  • the fluoride salts are preferably salts wherein the fluoride is covalently bound to another atom, e.g., as in. sodium monofluorophosphate, rather than merely ionically bound, e.g., as in sodium fluoride.
  • the invention may in some embodiments contain anionic surfactants, e.g., the Compositions of Composition 1.0, el seq., for example, water-soluble salts of higher fatty acid monoglyceride monosulfates, such as the sodium salt of the monosu!fated monoglyceride of hydrogenated coconut oil fatty acids such as sodium N ⁇ methyl N ⁇ cocoyl taurate, sodium cocomo-glyceride sulfate; higher alkyl sulfates, such as sodium Iauryl sulfate; higher alkyl-etber sulfates, e.g., of formula
  • alkyl aryl sulfonates such as sodium dodecyl benzene sulfonate (sodium Iauryl benzene sulfonate); higher alkyl sulfoacetates, such as sodium Iauryl sulfoacetate (dodecyl sodium sulfoacetate), higher fatty acid esters of 1,2 dihydroxy propane sulfonate, sulfocolaurate (N-2- ethyl laurate potassium sulfacetamide) and sodium Iauryl sarcosinate.
  • higher alkyl aryl sulfonates such as sodium dodecyl benzene sulfonate (sodium Iauryl benzene sulfonate); higher alkyl sulfoacetates, such as sodium Iauryl sulfoacetate (dodecyl sodium sulfoacetate), higher fatty acid esters of 1,2 dihydroxy propane
  • the anionic surfactant (where present) is selected from sodium Iauryl sulfate and sodium ether Iauryl sulfate.
  • the anionic surfactant is present in an amount which is effective, e.g., > 0.001% by weight of the formulation, but not at a concentration which would be irritating to the oral tissue, e.g., 1 %, and optimal concentrations depend on the particular formulation and the particular surfactant.
  • the anionic surfactant is present at from 0.03% to 5% by weight, e.g., 1.5%.
  • cationic surfactants useful in the present invention can be broadly defined as derivatives of aliphatic quaternary ammonium compounds having one long alkyl chain containing 8 to 18 carbon atoms such as lauryl
  • cetyl pyridinium chloride cetyl trimethylammonium bromide, di- isobutyiphenoxyethyidimethylbenzylammonium chloride, coconut alkyltrimethylammonium nitrite, cetyl pyridinium fluoride, and mixtures thereof.
  • Illustrative cationic surfactants are the quaternary ammonium fluorides described in U.S. Pat. No. 3,535,421 , to Briner et al wind herein incorporated by reference. Certain cationic surfactants can also act as germicides in the compositions.
  • Illustrative nonionic surfactants of Composition 1.0, et seq., that can be used in the compositions of the invention can be broadly defined as compounds produced by the condensation of alkylene oxide groups (hydrophilic in nature) with an organic hydrophobic compound which may be aliphatic or alkylaromatic in nature.
  • nonionic surfactants include, but are not limited to, the Pluronics, polyethylene oxide condensates of alkyl phenols, products derived from the condensation of ethylene oxide with the reaction product of propylene oxide and ethylene diamine, ethylene oxide condensates of aliphatic alcohols, long chain tertiary amine oxides, long chain tertiary phosphine oxides, long chain dialkyl sulfoxides and mixtures of such, materials.
  • the composition of the invention comprises a nonionic surfactant selected from polaxamcrs (e.g., polaxamer 407), polysorbates (e.g., polysorbate 20), polyoxy I hydrogenated castor oils (e.g., polyoxyl 40 hydrogenated castor oil), and mixtures thereof.
  • a nonionic surfactant selected from polaxamcrs (e.g., polaxamer 407), polysorbates (e.g., polysorbate 20), polyoxy I hydrogenated castor oils (e.g., polyoxyl 40 hydrogenated castor oil), and mixtures thereof.
  • the surfactant or mixtures of compa tible surfactants can be present, in the compositions of the present invention in 0.1% to 5%, in another embodiment 0.3% to 3% and in another embodiment 0.5% to 2% by weight of the total composition.
  • the oral care compositions of the invention may also include a flavoring agent.
  • Flavoring agents which are used in the practice of the present invention include, but are not limited to, essential oils and various flavoring aldehydes, esters, alcohols, and similar materials, as well as sweeteners such as sodium saccharin.
  • the essential oils include oils of spearmint, peppermint, wintergreen, sassafras, clove, sage, eucalyptus, marjoram, cinnamon, lemon, lime, grapefruit, and orange. Also useful are such chemicals as menthol, carvone, and anethole. Certain embodiments employ the oils of peppermint and spearmint
  • the flavoring agent is incorporated in the oral composition at a concentration of 0.01 to 1% by weight.
  • the oral care compositions of the invention also may include one or more chelating agents able to complex calcium found in the cell walls of the bacteria. Binding of this calcium weakens the bacterial cell wall and augments bacterial lysis.
  • the pyrophosphate salts used in the present compositions can be any of the alkali metal pyrophosphate salts.
  • salts include tetra alkali metal pyrophosphate, dialkali metal diacid pyrophosphate, trialka!i metal monoacid pyrophosphate and mixtures thereof, wherein the alkali metals are sodium or potassium.
  • the salts are useful in both their hydrated and unhydrated forms.
  • An effective amount of pyrophosphate salt useful in the present composition is generally enough to provide at least 0.5 wt. % pyrophosphate ions, 0.9 - 3 wt. %.
  • the pyrophosphates also contribute to preservation of the compositions by lowering water activity.
  • the oral care compositions of the invention also optionally include one or more polymers, such as polyethylene glycols, polyvinylm ethyl ether maleic acid copolymers, polysaccharides (e.g., cellulose derivatives, for example carboxymethyl cellulose, or polysaccharide gums, for example xanthan gum or carrageenan gum).
  • polysaccharides e.g., cellulose derivatives, for example carboxymethyl cellulose, or polysaccharide gums, for example xanthan gum or carrageenan gum.
  • Acidic polymers for example polyacrylate gels, may be provided in the form of their tree acids or partially or fully neutralized water soluble alkali metal (e.g., potassium and sodium) or ammonium salts.
  • Certain embodiments include 1 :4 to 4: 1 copolymers of maleic anhydride or acid with another polymerizable ethylenically unsaturated monomer, for example, methyl vinyl ether (methoxyethylene) having a molecular weight (MW.) of about 30,000 to about 1,000,000.
  • methyl vinyl ether methoxyethylene
  • MW. molecular weight
  • These copolymers are available for example as Gantrez AN 139(M.W. 500,000), AN 1 19 (M.W. 250,000) and S-97 Pharmaceutical Grade (M.W. 70,000), of GAF Chemicals Corporation.
  • operative polymers include those such as the 1 : 1 copolymers of maleic anhydride with ethyl acrylate, hydroxyethyl methacrylate, N-vinyl-2-pyrollidone, or ethylene, the latter being available for example as Monsanto EMA No. 1 103, M.W. 10,000 and EMA Grade 61, and 1 : 1 copolymers of acrylic acid with methyl or hydroxyethyl methacrylate, methyl or ethyl acrylate, isobutyl vinyl ether or N-vinyl-2- pyrrolidone.
  • Suitable generally are polymerized olefinically or ethylenically unsaturated carboxylic acids containing an activated carbon-to-carbon olefinic double bond and at least one carboxyl group, that is, an acid containing an olefinic double bond which readily functions in polymerization because of its presence in the monomer molecule either in the alpha-beta position with respect to a carboxyl group or as part of a terminal methylene grouping.
  • Such acids are acrylic, methacry!ic, ethacrylic, alpha-chloroacrylic, crotonic, beta-acryloxy propionic, sorbic, alpha- chlorsorbic, cinnamic, beta-styrylacrylic, muconic, itaconic, citraconic, mesaconic, glutaconic, aconitic, alpha-phenylacrylic, 2-benzyI acrylic, 2-cyclohexylacrylic, angelic, umbellic, fumaric, maleic acids and anhydrides.
  • Other different olefinic monomers copolymerizable with such carboxylic monomers include vinylacetate, vinyl chloride, dimethyl maleale and the like. Copolymers contain sufficient carboxylic salt groups for water-solubility.
  • a further class of polymeric agents includes a composition containing homopolymers of substituted acrylamides and/or homopolymers of unsaturated sulfonic acids and salts thereof, in particular where polymers are based on unsaturated sulfonic acids selected from acrylamidoalykane sulfonic acids such as 2-acrylamide 2
  • methylpropane sulfonic acid having a molecular weight of about 1 ,000 to about
  • polymeric agents include polyamino acids, particularly those containing proportions of anionic surface-active amino acids such as aspartic acid, glutamic acid and phosphoserine, as disclosed in U.S. Pat. No. 4,866,161 Sikes et al., incorporated herein by reference.
  • the thickening agents are carboxyvinyl polymers, carrageenan, hydroxyethyl cellulose and water soluble salts of cellulose ethers such as sodium carboxymethyl cellulose and sodium, carboxymethyl hydroxyethyl cellulose.
  • Natural gums such as karaya, gum arabic, and gum tragacanth can also be incorporated.
  • Colloidal magnesium aluminum silicate or finely divided silica can be used as component of the thickening composition to further improve the composition's texture.
  • thickening agents in an amount of about 0.5% to about 5.0% by weight of the total composition are used.
  • Natural calcium carbonate is found in rocks such, as chalk, limestone, marble and travertine. It is also the principle component of egg shells and the shells of mollusks.
  • the natural calcium carbonate abrasive of the invention is typically a finely ground limestone which may optionally be refined or partially refined to remove impurities.
  • the material has an average particle size of less than 10 microns, e.g., 3-7 microns, e.g. about 5.5 microns. Because natural calcium carbonate may contain a high proportion of relatively large particles of not carefully controlled, which may unacceptably increase the abrasivity.
  • the material has strong crystal structure, and is thus much harder and more abrasive than precipitated calcium carbonate.
  • the tap density for the natural calcium carbonate is for example between 1 and 1.5 g/cc, e.g., about 1.2 for example about 1.19 g/cc.
  • An example of a commercially available product suitable for use in the present invention includes Vicron ® 25-11 FG from GMZ.
  • Precipitated calcium carbonate is generally made by calcining limestone, to make calcium oxide (lime), which can then be converted back to calcium carbonate by reaction with carbon dioxide in water.
  • Precipitated calcium carbonate has a different crystal structure from natural calcium carbonate. It is generally more friable and more porous, thus having lower abrasivity and higher water absorption.
  • the particles are small, e.g., having an average particle size of 1 - 5 microns, and e.g., no more than 0.] %, preferably no more than 0.05% by weight of particles which would not pass through a 325 mesh.
  • the particles may for example have a D50 of 3-6 microns, for example 3.8-4.9, e.g., about 4.3; a D50 of 1-4 microns, e.g. 2.2-2.6 microns, e.g., about 2.4 microns, and a D10 of 1-2 microns, e.g., 1.2-1.4, e.g. about 1.3 microns.
  • the particles have relatively high water absorption, e.g., at least 25 g/100g, e.g. 30-70 g/100g. Examples of commercially available products suitable for use in the present invention include, for example, Carbolag® 15 Plus from Lagos Industria Quimica.
  • the invention may comprise additional calcium- containing abrasives, for example calcium phosphate abrasive, e.g., tricalciutn phosphate (Ca 3 (P0 4 ) 2 ), hydroxyapatite (Ca 10 (P0 4 ) 6 (OH) 2 ), or dicalcium phosphate dihydrate
  • calcium phosphate abrasive e.g., tricalciutn phosphate (Ca 3 (P0 4 ) 2 ), hydroxyapatite (Ca 10 (P0 4 ) 6 (OH) 2 ), or dicalcium phosphate dihydrate
  • silica abrasives such as precipitated silicas having a mean particle size of up to about 20 ⁇ m, such as Zeodenl 115, marketed by J. M. Huber, sodium metaphosphate, potassium metaphosphate, aluminum silicate, calcined alumina, bentonite or other siliceous materials, or combinations thereof.
  • the additional abrasives are preferably not present in a type or amount so as to increase the RDA of the dentifrice to levels which could damage sensitive teeth, e.g., greater than 130.
  • compositions of the invention may also optionally include one or more enzymes.
  • Useful enzymes include any of the available proteases,
  • the enzyme is a protease, dextranase, endoglycosidase and mutanase.
  • the enzyme is papain, endoglycosidase or a mixture of dextranase and mutanase. Additional enzymes suitable for use in the present invention are disclosed in U.S. Pat. No. 5,000,939 to Dring et el., U.S. Pat. No.4,992,420; U.S. Pat. No. 4,355,022; U.S. Pat. No.
  • An enzyme of a mixture of several compatible enzymes in the current invention constitutes 0.002% to 2.0% in one embodiment or 0.05% to 1.5% in another embodiment or in yet another embodiment 0.1 % to 0.5%.
  • Water is present in the oral compositions of the invention.
  • Water employed in the preparation of commercial oral compositions should be deionized and free of organic impurities.
  • Water commonly makes up the balance of the compositions and includes 10% to 90%, e.g., 40% to 70% by weight of the oral compositions. This amount of water includes the free water which is added plus that, amount which is introduced with other materials such as with sorbitol or any components of the invention.
  • humectants can also impart desirable sweetness or flavor to the compositions.
  • the humectant, on a pure humectant basis, generally includes 15% to 70% in one embodiment or 30% to 65% in another
  • embodiment by weight of the composition.
  • Suitable humectants include edible polyhydric alcohols such as glycerine, sorbitol, xylitol, propylene glycol as well as other polyols and mixtures of these humectants. Mixtures of glycerine and sorbitol may be used in certain embodiments as the humectant component of the compositions herein.
  • the present invention in its method aspect involves applying to the oral cavity a safe and effective amount of the compositions described herein.
  • the compositions and methods according to the invention are useful to a method to protect the teeth by facilitating repair and remineralization, in particular to reduce or inhibit formation of dentaS caries, reduce or inhibit demineralization and promote remineralization of the teeth, reduce hypersensitivity of the teeth, and reduce, repair or inhibit early enamel lesions, e.g., as detected by quantitative light-induced fluorescence (QLF) or electronic caries monitor (ECM).
  • QLF quantitative light-induced fluorescence
  • ECM electronic caries monitor
  • Quantitative Light-induced Fluorescence is a visible light fluorescence that can detect early lesions and longitudinally monitor the progression or regression. Normal teeth fluoresce in visible light; demineralized teeth do not or do so only to a lesser degree. The area of deminerai.izat.ion can be quantified and its progress monitored. Blue laser light is used to make the teeth auto fluoresce. Areas that have lost mineral have lower fluorescence and appear darker in comparison to a sound tooth surface. Software is used to quantify the fluorescence from a white spot or the area/volume associated with the lesion. Generally, subjects with existing white spot lesions are recruited as panelists. The measurements are performed in vivo with real teeth. The lesion area/volume is measured at the beginning of the clinical. The reduction (improvement) in lesion area/volume is measured at the end of 6 months of product use. The data is often reported as a percent improvement versus baseline.
  • Electrical Caries Monitoring is a technique used to measure mineral content of the tooth based on electrical resistance. Electrical conductance measurement exploits the fact that the fluid-filled tubules exposed upon demineralization and erosion of the enamel conduct electricity. As a tooth loses mineral, it becomes less resistive to electrical current due to increased porosity. An increase in the conductance of the patient's teeth therefore may indicate demineralization.
  • studies are conducted of root surfaces with an existing lesion. The measurements are performed in vivo with real teeth. Changes in electrical resistance before and after 6-month treatments are made.
  • a classical caries score for root surfaces is made using a tactile probe. The hardness is classified on a three-point scale: hard, leathery, or soft.
  • Test methods for the desensitizing properties of the compositions described herein uses the method described in U.S. Pat. No. 5,589,159, the disclosure of which is incorporated by reference herein in its entirety. This method measures the hydraulic conductance of materials, providing an objective reduction in fluid flow that correlates with reduction in fluid flow in dentinal tubules.
  • the apparatus includes a glass capillary tube attached to a flow sensor (FLODEC, DeMarco Engineering SA, Geneva). An air bubble is injected into the glass capillary tube. By measuring the displacement of the bubble as a function of time, fluid flow through the dentin disc can be measured. Fluid flow is equivalent to the dentin permeability.
  • compositions of the Invention are thus useful in a method to reduce early lesions of the enamel (as measured by QLF or ECM) relative to a composition lacking effective amounts of fluorine and/or arginine.
  • compositions of the invention are additionally useful in methods to reduce hannful bacteria in the oral cavity, for example methods to reduce or inhibit gingivitis, reduce levels of acid producing bacteria, to increase relative levels of arginolytic bacteria, inhibit microbial biofilm formation in the oral, cavity, raise and/or maintain plaque pH at levels of at least pH 5.5 following sugar challenge, reduce plaque accumulation, and/or clean the teeth and oral cavity.
  • compositions of the Invention are useful to promote healing of sores or cuts in the mouth.
  • compositions and methods according to the invention can be incorporated into oral compositions for the care of the mouth and teeth such as toothpastes, transparent pastes, gels, mouth rinses, sprays and chewing gum.
  • Enhancing oral health also provides benefits in systemic health, as the oral tissues can be gateways for systemic infections.
  • Good oral health is associated with systemic health, including cardiovascular health.
  • the compositions and methods of the invention provide particular benefits because basic amino acids, especially arginine, are sources of nitrogen which supply NO synthesis pathways and thus enhance
  • Arginine in particular is required for high expression of specific immune cell receptors, for example T-ceil receptors, so that arginine can enhance an effective immune response.
  • the compositions and methods of the invention are thus useful to enhance systemic health, including cardiovascular health.
  • Humectant sorbitol vs. glycerin
  • Sweetener saccharin vs. sucralose/acesulfame potassium
  • Formulations containing sorbitol provide better robustness than glycerin against mold.
  • the addition of benzyl alcohol to the formulation also improves the robustness against mold.
  • the addition of sweetener and the N-silicate does not negatively affect the robustness of the formulation.
  • Table 2 shows a representative formulation according to the invention

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Abstract

This invention relates to oral care compositions comprising a basic amino acid or salt thereof, a zinc source, and a preservative, as well as to methods of using and of making these compositions.

Description

ORAL CARE COMPOSITIONS AND METHODS OF USE
FIELD
[0001] This invention relates to oral care compositions comprising a basic amino acid or salt thereof, a mix lute comprising zinc oxide and zinc citrate, and a. preservative to prevent microbial contamination, as well as to methods of using and of making these compositions.
BACKGROUND
[0002] Oral care compositions present particular challenges in preventing microbial contamination. Arginine and other basic amino acids have been proposed for use in oral care and are believed to have significant benefits in combating cavity formation and tooth sensitivity.
[0003] Commercially available arginine-based toothpaste, such as ProClude® toothpaste or DenClude® toothpaste, for example, contains arginine bicarbonate and precipitated calcium carbonate, but not fluoride. The carbonate ion is believed to have cariostatic properties, and the calcium is believed to form in complex with arginine to provide a protective effect.
[0004] However, the formulation of certain oral care compositions presents special challenges. For example, oral care compositions comprising arginine or basic amino acids may have a basic pH, increasing potential for microbial contamination compared to acidic formulations. Moreover, not all preservatives are active at higher pH. Some preservatives negatively affect the taste or aesthetics of the product While certain preservatives, such as ethanol or parabens, are known to be effective at a range of pHs, these preservatives are not suitable for all products or all markets.
[0005] Zinc is a well-known antimicrobial agent used in toothpaste compositions. At effective concentrations, zinc has been shown to inhibit bacterial glycolysis and the activity of bacterial proteases. Zinc is also a well-known essential mineral for human health, and has been reported to help strengthen dental enamel and to promote cell repair. Unfortunately, conventional toothpaste formulations often require a high concentrations of zinc, e.g., 2% by weight or more, to achieve efficacy. At this concentration, the zinc imparts a notably astringent taste to the composition. There is thus a need for improved antibacterial toothpaste formulations that do not suffer from the drawbacks of conventional compositions.
[0006] Accordingly, there is a need for improved preservative agents for use in oral compositions comprising basic amino acids.
BRIEF SUMMARY
[0007] It has been surprisingly found that the inclusion of a zinc oxide and/or zinc citrate, selected at certain concentrations and amounts, unexpectedly increase the antibacterial effect of oral care compositions comprising an amino acid, e.g., arginine, in the oral cavity of a user. The current formulations offer the advantage of robust microbial protection without significantly interfering with the stability of the oral care composition and by allowing for formulations which use less zinc - which may have undesirable aesthetic qualities (e.g., poor taste). Without being bound by any theory, it is believed that the presence of the amino acid may help to increase the amount of soluble zinc which can then have an unexpected increased effect on inhibiting bacterial growth in the oral cavity of a user.
[0008] The invention contemplates an oral care composition (Composition 1.0)
comprising:
i. an effective amount of a basic amino acid, in tree or salt form (e.g.,
arginine);
ii. an effective amount of a mixture comprising zinc oxide and zinc citrate iii . an effective amount of a preservative, wherein the preservative is selected from the group consisting of:
a. benzyl alcohol;
b. methylisothiazolinone ("MIT");
c. Sodium bicarbonate;
d. sodium methyl cocoyl taurate (tauranol);
e. polyphosphate; and combinations of any of the preservatives a. - e., thereof. For example, the invention contemplates any of the following compositions (unless otherwise indicated, values are given as percentage of the overall weight of the composition):
1.1 Composition 1.0 wherein the basic amino acid is arginine, lysine, serine, citrullene, ornithine, creatine, histidine, diaminobutanoic acid,
diaminoproprionic acid, salts thereof and/or combinations thereof
1.2 Composition 1.0 or 1.1 wherein the basic amino acid has the L- configuration.
1.3 Any of the preceding compositions wherein the basic amino acid is provided in the form of a di- or tri-peptide comprising the basic amino acid, or salts thereof.
1.4 Any of the preceding compositions wherein the basic amino acid is present in an amount corresponding to 1% to 15%, e.g., 3% wt, to 10% wt. of the total composition weight, e.g., about 8% wt. the weight of the basic amino acid being calculated as free base form.
1.5 Any of the preceding compositions wherein the basic amino acid is arginine.
(e.g., 6% -10% wt., e.g., 8%)
1.6 Any of the preceding compositions wherein the basic amino acid is L- arginine.
1.7 Any of the preceding compositions wherein the basic amino acid is partially or wholly in salt form.
1.8 Composition 1.8 wherein the basic amino acid is arginine phosphate.
1.9 Composition 1.8 wherein the basic amino acid is arginine hydrochloride.
1.10 Composition 1.8 wherein the basic amino acid is arginine bicarbonate.
1.11 Any of the preceding compositions wherein the basic amino acid is ionized by neutralization with an acid or a salt of an acid.
1.12 Any of the foregoing compositions wherein the benzyl alcohol is present from 0.6 - 0.9% wt., e.g. about 0.7%.
1.13 Any of the foregoing compositions wherein the polyphosphate is
pyrophosphate, tripoiyphosphaie, or hexametaphosphate, e.g., in salt form, e.g., sodium or potassium salt form, e.g., in an amount of from 0.1 - 3%. 1.14 The composition of 1.25, wherein the polyphosphate is a pyrophosphate, and wherein the pyrophosphate is tetrasodium pyrophosphate
1.15 The composition of 1.26, wherein the tetrasodium pyrophosphate is in an amount of 0.2% - 1.0% (e.g., 0.5% by wt.)
1.16 Any of the preceding compositions, wherein methylisothiazolinone is present in from 0.01% - 0.05% wt. (0.01%, 0.03%, or 0.05%)
1.17 Any of the preceding compositions, wherein sodium bicarbonate is present from 0.5% - 2.0% wt. (e.g., 1.0% wt.)
1.18 Any of the preceding compositions, wherein sodium methyl cocoyl taurate (tauranol) is present from 1.0 % - 2.0 % wt.
1.19 Any of the foregoing compositions wherein the composition is ethanol-free.
1.20 Any of the preceding compositions further comprising a fluoride source (e.g. , a soluble fluoride salt).
1.21 The composition of 1.25, wherein the fluoride source is a soluble fluoride salt selected from: stannous fluoride, sodium fluoride, potassium fluoride, sodium monofluorophosphate, sodium fluorosilicate, ammonium fluorosilicate, amine fluoride (e.g., N,-octadecyltrimethylendiamine-N,N,N'- tris(2-ethanol)- dihydrofluoride), ammonium fluoride, titanium fluoride, hexafluorosulfate. and combinations thereof.
1.22 Any of the preceding compositions wherein the fluoride source is a
fluorophosphate.
1.23 Any of the preceding compositions wherein the fluoride source is sodium monofluorophosphate.
1.24 Any of the preceding compositions wherein the fluoride source is a fluoride salt present in an amount of 0.1 wt. % to 2 wt. % of the total composition weight.
1.25 Any of the preceding compositions wherein the fluoride source is a soluble fluoride salt present in the amount of about 1.1% by weight of the
composition.
1.26 Any of the preceding compositions wherein the fluoride source is a soluble fluoride salt which provides fluoride ion in an amount of from 50 to 25,000 ppm (e.g., 750 -2000ppm, e.g., 1000-t500ppm, e.g., about 1000 ppm, e.g., about 1450ppm)
1.27 Any of the preceding compositions wherein the pH is between 7.5 and 10.5, e.g., 9.0 to 10.0, e.g., 9.4.
1.28 Any of the preceding compositions further comprising calcium carbonate.
1.29 The composition of 1.33, wherein the calcium carbonate is a precipitated calcium carbonate high absorption (e.g., 20% to 30% by weight of the composition) (e.g., 25% precipitated calcium carbonate high absorption).
1.30 The composition of 1.34, further comprising a precipitated calcium carbonate - light (e.g., about 10% precipitated calcium carbonate - light) (e.g., about 10% natural calcium carbonate).
1.31 Any of the preceding compositions further comprising an abrasive or
particulate (e.g., silica).
1.32 Any of the preceding compositions, wherein the nonionic surfactant, is in an amount of from 0.5 -5%, e.g, 1-2%, selected from poloxamers (e.g., poloxamer 407), polysorbates (e.g., polysorbate 20), polyoxyl hydrogenated castor oil (e.g., polyoxyl 40 hydrogenated castor oil ), and mixtures thereof.
1.33 Any of the preceding compositions wherein the sorbi tol is in a total amount of 10- 40% (e.g., about 23%)..
1.34 Any of the preceding compositions, wherein the ratio of the amount of zinc oxide (e.g., wt.%) to zinc citrate (e.g., wt%) is from 1.5:1 to 4.5:1 (e.g., 2:1, 2.5:1 , 3: 1, 3.5:1, or 4:1).
1.35 Any of the preceding compositions, wherein the zinc citrate is in. an amount of from 0.25 to 0.75 wt% (e.g., 0.5%) and zinc oxide may be present in an amount of from 0.75 to 1.25 wt% (e.g., 1.0%) based on the weight of the oral care composition.
1.36 Any of the preceding compositions comprising polymer films.
1.37 Any of (he preceding compositions comprising flavoring, fragrance and/or coloring.
1.38 The composition of 1.50, wherein the flavoring agent is sodium saccharin, sucralose, or a mixture thereof. 1.39 Any of the preceding compositions comprising from 5% - 35%, e.g., 10% - 20%, e.g., 15%, water.
1.40 Any of the preceding compositions comprising an additional antibacterial agent selected from halogenated diphenyl ether (e.g. triclosan), herbal extracts and essential oils (e.g., rosemary extract, tea extract, magnolia extract, thymol, menthol, eucalyptol, geraniol, carvacrol, citral, hinokitol, catechol, methyl salicylate, epigallocatechin gallate, epigallocatechin, gallic acid, irtiswak extract, sea-buckthorn extract), bisguanide antiseptics (e.g., chlorhexidine, alexidine or octenidine), quaternary ammonium compounds (e.g.,
cetylpyridinium chloride (CPC), benzalkonium chloride, tetradecylpyridinium chloride (TPC), N-tetradecyl-4-ethylpyridinium chloride (TDEPC)), phenolic antiseptics, hexetidine, octenidine, sanguinarine, povidone iodine, delmopinol, salifluor, metal ions (e.g., zinc salts, for example, Zinc Chloride, Zinc Lactate, Zinc Sulfate, stannous salts, copper salts, iron salts), sanguinarine, propolis and oxygenating agents (e.g., hydrogen peroxide, buffered sodium
peroxyborate or peroxycarbonate), phthalic acid and its salts, monoperthalic acid and its salts and esters, ascorbyl stearate, oleoyl sarcosine, alky! sulfate, dioctyl sulfosuccinate, salicylani!ide, domiphen bromide, delmopinol, octapinol and other piperidino derivatives, nicin preparations, chlorite salts; and mixtures of any of the foregoing.
1.41 Any of the preceding compositions comprising an antioxidant, e.g., selected from the group consisting of Co-enzyme Q10, PQQ, Vitamin C, Vitamin E, Vitamin A, BHT, anethole-dilhiothione, and mixtures thereof.
1.42 Any of the preceding compositions comprising a whitening agent.
1.43 Any of the preceding compositions comprising a whitening agent selected from a whitening active selected from the group consisting of peroxides, metal chlorites, perborates, percarbonates, peroxyacids, hypochlorites, and combinations thereof.
1.44 Any of the preceding compositions further comprising hydrogen peroxide or a hydrogen peroxide source, e.g., urea peroxide or a peroxide salt or complex (e.g., such as peroxyphosphate, peroxycarbonate, perborate, peroxysilicate, or persulphate salts; for example calcium peroxyphosphate, sodium perborate, sodium carbonate peroxide, sodium, peroxyphosphate, and potassium persulfate), or hydrogen peroxide polymer complexes such as hydrogen peroxide-polyvinyl pyrrolidone polymer complexes.
1.45 Any of the preceding compositions further comprising an agent that interferes with or prevents bacterial attachment, e.g., ELA or chitosan.
1.46 Any of the preceding compositions effective upon application to the oral cavity, e.g., by rinsing, optionally in conjunction with brushing, to (i) reduce or inhibit formation of dental caries, (ii) reduce, repair or inhibit pre-carious lesions of the enamel, e.g., as detected by quantitative light-induced fluorescence (QLF) or electrical caries measurement (ECM), (iii) reduce or inhibit demoralization and promote remineralization of the teeth, (iv) reduce hypersensitivity of the teeth, (v) reduce or inhibit gingivitis, (vi) promote healing of sores or cuts in the mouth, (vii) reduce levels of acid producing bacteria, (viii) to increase relative levels of arginolytic bacteria, (ix) inhibit microbial biofilm formation in the oral cavity, (x) raise and/or maintain plaque pH at levels of at least pH 5.5 following sugar challenge, (xi) reduce plaque accumulation, (xii) treat, relieve or reduce dry mouth., (xiii) clean the teeth and oral cavity (xiv) reduce erosion, (xv) prevents stains and/or whiten teeth, (xvi) immunize the teeth against cariogenic bacteria; and/or (xvii) promote systemic health, including cardiovascular health, e.g., by reducing potential for systemic infection via the oral tissues.
1.47 Any of the preceding oral compositions, wherein the oral composition may be any of the following oral compositions selected from the group consisting of: a toothpaste or a dentifrice, a mouthwash or a mouth rinse, a topical oral gel, and a denture cleanser.
1.48 A composition obtained or obtainable by combining the ingredients as set forth in. any of the preceding compositions.
1.49 Any of Composition 1.0, and 1.1 - 1.53, wherein the composition is a
dentifrice comprising:
a. 3% - 15% by wt. of arginine bicarbonate b. 20% -30% of precipitated calcium carbonate (PCC) (e.g., precipitated calcium carbonate high absorption);
c. 5% - 15% of a natural calcium carbonate (e.g., limestone)
d. 6% - 10% benzyl alcohol by wt. (e.g., about 7% by wt. benzyl alcohol) e. 0.1 % - 1.0% zinc citrate trihydrate
f. 0.5% - 1.5% zinc oxide
g. 0.5% - 3% non-ionic surfactant (e.g., Poloxamer 407 (pluronic) (e.g., about 1.5% by wt.)
h. 20% - 30% of sorbitol (e.g., 23% by wt.)
[0009] A composition obtained or obtainable by combining the ingredients as set forth in any of the preceding compositions.
[00010] In another embodiment, the invention encompasses a method to improve oral health comprising applying an effective amount of the oral composition of any of the embodiments set forth above to the oral cavity of a subject in need thereof, e.g., a method to
i. reduce or inhibit formation of dental caries,
ii. reduce, repair or inhibit early enamel lesions, e.g., as detected by quantitative light- induced fluorescence (QLF) or electrical caries mcasurement(ECM), iii. reduce or inhibit demineralization and promote reminera!ization of the
teeth,
iv. reduce hypersensitivity of the teeth,
v. reduce or inhibit gingivitis,
vi. promote healing of sores or cuts in the mouth,
vii. reduce levels of acid producing bacteria,
viii. to increase relative levels of arginolytic bacteria,
ix . inhibit microbial bio film formation in the oral cavity,
x. raise and/or maintain plaque pH at levels of at least pH 5.5 following
sugar challenge,
xi. reduce plaque accumulation,
xii. treat dry mouth, xiii. enhance systemic health, including cardiovascular health, e.g., by reducing potential for systemic infection via the oral tissues,
xiv. whiten teeth,
xv. reduce erosion of the teeth,
xvi. immunize (or protect) the teeth against cariogenic bacteria and their
effects, and/or
xvii. clean the teeth and oral cavity.
The invention further comprises the use of sodium bicarbonate, sodium methyl cocoyl taurate (tauranol), methylisothiazoiinone (MIT), and benzyl alcohol and combinations thereof in the manufacture of a composition of the invention, e.g., for use in any of the indications set forth in the above method of Composition 1.0, et seq.
DETAILED DESCRIPTION
[00011] As used herein, the term "oral composition" means the total composition that is delivered to the oral surfaces. The composition is further defined as a product which, during the normal course of usage, is not, the purposes of systemic administration of particular therapeutic agents, intentionally swallowed but is rather retained in the oral cavity for a time sufficient to contact substantially all of the dental surfaces and/or oral tissues for the purposes of oral activity. Examples of such compositions include, but are not limited to, toothpaste or a dentifrice, a mouthwash or a mouth rinse, a topical oral gel, a denture cleanser, and the like.
[00012] As used herein, the term "dentifrice" means paste, ge!, or liquid formulations unless otherwise specified. The dentifrice composition can be in any desired form such as deep striped, surface striped, multi-layered, having the gel surrounding the paste, or any combination thereof. Alternatively the oral composition may be dual phase dispensed from a separated compartment dispenser.
Basic Amino Acids
[00013] The basic amino acids which can be used in the compositions and methods of the invention include not only naturally occurring basic amino acids, such as arginine, lysine, and histidine, but also any basic amino acids having a carboxyl group and an amino group in the molecule, which are water-soluble and provide an aqueous solution with a pH of 7 or greater.
[00014] Accordingly, basic amino acids include, but are not limited to, arginine, lysine, serine, citrullene, ornithine, creatine, histidine, diaminobutanoic acid,
diaminoproprionic acid, salts thereof or combinations thereof. In a particular
embodiment, the basic amino acids are selected from arginine, cirrullene, and ornithine.
[00015] In certain embodiments, the basic amino acid is arginine, for example, L- arginine, or a salt thereof.
[00016] The compositions of the invention are intended for topical use in the mouth and so salts for use in the present invention should be safe for such use, in the amounts and concentrations provided. Suitable salts include salts known in the art to be pharmaceutically acceptable salts are generally considered to be physiologically acceptable in the amounts and concentrations provided. Physiologically acceptable salts include those derived from pharmaceutically acceptable inorganic or organic acids or bases, for example acid addition salts formed by acids which form a physiological acceptable anion, e.g., hydrochloride or bromide salt, and base addition salts formed by bases which form a physiologically acceptable cation, for example those derived from alkali metals such as potassium and sodium or alkaline earth metals such as calcium and magnesium. Physiologically acceptable salts may be obtained, using standard procedures known in the art, for example, by reacting a sufficiently basic compound such as an amine with a suitable acid affording a physiologically acceptable anion.
Fluoride Ion Source
[00017] The oral care compositions may further include one or more fluoride ion sources, e.g., soluble fluoride salts. A wide variety of fluoride ion-yielding materials can be employed as sources of soluble fluoride in the present compositions. Examples of suitable fluoride ion-yielding materials are found in U.S. Pat. No. 3,535,421 , to Briner et al.; U.S. Pat. No. 4,885,155, to Parran, Jr. et al. and U.S. Pat. No. 3,678,154, to Widder et al., incorporated herein by reference. Representative fluoride ion sources include, but are not limited to, stannous fluoride, sodium fluoride, potassium fluoride, sodium monoftuorophospbate, sodium fluorosilicate, ammonium fluorosilicate, amine fluoride, ammonium fluoride, and combinations thereof. In certain, embodiments the fluoride ion source includes stannous fluoride, sodium fluoride, sodium monofluorophosphate as well as mixtures thereof. Where the formulation comprises calcium salts, the fluoride salts are preferably salts wherein the fluoride is covalently bound to another atom, e.g., as in. sodium monofluorophosphate, rather than merely ionically bound, e.g., as in sodium fluoride.
$ur%tants
[0020] The invention may in some embodiments contain anionic surfactants, e.g., the Compositions of Composition 1.0, el seq., for example, water-soluble salts of higher fatty acid monoglyceride monosulfates, such as the sodium salt of the monosu!fated monoglyceride of hydrogenated coconut oil fatty acids such as sodium N~ methyl N~ cocoyl taurate, sodium cocomo-glyceride sulfate; higher alkyl sulfates, such as sodium Iauryl sulfate; higher alkyl-etber sulfates, e.g., of formula
CH3(CH2)mCH2(OCH2CH2)nOS03X, wherein m is 6-16, e.g., 10, n is 1-6, e.g., 2, 3 or 4, and X is Na or , for example sodium laureth-2 sulfate
(CH3(CH2)}0CH3(OCH2CH3)2OS03Na); higher alkyl aryl sulfonates such as sodium dodecyl benzene sulfonate (sodium Iauryl benzene sulfonate); higher alkyl sulfoacetates, such as sodium Iauryl sulfoacetate (dodecyl sodium sulfoacetate), higher fatty acid esters of 1,2 dihydroxy propane sulfonate, sulfocolaurate (N-2- ethyl laurate potassium sulfacetamide) and sodium Iauryl sarcosinate. By "higher alkyl" is meant, e.g.,
Figure imgf000012_0001
alkyl. In particular embodiments, the anionic surfactant (where present) is selected from sodium Iauryl sulfate and sodium ether Iauryl sulfate. When present, the anionic surfactant is present in an amount which is effective, e.g., > 0.001% by weight of the formulation, but not at a concentration which would be irritating to the oral tissue, e.g., 1 %, and optimal concentrations depend on the particular formulation and the particular surfactant. In one embodiment, the anionic surfactant is present at from 0.03% to 5% by weight, e.g., 1.5%. [00018] In another embodiment, cationic surfactants useful in the present invention can be broadly defined as derivatives of aliphatic quaternary ammonium compounds having one long alkyl chain containing 8 to 18 carbon atoms such as lauryl
trimethylammonium chloride, cetyl pyridinium chloride, cetyl trimethylammonium bromide, di- isobutyiphenoxyethyidimethylbenzylammonium chloride, coconut alkyltrimethylammonium nitrite, cetyl pyridinium fluoride, and mixtures thereof.
Illustrative cationic surfactants are the quaternary ammonium fluorides described in U.S. Pat. No. 3,535,421 , to Briner et al„ herein incorporated by reference. Certain cationic surfactants can also act as germicides in the compositions.
[00019] Illustrative nonionic surfactants of Composition 1.0, et seq., that can be used in the compositions of the invention can be broadly defined as compounds produced by the condensation of alkylene oxide groups (hydrophilic in nature) with an organic hydrophobic compound which may be aliphatic or alkylaromatic in nature. Examples of suitable nonionic surfactants include, but are not limited to, the Pluronics, polyethylene oxide condensates of alkyl phenols, products derived from the condensation of ethylene oxide with the reaction product of propylene oxide and ethylene diamine, ethylene oxide condensates of aliphatic alcohols, long chain tertiary amine oxides, long chain tertiary phosphine oxides, long chain dialkyl sulfoxides and mixtures of such, materials. In a particular embodiment, the composition of the invention comprises a nonionic surfactant selected from polaxamcrs (e.g., polaxamer 407), polysorbates (e.g., polysorbate 20), polyoxy I hydrogenated castor oils (e.g., polyoxyl 40 hydrogenated castor oil), and mixtures thereof.
[00020] The surfactant or mixtures of compa tible surfactants can be present, in the compositions of the present invention in 0.1% to 5%, in another embodiment 0.3% to 3% and in another embodiment 0.5% to 2% by weight of the total composition.
Flavoring Agents
[00021] The oral care compositions of the invention may also include a flavoring agent. Flavoring agents which are used in the practice of the present invention include, but are not limited to, essential oils and various flavoring aldehydes, esters, alcohols, and similar materials, as well as sweeteners such as sodium saccharin. Examples of the essential oils include oils of spearmint, peppermint, wintergreen, sassafras, clove, sage, eucalyptus, marjoram, cinnamon, lemon, lime, grapefruit, and orange. Also useful are such chemicals as menthol, carvone, and anethole. Certain embodiments employ the oils of peppermint and spearmint
[00022] The flavoring agent is incorporated in the oral composition at a concentration of 0.01 to 1% by weight.
Chelating and anti-calculus agents
[00023] The oral care compositions of the invention also may include one or more chelating agents able to complex calcium found in the cell walls of the bacteria. Binding of this calcium weakens the bacterial cell wall and augments bacterial lysis.
[00024] Another group of agents suitable for use as chelating or anti-calculus agents in the present invention are the soluble pyrophosphates. The pyrophosphate salts used in the present compositions can be any of the alkali metal pyrophosphate salts. In certain embodiments, salts include tetra alkali metal pyrophosphate, dialkali metal diacid pyrophosphate, trialka!i metal monoacid pyrophosphate and mixtures thereof, wherein the alkali metals are sodium or potassium. The salts are useful in both their hydrated and unhydrated forms. An effective amount of pyrophosphate salt useful in the present composition is generally enough to provide at least 0.5 wt. % pyrophosphate ions, 0.9 - 3 wt. %. [0030] The pyrophosphates also contribute to preservation of the compositions by lowering water activity.
[0002S] The oral care compositions of the invention also optionally include one or more polymers, such as polyethylene glycols, polyvinylm ethyl ether maleic acid copolymers, polysaccharides (e.g., cellulose derivatives, for example carboxymethyl cellulose, or polysaccharide gums, for example xanthan gum or carrageenan gum). Acidic polymers, for example polyacrylate gels, may be provided in the form of their tree acids or partially or fully neutralized water soluble alkali metal (e.g., potassium and sodium) or ammonium salts. Certain embodiments include 1 :4 to 4: 1 copolymers of maleic anhydride or acid with another polymerizable ethylenically unsaturated monomer, for example, methyl vinyl ether (methoxyethylene) having a molecular weight (MW.) of about 30,000 to about 1,000,000. These copolymers are available for example as Gantrez AN 139(M.W. 500,000), AN 1 19 (M.W. 250,000) and S-97 Pharmaceutical Grade (M.W. 70,000), of GAF Chemicals Corporation.
[00026] Other operative polymers include those such as the 1 : 1 copolymers of maleic anhydride with ethyl acrylate, hydroxyethyl methacrylate, N-vinyl-2-pyrollidone, or ethylene, the latter being available for example as Monsanto EMA No. 1 103, M.W. 10,000 and EMA Grade 61, and 1 : 1 copolymers of acrylic acid with methyl or hydroxyethyl methacrylate, methyl or ethyl acrylate, isobutyl vinyl ether or N-vinyl-2- pyrrolidone.
[00027] Suitable generally, are polymerized olefinically or ethylenically unsaturated carboxylic acids containing an activated carbon-to-carbon olefinic double bond and at least one carboxyl group, that is, an acid containing an olefinic double bond which readily functions in polymerization because of its presence in the monomer molecule either in the alpha-beta position with respect to a carboxyl group or as part of a terminal methylene grouping. Illustrative of such acids are acrylic, methacry!ic, ethacrylic, alpha-chloroacrylic, crotonic, beta-acryloxy propionic, sorbic, alpha- chlorsorbic, cinnamic, beta-styrylacrylic, muconic, itaconic, citraconic, mesaconic, glutaconic, aconitic, alpha-phenylacrylic, 2-benzyI acrylic, 2-cyclohexylacrylic, angelic, umbellic, fumaric, maleic acids and anhydrides. Other different olefinic monomers copolymerizable with such carboxylic monomers include vinylacetate, vinyl chloride, dimethyl maleale and the like. Copolymers contain sufficient carboxylic salt groups for water-solubility.
[00028] A further class of polymeric agents includes a composition containing homopolymers of substituted acrylamides and/or homopolymers of unsaturated sulfonic acids and salts thereof, in particular where polymers are based on unsaturated sulfonic acids selected from acrylamidoalykane sulfonic acids such as 2-acrylamide 2
methylpropane sulfonic acid having a molecular weight of about 1 ,000 to about
2,000,000, described in U.S. Pat. No. 4,842,847, Jun. 27, 1989 to Zahid, incorporated herein by reference. [00029] Another useful class of polymeric agents includes polyamino acids, particularly those containing proportions of anionic surface-active amino acids such as aspartic acid, glutamic acid and phosphoserine, as disclosed in U.S. Pat. No. 4,866,161 Sikes et al., incorporated herein by reference.
[00030] In preparing oral care compositions, it is sometimes necessary to add some thickening material to provide a desirable consistency or to stabilize or enhance the performance of the formulation. In certain embodiments, the thickening agents are carboxyvinyl polymers, carrageenan, hydroxyethyl cellulose and water soluble salts of cellulose ethers such as sodium carboxymethyl cellulose and sodium, carboxymethyl hydroxyethyl cellulose. Natural gums such as karaya, gum arabic, and gum tragacanth can also be incorporated. Colloidal magnesium aluminum silicate or finely divided silica can be used as component of the thickening composition to further improve the composition's texture. In certain embodiments, thickening agents in an amount of about 0.5% to about 5.0% by weight of the total composition are used.
Abrasives
[00031] Natural calcium carbonate is found in rocks such, as chalk, limestone, marble and travertine. It is also the principle component of egg shells and the shells of mollusks. The natural calcium carbonate abrasive of the invention is typically a finely ground limestone which may optionally be refined or partially refined to remove impurities. For use in the present invention, the material has an average particle size of less than 10 microns, e.g., 3-7 microns, e.g. about 5.5 microns. Because natural calcium carbonate may contain a high proportion of relatively large particles of not carefully controlled, which may unacceptably increase the abrasivity. preferably no more than 0.01%, preferably no more than 0.004% by weight of particles would not pass through a 325 mesh. The material has strong crystal structure, and is thus much harder and more abrasive than precipitated calcium carbonate. The tap density for the natural calcium carbonate is for example between 1 and 1.5 g/cc, e.g., about 1.2 for example about 1.19 g/cc. There are different polymorphs of natural calcium carbonate, e.g., caleite, aragonite and vaterite, caleite being preferred for purposes of this invention. An example of a commercially available product suitable for use in the present invention includes Vicron ® 25-11 FG from GMZ.
[00032] Precipitated calcium carbonate is generally made by calcining limestone, to make calcium oxide (lime), which can then be converted back to calcium carbonate by reaction with carbon dioxide in water. Precipitated calcium carbonate has a different crystal structure from natural calcium carbonate. It is generally more friable and more porous, thus having lower abrasivity and higher water absorption. For use in the present invention, the particles are small, e.g., having an average particle size of 1 - 5 microns, and e.g., no more than 0.] %, preferably no more than 0.05% by weight of particles which would not pass through a 325 mesh. The particles may for example have a D50 of 3-6 microns, for example 3.8-4.9, e.g., about 4.3; a D50 of 1-4 microns, e.g. 2.2-2.6 microns, e.g., about 2.4 microns, and a D10 of 1-2 microns, e.g., 1.2-1.4, e.g. about 1.3 microns. The particles have relatively high water absorption, e.g., at least 25 g/100g, e.g. 30-70 g/100g. Examples of commercially available products suitable for use in the present invention include, for example, Carbolag® 15 Plus from Lagos Industria Quimica.
[00033] In certain embodiments the invention may comprise additional calcium- containing abrasives, for example calcium phosphate abrasive, e.g., tricalciutn phosphate (Ca3(P04)2), hydroxyapatite (Ca10(P04)6(OH)2), or dicalcium phosphate dihydrate
(CaHP04 - 2H20, also sometimes referred to herein as DiCal) or calcium pyrophosphate, and/or silica abrasives such as precipitated silicas having a mean particle size of up to about 20 μm, such as Zeodenl 115, marketed by J. M. Huber, sodium metaphosphate, potassium metaphosphate, aluminum silicate, calcined alumina, bentonite or other siliceous materials, or combinations thereof. However the additional abrasives are preferably not present in a type or amount so as to increase the RDA of the dentifrice to levels which could damage sensitive teeth, e.g., greater than 130.
[00034] The oral care compositions of the invention may also optionally include one or more enzymes. Useful enzymes include any of the available proteases,
glucanohydrolases, endoglycosidases, amylases, mutanases, lipases and mucinases or compatible mixtures thereof In certain embodiments, the enzyme is a protease, dextranase, endoglycosidase and mutanase. In another embodiment, the enzyme is papain, endoglycosidase or a mixture of dextranase and mutanase. Additional enzymes suitable for use in the present invention are disclosed in U.S. Pat. No. 5,000,939 to Dring et el., U.S. Pat. No.4,992,420; U.S. Pat. No. 4,355,022; U.S. Pat. No. 4,154,815; U.S. Pat. No.4,058,595; U.S. Pat. No. 3,991,177; and U.S. Pat. No. 3,696,191 all incorporated herein by reference. An enzyme of a mixture of several compatible enzymes in the current invention constitutes 0.002% to 2.0% in one embodiment or 0.05% to 1.5% in another embodiment or in yet another embodiment 0.1 % to 0.5%.
Water
[00035] Water is present in the oral compositions of the invention. Water, employed in the preparation of commercial oral compositions should be deionized and free of organic impurities. Water commonly makes up the balance of the compositions and includes 10% to 90%, e.g., 40% to 70% by weight of the oral compositions. This amount of water includes the free water which is added plus that, amount which is introduced with other materials such as with sorbitol or any components of the invention.
[00036] Within certain embodiments of the oral compositions, it is also desirable to incorporate a humectant to reduce evaporation and also contribute towards
preservation by lowering water activity. Certain humectants can also impart desirable sweetness or flavor to the compositions. The humectant, on a pure humectant basis, generally includes 15% to 70% in one embodiment or 30% to 65% in another
embodiment by weight of the composition.
[00037] Suitable humectants include edible polyhydric alcohols such as glycerine, sorbitol, xylitol, propylene glycol as well as other polyols and mixtures of these humectants. Mixtures of glycerine and sorbitol may be used in certain embodiments as the humectant component of the compositions herein.
[00038] The present invention in its method aspect involves applying to the oral cavity a safe and effective amount of the compositions described herein. [00039] The compositions and methods according to the invention are useful to a method to protect the teeth by facilitating repair and remineralization, in particular to reduce or inhibit formation of dentaS caries, reduce or inhibit demineralization and promote remineralization of the teeth, reduce hypersensitivity of the teeth, and reduce, repair or inhibit early enamel lesions, e.g., as detected by quantitative light-induced fluorescence (QLF) or electronic caries monitor (ECM).
[00040] Quantitative Light-induced Fluorescence is a visible light fluorescence that can detect early lesions and longitudinally monitor the progression or regression. Normal teeth fluoresce in visible light; demineralized teeth do not or do so only to a lesser degree. The area of deminerai.izat.ion can be quantified and its progress monitored. Blue laser light is used to make the teeth auto fluoresce. Areas that have lost mineral have lower fluorescence and appear darker in comparison to a sound tooth surface. Software is used to quantify the fluorescence from a white spot or the area/volume associated with the lesion. Generally, subjects with existing white spot lesions are recruited as panelists. The measurements are performed in vivo with real teeth. The lesion area/volume is measured at the beginning of the clinical. The reduction (improvement) in lesion area/volume is measured at the end of 6 months of product use. The data is often reported as a percent improvement versus baseline.
[00041] Electrical Caries Monitoring is a technique used to measure mineral content of the tooth based on electrical resistance. Electrical conductance measurement exploits the fact that the fluid-filled tubules exposed upon demineralization and erosion of the enamel conduct electricity. As a tooth loses mineral, it becomes less resistive to electrical current due to increased porosity. An increase in the conductance of the patient's teeth therefore may indicate demineralization. Generally, studies are conducted of root surfaces with an existing lesion. The measurements are performed in vivo with real teeth. Changes in electrical resistance before and after 6-month treatments are made. In addition, a classical caries score for root surfaces is made using a tactile probe. The hardness is classified on a three-point scale: hard, leathery, or soft. In this type of study, typically the results are reported as electrical resistance (higher number is better) for the ECM measurements and an improvement in hardness of the lesion based on the tactile probe score. [00042] Test methods for the desensitizing properties of the compositions described herein, uses the method described in U.S. Pat. No. 5,589,159, the disclosure of which is incorporated by reference herein in its entirety. This method measures the hydraulic conductance of materials, providing an objective reduction in fluid flow that correlates with reduction in fluid flow in dentinal tubules. In this method, intact human molars free from caries and restorations are sectioned perpendicularly to the long axis of the tooth with a metallurgical saw to form thin sections, or discs, from about 0.4 to about 0.8 mm thick. Sections containing dentin and free of enamel were selected for testing and then etched with citric acid solution to remove the smear layer. Each disc was mounted into a split chambered device described in J. Dent. Research, 57: 187 (1978) which is a special leak-proof chamber connected to a pressurized fluid reservoir containing a tissue culture fluid. By using a mixture of pressurized nitrogen and carbon dioxide gas, the fluid can be made at physiological pH. To further ensure accuracy, the discs were wetted with artificial saliva (phosphate buffer saline , PBS) to approximate intra-oral conditions. The apparatus includes a glass capillary tube attached to a flow sensor (FLODEC, DeMarco Engineering SA, Geneva). An air bubble is injected into the glass capillary tube. By measuring the displacement of the bubble as a function of time, fluid flow through the dentin disc can be measured. Fluid flow is equivalent to the dentin permeability.
[00043] The Compositions of the Invention are thus useful in a method to reduce early lesions of the enamel (as measured by QLF or ECM) relative to a composition lacking effective amounts of fluorine and/or arginine.
[00044] The Compositions of the invention are additionally useful in methods to reduce hannful bacteria in the oral cavity, for example methods to reduce or inhibit gingivitis, reduce levels of acid producing bacteria, to increase relative levels of arginolytic bacteria, inhibit microbial biofilm formation in the oral, cavity, raise and/or maintain plaque pH at levels of at least pH 5.5 following sugar challenge, reduce plaque accumulation, and/or clean the teeth and oral cavity.
[00045] Finally, by increasing the pH in the mouth and discouraging pathogenic bacteria, the Compositions of the Invention are useful to promote healing of sores or cuts in the mouth. [00046] The compositions and methods according to the invention can be incorporated into oral compositions for the care of the mouth and teeth such as toothpastes, transparent pastes, gels, mouth rinses, sprays and chewing gum.
[00047] Enhancing oral health also provides benefits in systemic health, as the oral tissues can be gateways for systemic infections. Good oral health is associated with systemic health, including cardiovascular health. The compositions and methods of the invention provide particular benefits because basic amino acids, especially arginine, are sources of nitrogen which supply NO synthesis pathways and thus enhance
microcirculation in the oral tissues. Providing a less acidic oral environment is also helpful in reducing gastric distress and creates an environment less favorable to
Helicobacter, which is associated with gastric ulcers. Arginine in particular is required for high expression of specific immune cell receptors, for example T-ceil receptors, so that arginine can enhance an effective immune response. The compositions and methods of the invention are thus useful to enhance systemic health, including cardiovascular health.
[00048] As used throughout, ranges are used as shorthand for describing each and every value that is within the range. Any value within the range can be selected as the terminus of the range. In addition, all references cited herein are hereby incorporated by reference in their entireties. In the event of a conflict in a definition in the present disclosure and that of a cited reference, the present disclosure controls. It is understood that when formulations are described, they may be described in terms of their ingredients, as is common in the art, notwithstanding that these ingredients may react with one another in the actual formulation as it is made, stored and used, and such products are intended to be covered by the formulations described.
[00049] The following examples further describe and demonstrate illustrative embodiments within the scope of the present invention. The examples are given solely for illustration and are not to be construed as limitations of this invention as many variations are possible without departing from the spirit and scope thereof. Various modifications of the invention in addition to those shown and described herein should be apparent to those skilled in the art and are intended to fall within the appended claims. Example I
[00050] Various formulations containing an anionic surfactant are tested to determine robustness to mold. Factors which are tested include:
Humectant: sorbitol vs. glycerin
Sodium N-silicate: present vs. absent
Benzyl alcohol: present vs. absent
Sweetener: saccharin vs. sucralose/acesulfame potassium
[00051 ] Formulations containing sorbitol provide better robustness than glycerin against mold. The addition of benzyl alcohol to the formulation also improves the robustness against mold. The addition of sweetener and the N-silicate does not negatively affect the robustness of the formulation.
Example 2
[00052] As shown in Table 1 below, various preservative systems containing a non-ionic surfactant are evaluated to determine the efficacy of the addition of: sodium bicarbonate at 1.5%, melhylisolhiazolinone (MIT), an increase in the level of benzyl alcohol to 0.7%, and sodium methyl cocoyl taurate (tauranol)
Table 1
Figure imgf000023_0001
Results:
Figure imgf000023_0002
[00053] The results demonstrate an increase in sodium bicarbonate assists with the reduction of mold. The addition of methylisothiazolinone (MIT) furthers assists with the reduction of mold. Although, tauranoi alone did not help with the reduction of mold, but in conjunction with MIT the product meets an acceptable mold reduction criteria. The results also demonstrate that sodium gluconate at 2% and 1% sodium bicarbonate helps to achieve an acceptable mold reduction, while 2% sodium gluconate and 0.5% sodium bicarbonate does not.
Example 3
Table 2 shows a representative formulation according to the invention
Figure imgf000023_0003
Figure imgf000024_0001
[00054] As used throughout, ranges are used as shorthand for describing each and every value that is within the range. Any value within the range can be selected as the terminus of the range. In addition, all references cited herein are hereby incorporated by referenced in their entireties. In the event of a conflict in a definition in the present disclosure and that of a cited reference, the present disclosure controls.
[00055] Unless otherwise specified, all percentages and amounts expressed, herein and elsewhere in the specification should be understood to refer to percentages by weight. The amounts given are based on the active weight of the material.
[00056] While the present invention has been described with reference to embodiments, it. will be understood by those skilled in the art that various modifications and variations may be made therein without departing from the scope of the present invention as defined by the appended claims. [00057] As used throughout, ranges are used as shorthand for describing each and every value that is within the range. Any value within, the range can be selected as the terminus of the range. In addition, all references cited herein are hereby incorporated by referenced in their entireties. In the event of a conflict in a definition in the present disclosure and that of a cited reference, the present disclosure controls.
[00058] Unless otherwise specified, all percentages and amounts expressed herein and elsewhere in the specification should be understood to refer to percentages by weight. The amounts given are based on the active weight of the material.
[00059] While the present invention has been described with reference to embodiments, it will be understood by those skilled in the art that various modifications and variations may be made therein without departing from the scope of the present invention as defined by the appended claims.

Claims

Claims:
1. An oral care composition comprising:
an effective amount of a basic amino acid, in free or salt form;
an effective amount of a mixture comprising zinc oxide and zinc citrate;
an effective amount of a preservative, wherein the preservative is selected from the group consisting of: a. benzyl alcohol, wherein the benzyl alcohol is in an amount from 0.6% to 0.9% wt.;
b. methylisothiazolinone ("MIT");
c. sodium bicarbonate;
d. sodium methyl cocoyl taurate (tauranol); and
e. polyphosphate; and combinations of any of the preservatives a. - e., thereof;
2. The oral care composition of claim 1 , wherein the basic amino acid is present in an amount corresponding to 1 % to 15% wt. of the total composition weight,
3. The oral care composition of claims 1 or 2, wherein the basic amino acid is arginine.
4. The oral care composition of any of claims 1 -3, wherein the arginine is L-arginine.
5. The oral care composition of any of the preceding claims, wherein the basic amino acid is arginine bicarbonate.
6. The oral care composition of any of the preceding claims, wherein the arginine is present at about 8% wt.
7. The oral care composition of any of the preceding claims, wherein the basic amino acid is ionized by neutralization with an acid or a salt of an acid.
8. The oral care composition of any of the preceding claims, wherein benzyl alcohol is present at about 0.7% wt.
9. The oral care composition of any of the preceding claims, wherein the polyphosphate is tetrasodium pyrophosphate.
10. The oral care composition of any of the preceding claims, wherein
methylisothiazolinone is present in from 0.01% - 0.05% wt.
11. The oral care composition of claim 10, wherein methylisothiazolinone is present at about 0.01%, 0.03%, or 0.05% wt.
12. The oral care composition of any of the preceding claims, wherein sodium
bicarbonate is present from 0.5% - 2.0% wt.
13. The oral care composition of claim 12, wherein sodium bicarbonate is present at about 1.0% wt.
14. The oral care composition of any of the preceding claims, wherein sodium methyl cocoyl taurate (tauranol) is present from 1.0 % - 2.0 % wt.
15. The oral care composition of any of the preceding claims, wherein the ratio of the amount of zinc oxide to zinc citrate is from 1.5:1 to 4.5:1.
16. The oral care composition of any of the preceding claims, wherein the ratio zinc
oxide to zinc citrate is about 1.5:1 , 2:1, 2.5:1, 3:1, 3.5:1, or 4:1.
17. The oral care composition of claim 16, wherein the ratio of zinc oxide to zinc citrate is 2.Ί .
18. The oral care composition of any the preceding claims, wherein zinc oxide is present in an amount of from 0.75 to 1.25% wt. based on the weight of the oral care composition.
19. The oral care composition of claim 18, wherein the zinc oxide is present in an amount about 1.0% wt.
20. The oral composition of any of the preceding claims, wherein the zinc citrate is in an amount of from 0.25 to 0.75% wt.
21. The oral care composition of claim 20, wherein the zinc citrate is present in an
amount of about 0.5% wt.
22. A method to improve oral health comprising applying an effective amount of the oral composition of any of the preceding claims to the oral cavity of a subject in need thereof, e.g., a method to
i . reduce or inhibit formation of dental caries,
ii. reduce, repair or inhibit early enamel lesions, e.g., as detected by
quantitative light- induced fluorescence (QLF) or electrical caries measurement(ECM), iii. reduce or inhibit de mineralization and promote remineralization of the teeth,
iv. reduce hypersensitivity of the teeth,
v. reduce or inhibit gingivitis,
vi. promote healing of sores or cuts in the mouth,
vii. reduce levels of acid producing bacteria,
viii. to increase relative levels of arginolytic bacteria,
ix. inhibit microbial bio film formation in the oral cavity,
x. raise and/or maintain plaque pH at levels of at least pH 5.5 following sugar challenge,
xi. reduce plaque accumulation,
xii. treat dry mouth,
xiii. enhance systemic health, including cardiovascular health, e.g., by reducing potential for systemic infection via the oral tissues,
xiv. whiten teeth,
xv. reduce erosion of the teeth,
xvi. immunize (or protect) the teeth against cariogenic bacteria and their
effects, and/or
xvii. clean the teeth and oral cavity.
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