WO2021244676A1 - Novel composition for enamel remineralization - Google Patents

Novel composition for enamel remineralization Download PDF

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Publication number
WO2021244676A1
WO2021244676A1 PCT/CN2021/109928 CN2021109928W WO2021244676A1 WO 2021244676 A1 WO2021244676 A1 WO 2021244676A1 CN 2021109928 W CN2021109928 W CN 2021109928W WO 2021244676 A1 WO2021244676 A1 WO 2021244676A1
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composition
phosphate
amorphous
calcium
fluoride
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PCT/CN2021/109928
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French (fr)
Chinese (zh)
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王音特
杨骁�
孙亨
周立文
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艾博莱特(苏州)科技有限公司
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Publication of WO2021244676A1 publication Critical patent/WO2021244676A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K6/00Preparations for dentistry
    • A61K6/80Preparations for artificial teeth, for filling teeth or for capping teeth
    • A61K6/884Preparations for artificial teeth, for filling teeth or for capping teeth comprising natural or synthetic resins
    • A61K6/891Compounds obtained otherwise than by reactions only involving carbon-to-carbon unsaturated bonds
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K6/00Preparations for dentistry
    • A61K6/20Protective coatings for natural or artificial teeth, e.g. sealings, dye coatings or varnish
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K6/00Preparations for dentistry
    • A61K6/80Preparations for artificial teeth, for filling teeth or for capping teeth
    • A61K6/831Preparations for artificial teeth, for filling teeth or for capping teeth comprising non-metallic elements or compounds thereof, e.g. carbon
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K6/00Preparations for dentistry
    • A61K6/80Preparations for artificial teeth, for filling teeth or for capping teeth
    • A61K6/831Preparations for artificial teeth, for filling teeth or for capping teeth comprising non-metallic elements or compounds thereof, e.g. carbon
    • A61K6/838Phosphorus compounds, e.g. apatite

Definitions

  • the present invention relates to a composition, which is mainly composed of amorphous calcium phosphate (ACP) and/or amorphous calcium fluoride phosphate (ACFP), ⁇ -tricalcium phosphate ( ⁇ -TCP) and an amphoteric polymer as a remineralizing agent It is composed of a nanocomposite formed by the association or combination of surfactants (APS) and a viscous paste containing hydrophobic anionic polymers. It also includes the combination of the composition and an orthodontic appliance. When a subject wears the appliance, the sustained release and remineralization can also be carried out.
  • ACP amorphous calcium phosphate
  • ACFP amorphous calcium fluoride phosphate
  • ⁇ -TCP ⁇ -tricalcium phosphate
  • amphoteric polymer amphoteric polymer
  • APS surfactants
  • a viscous paste containing hydrophobic anionic polymers a viscous paste containing hydrophobic anionic polymers.
  • the ratio between remineralization and demineralization determines the hardness and strength of the tooth structure.
  • the remineralization of tooth enamel refers to the process of providing calcium and phosphate ions from sources outside the tooth structure to restore the mineral ions in the demineralized tooth enamel.
  • a series of remineralization methods based on calcium phosphate have been developed for clinical application.
  • One technology is bioglass containing calcium sodium phosphate (NOVAMINTM), the second is unstabilized amorphous calcium phosphate (ACP, ENAMELONTM), and the third is stable amorphous calcium phosphate containing casein titanium phosphate ( CPP-ACP; RECALDENTTM).
  • NOVAMINTM bioglass containing calcium sodium phosphate
  • ACP unstabilized amorphous calcium phosphate
  • CPP-ACP casein titanium phosphate
  • RECALDENTTM stable amorphous calcium phosphate containing casein titanium phosphate
  • Amorphous calcium phosphate (ACP) compounds are an ideal source of calcium phosphate ions due to their high solubility.
  • Amorphous calcium phosphate (ACP) is an unstable calcium phosphate system that has been developed and commercialized.
  • U.S. Patent 5,427,768 discloses a calcium phosphate solution that is supersaturated with respect to calcium carbonate solids and carbon dioxide. The solution deposits fluorine-containing or non-fluorine-containing calcium phosphate compounds on tooth defects, such as caries, exposed roots or dentin.
  • amorphous calcium compounds such as amorphous calcium phosphate (ACP), amorphous calcium fluoride phosphate (ACFP), amorphous calcium carbonate phosphate (ACCP) ) Carry out mineralization, fluorination and calcification of the organization.
  • Amorphous calcium phosphate is added to Arm&Hammer's enamel care toothpaste, Discus Dental's Nite White bleaching gel, and Premier Dental's professional enamel polishing paste.
  • the above-mentioned products are stored in a double-pipe system or a low-moisture active carrier.
  • the ACP compound is unstable when it comes into contact with saliva in the oral environment, and will quickly transform into a stable crystalline state, with low solubility, and therefore poor bioavailability.
  • Insoluble calcium phosphate is not easy to be applied. It cannot effectively accumulate on the tooth surface and requires acid dissolution to generate ions that can diffuse to the damage on the lower surface of the tooth enamel.
  • due to the inherent insolubility of calcium phosphate, especially calcium fluoride phosphate soluble calcium and phosphate ions can only be used at very low concentrations.
  • the soluble calcium and phosphate ions basically do not penetrate into the dental plaque, nor do they collect on the surface of the tooth to generate an effective concentration gradient to drive the diffusion of the ions to the lower surface of the tooth enamel.
  • Casein is the main protein group found in milk, accounting for about 80% of the total protein.
  • the casein titanium phosphate (CPP) obtained by trypsin digestion has been proven to stabilize amorphous calcium phosphate (ACP) and amorphous calcium fluoride phosphate (ACFP) by binding calcium ions and phosphate ion clusters on the calcium surface. Prevent calcium and phosphate ion clusters from growing to the critical size of the crystal nucleus shape and then undergo a phase change.
  • Reynolds et al. applied for CPP-stabilized ACP complex (CPP-ACP) and CPP-stabilized ACFP complex (CPP- ACFP) patent.
  • CPP-ACP and CPP-ACFP can promote the remineralization of the subsurface damage of tooth enamel and prevent demineralization, because these compounds provide a high concentration of biologically acceptable source of calcium and phosphate ions, and these ions Can spread into tooth enamel. In addition, they can also bind to the surface of dental calculus to prevent or reduce further growth.
  • Trident Xtra Care sugar-free chewing gum, Recaldent tooth protector (Tooth Mousse and Tooth Mousse Plus, MI Paste and MI Paste Plus) all add these compounds.
  • casein can cause milk protein allergy, the use of CPP-ACP/CPP-ACFP is still limited.
  • a new type of remineralization material based on tricalcium phosphate gives a special form of phosphate, which can significantly increase the bioavailability of calcium and phosphate ions in the local oral environment, thereby enhancing Remineralization effect.
  • TCP is a synthetic inorganic biological material with good biocompatibility and biological activity, and has the property of promoting the remineralization of tooth enamel. It is also often used to repair damaged bone tissue.
  • TCP usually exists in two forms, namely ⁇ -TCP and ⁇ -TCP, in which ⁇ -TCP has low solubility, and ⁇ -TCP is often regarded as typical in the oral cavity due to its excellent osteoconductivity and bioabsorbability. Bone substitutes are used in various bone regeneration techniques and have achieved good results.
  • ⁇ -TCP has not been reported in the existing clinical treatment in the field of preventing dental tissue demineralization.
  • ⁇ -TCP is a calcium phosphate system that exhibits crystal-modified structural defects in structure, which can promote the combination with other substances. Therefore, although TCP can effectively increase the calcium content in the surface of demineralized enamel and saliva, when fluoride ions are present in the oral environment, early reactions between calcium ions and fluoride ions in calcium phosphate are prone to occur, which will lead to bioavailable fluoride ions. Loss. In order to solve the problem of incompatibility between calcium phosphate and fluoride ions, TCP must be processed and activated to form functionalized ⁇ -tricalcium phosphate (fTCP).
  • fTCP functionalized ⁇ -tricalcium phosphate
  • fTCP is a material obtained by coupling ⁇ -TCP with organic and/or inorganic moieties (such as surfactants such as carboxylic acid and fumaric acid).
  • organic and/or inorganic moieties such as surfactants such as carboxylic acid and fumaric acid.
  • fTCP helps to increase the number of P-O bonds and P-F bonds, and improve the remineralization ability of fluoride.
  • fTCP can also deliver calcium and phosphate to the enamel, thereby increasing the deposition of organic matter on the enamel surface and promoting remineralization. Due to the addition of TCP, the remineralization effect of fluoride is not limited, and the demineralization prevention effect is synergistically enhanced.
  • the purpose of the present invention is to provide a novel composition for remineralizing tooth enamel.
  • the composition is a viscous paste, and its composition mainly includes a nanocomposite containing amorphous phosphate and amphoteric polymer surfactants And ⁇ -tricalcium phosphate; wherein the amorphous phosphate is selected from amorphous calcium phosphate, amorphous calcium fluoride phosphate or a combination thereof.
  • the viscous paste contains a hydrophobic anionic polymer.
  • the viscous paste is used to combine the calcium ions in the nanocomposite with the calcium in the tooth enamel, so as to achieve the sustained release of ACP and/or ACFP and ⁇ -TCP within a limited period of time.
  • the composition contains a hydrophobic anionic polymer in a weight ratio of 0.2-2%.
  • the water content of the composition is less than 15% (weight ratio), and it is most preferable that the water content is less than 5% (weight ratio).
  • the composition contains a desensitizer selected from potassium nitrate, sodium citrate, calcium nitrate, potassium hydroxide, magnesium hydroxide, sodium chloride, calcium phosphate, silver nitrate , Sodium citrate or a combination thereof.
  • a desensitizer selected from potassium nitrate, sodium citrate, calcium nitrate, potassium hydroxide, magnesium hydroxide, sodium chloride, calcium phosphate, silver nitrate , Sodium citrate or a combination thereof.
  • the composition contains an evaporable temporary solvent.
  • the temporary solvent is preferably ethanol or propanol.
  • the temporary solvent is used to dissolve the hydrophobic anionic polymer, and the polymer is preferably polylactic acid.
  • the composition contains a thickener selected from carrageenan, carboxyvinyl polymer, hydroxyethyl cellulose, clay, karaya gum, xanthan gum, gum arabic , Tragacanth gum, colloidal magnesium aluminum silicate, silicon dioxide or a combination thereof.
  • a thickener selected from carrageenan, carboxyvinyl polymer, hydroxyethyl cellulose, clay, karaya gum, xanthan gum, gum arabic , Tragacanth gum, colloidal magnesium aluminum silicate, silicon dioxide or a combination thereof.
  • the composition contains a liquid dispersant selected from glycerin, propylene glycol, polyethylene glycol or a combination thereof.
  • the polyethylene glycol can be PEG200, PEG400, PEG600.
  • the composition contains a fluoride selected from sodium fluoride, stannous fluoride or a combination thereof.
  • the composition contains a chelating copolymer to stabilize the fluoride, and the fluoride is selected from alkyl vinyl ether, maleic anhydride or a combination thereof.
  • a method of applying a composition that remineralizes tooth enamel to an orthodontic appliance during orthodontics including:
  • the composition is a viscous paste, and its ingredients mainly include a nanocomposite, which contains an amorphous phosphate, an amphoteric polymer surfactant and ⁇ -tricalcium phosphate; wherein the amorphous The phosphate is selected from amorphous calcium phosphate, amorphous calcium fluoride phosphate, or a combination thereof.
  • the orthodontic appliance is a device for treating malocclusion.
  • the composition is applied to the surface of the tooth from the orthodontic appliance during orthodontic treatment.
  • the time that the composition stays on the tooth surface is limited, so during the orthodontic treatment, the orthodontic appliance is used to maintain its continuous remineralization.
  • the composition further includes a viscous paste.
  • the viscous paste contains a hydrophobic anionic polymer.
  • the present invention relates to a composition, which is mainly composed of amorphous calcium phosphate (ACP) and/or amorphous calcium fluoride phosphate (ACFP), ⁇ -tricalcium phosphate ( ⁇ -TCP) and an amphoteric polymer as a remineralizing agent
  • ACP amorphous calcium phosphate
  • ACFP amorphous calcium fluoride phosphate
  • ⁇ -TCP ⁇ -tricalcium phosphate
  • amphoteric polymer amphoteric polymer
  • the invention can be applied to oral care for remineralization of tooth enamel.
  • a composition for remineralizing tooth enamel is disclosed, wherein the composition is a viscous paste containing a nanocomposite, the nanocomposite containing an amorphous phosphate, an amphoteric polymer Surfactant and ⁇ -tricalcium phosphate, wherein the amorphous phosphate is selected from amorphous calcium phosphate (ACP), amorphous calcium fluoride phosphate (ACFP) or a combination thereof.
  • ACP amorphous calcium phosphate
  • ACFP amorphous calcium fluoride phosphate
  • the composition further comprises a viscous paste.
  • the viscous paste contains a hydrophobic anionic polymer.
  • the hydrophobic anionic polymer contains polylactic acid (PLA).
  • PVA polylactic acid
  • the ⁇ -TCP is coupled with an amphoteric polymer surfactant to obtain functionalized ⁇ -tricalcium phosphate (fTCP).
  • the hydrophobic anionic polymer is preferably polylactic acid (PLA).
  • PLA polylactic acid
  • High-molecular-weight PLA can be degraded in the human body.
  • the body erosion mechanism is considered to be the main way of degradation of PLA and PLGA, and the hydrolysis of the ester bond on the polymer chain is the root cause.
  • Studies have also shown that the terminal carboxyl groups (introduced and degraded by polymerization) in PLA polymers catalyze their hydrolysis. As the degradation progresses, the amount of terminal carboxyl groups increases and the degradation speeds up, which is the so-called autocatalysis phenomenon.
  • the final degradation products of PLA are lactic acid that can be metabolized by living cells.
  • the viscous paste combines the calcium in the tooth enamel with the calcium ions in the nanocomposite, thereby achieving sustained release of ACP and/or ACFP and ⁇ -TCP within a limited period of time.
  • the hydrophobic anionic polymer accounts for 0.2% to 2% of the total weight of the composition.
  • the water content of the composition is less than 15% (weight ratio), and it is most preferred that the water content is less than 5% (weight ratio).
  • the composition contains a desensitizer selected from potassium nitrate, sodium citrate, calcium nitrate, potassium hydroxide, magnesium hydroxide, sodium chloride, calcium phosphate, silver nitrate or a combination thereof.
  • the composition contains selected from carrageenan, carboxyvinyl polymer, hydroxyethyl cellulose (HEC), (natural and synthetic) clay, karaya, xanthan gum, acacia, tragacanth, Thickener for colloidal magnesium aluminum silicate, (finely divided) silicon dioxide, or a combination thereof.
  • the composition contains a liquid dispersant selected from glycerin, propylene glycol, polyethylene glycol (PEG200, PEG400, PEG600) or a combination thereof.
  • a method for applying a composition that remineralizes enamel to an orthodontic appliance during orthodontics includes: applying a layer to the tooth surface before wearing the orthodontic appliance. Enamel remineralization composition; or directly add the composition to the orthodontic appliance before wearing the appliance; after the treatment, remove the orthodontic appliance and wash away the residual teeth in the orthodontic appliance with water. Remineralization ⁇ Composition.
  • the remineralizing composition is applied to the surface of the teeth in the orthodontic appliance.
  • the time that the remineralizing composition stays on the tooth surface is limited, so it is passed through an orthodontic appliance during orthodontic treatment to maintain its continuous remineralization.
  • the application method is performed every time the orthodontic appliance is put on or taken off.
  • the composition also includes a viscous paste.
  • the viscous paste comprises a hydrophobic anionic polymer.
  • the molecular weight of amphoteric polymer surfactants is between 500 and 500,000 kDa.
  • the present invention provides a composition, including a nanocomposite, the nanocomposite is mainly composed of an amorphous phosphate selected from the group consisting of amorphous calcium phosphate (ACP), amorphous calcium fluoride phosphate (ACFP) or a combination of both, It is composed of ⁇ -tricalcium phosphate ( ⁇ -TCP) and amphoteric polymer surfactant. Due to the use of amphoteric polymer surfactants as nanocarriers for ACP and TCP, the composition does not have potential milk protein allergies.
  • ACP amorphous calcium phosphate
  • ACFP amorphous calcium fluoride phosphate
  • ⁇ -TCP ⁇ -tricalcium phosphate
  • amphoteric polymer surfactants Due to the use of amphoteric polymer surfactants as nanocarriers for ACP and TCP, the composition does not have potential milk protein allergies.
  • the amphoteric polymer surfactant forms a nano-component of a micelle structure composed of a hydrophobic core, which is surrounded by a hydrophilic macromolecular shell.
  • APS micelles act as a nano-dispersant that prevents the aggregation of ACP and/or ACFP and TCP and a nano-carrier that promotes the combination or association of polymers with ACP and/or ACFP and TCP. Therefore, they can stabilize ACP and/or ACFP and TCP. It is not transformed into a crystalline form.
  • nucleic acid when referring to “nucleic acid”, it includes one or more nucleic acids, and/or the type of composition described herein, which is useful to those skilled in the art reading this disclosure or the like Obvious.
  • compositions may "comprise”, “include” or “essentially consist of a specific component of a set of components”, and the skilled artisan will understand that the latter means specific materials within the scope of the claims. And steps, these will not substantially affect the basic and novel features of the invention.
  • the viscous paste may contain negatively charged polymers (hydrophobic anionic polymers), abrasive silica, nano-sized silica, or a combination thereof.
  • Nano-scale silica is preferred, and the size of the nanoparticles reaches 194nm, which can enter and fill the dentin tubules (2-4 microns).
  • composition of the present invention is mainly composed of amorphous phosphate, ⁇ -tricalcium phosphate ( ⁇ -TCP) and amphoteric polymer surfactants associating or complexing with amorphous calcium phosphate, amorphous calcium fluoride phosphate or a combination thereof It is composed of nanocomposite and viscous paste.
  • ⁇ -TCP ⁇ -tricalcium phosphate
  • amphoteric polymer surfactants associating or complexing with amphoteric polymer surfactants, ACP and/or ACFP can maintain stability to prevent conversion into crystalline apatite.
  • TCP's calcium ion and phosphate ion and fluoride ion can also coexist in a water-soluble environment , And then the bioadhesive can be combined with ACP and/or ACFP, ⁇ -TCP on the tooth surface, so the enamel remineralization of ACP and/or ACFP, ⁇ -TCP is enhanced.
  • Amphoteric polymer refers to molecules that can both attract and repel water. Amphoteric polymer surfactants contain two parts, hydrophilic and hydrophobic. Since amphoteric polymers can reduce surface tension, they are generally used as surfactants. “Amphoteric polymer” and “amphoteric polymer surfactant” can be used interchangeably in the present invention.
  • the association or combination of ACP and/or ACFP and ⁇ -TCP with amphoteric polymers as nanocarriers can further stabilize ACP and/or ACFP to prevent conversion to crystalline apatite.
  • the calcium ions and phosphate ions of TCP are combined with Fluoride ions can also coexist in a water-soluble environment, so the remineralization of tooth enamel is enhanced.
  • the ideal requirement for dispersants is to have the ability to stabilize ACP and/or ACFP and prevent them from agglomerating into large particles and transforming into a crystalline form.
  • the viscous paste can be used as a connecting agent or adhesive to attach nano-level ACP or ACFP and ⁇ -TCP to the surface of the tooth, and combine nano-level ACP-APS or ACFP-APS and ⁇ -TCP-APS composite
  • the calcium ions in the enamel chemically bond with the calcium in the tooth enamel, so that ACP and/or ACFP and ⁇ -TCP can be released from the composition continuously over time, including those that may be combined with, for example, orthodontic appliances.
  • the above-mentioned continuous release and remineralization can also be carried out.
  • compositions such as, but not limited to, toothbrushes, tongue scrapers, dental floss, toothpicks, mouth guards, and orthodontic devices, such as brackets and retainers.
  • orthodontic devices such as brackets and retainers.
  • the appliances used in the oral cavity are not limited to cleaning and orthodontic devices.
  • Other devices include objects designed to be used in the oral cavity, such as pacifiers and chew toys for toddlers and babies, such as rubber rings.
  • Such a device can be combined with the composition of the present invention.
  • the composition on the surface of the device will be released into the oral cavity.
  • Adding the composition directly to the device can also be done through porous materials.
  • the device can be made of porous material or coated with it. Generally, this material contains pores into which the composition can be accommodated. When the device is used, for example in the oral cavity, the composition is released. If the pores release the composition contained therein, the porous material can be exposed to the composition to fill the pores to treat the porous material. Thus, the composition can be released through the pores, or can enter the pores.
  • amphoteric polymers meet the above requirements. Moreover, amphoteric polymer surfactants (APS) can prevent ACP and/or ACFP from agglomerating into large particles, stabilize ACP and/or ACFP, prevent conversion to a stable crystalline form, and can enhance ACP and/or ACFP molecules and amphoteric high The binding or association of molecular surfactants.
  • APS amphoteric polymer surfactants
  • amphoteric polymer surfactants enable TCP’s calcium ions, phosphate ions, and fluoride ions to coexist in a water-soluble environment, which prevents the early interaction between these ions and fluoride.
  • TCP component reaches the tooth surface, the tooth The organic material with affinity on the surface forms a barrier.
  • This surfactant brings calcium ions to the tooth surface and binds to fluoride ions, thereby increasing the fluoride and calcium on the surface of the disease. The bioavailability of it, then spread to the lesion to promote remineralization.
  • Non-ionic polymer surfactants include (but are not limited to) diblock polyethylene oxide and polypropylene oxide (PEO-PPO) copolymers (PPO is the hydrophobic block and PEO is the hydrophilic block); diblock polycyclic Ethylene oxide and polybutylene oxide copolymer (PEO-PBO) (using PBO as the hydrophobic block and PEO as the hydrophilic block); triblock PEO-PPO-PEO copolymer; triblock PEO-PBO- PEO copolymer and so on.
  • PPO-PPO diblock polyethylene oxide and polypropylene oxide copolymers
  • PPO-PBO diblock polycyclic Ethylene oxide and polybutylene oxide copolymer
  • triblock PEO-PPO-PEO copolymer triblock PEO-PBO- PEO copolymer and so on.
  • the ionic surfactant is selected from (but not limited to) polyalkylene acrylic acid, polyalkylene maleic anhydride, polyalkylene polyacrylic acid, polyalkylene maleic acid, polyalkylene sulfonic acid maleic acid , And polystyrene acrylic acid, polystyrene maleic anhydride, polystyrene polyacrylic acid, polystyrene maleic acid, polystyrene sulfonic acid maleic acid.
  • the ionic surfactant can also be a polycationic polymer, such as polyalkylene polyamine, polystyrene polyamine, copolymer composed of cationic polyamine, chitosan and its derivatives.
  • the molecular weight of APS is between 500 and 500,000 kDa.
  • the disclosed composition includes a viscous paste, more specifically, a viscous paste including a hydrophobic anionic polymer.
  • the hydrophobic anionic polymer may be polylactic acid (PLA).
  • At least one optional desensitizer is contained, including potassium citrate, potassium chloride, potassium tartrate, potassium bicarbonate, potassium oxalate, potassium nitrate, strontium salt or mixtures thereof.
  • the water content in the paste is less than 2%.
  • the viscosity was measured with a Brookfield rheometer. The viscosity is between 5000 centipoise and 20000 centipoise (cps).
  • composition or formulation is only an example of the type of formulation.
  • scope of the invention disclosed and defined is all alternative combinations of two or more individual features mentioned or obvious in the text. All combinations constitute various optional points of the present invention.

Abstract

A novel composition for enamel remineralization. The composition is viscous paste. Components of the composition mainly comprise a nanometer compound, and the nanometer compound contains amorphous phosphate, an amphoteric high-molecular surfactant and β-tricalcium phosphate, wherein the amorphous phosphate is selected from amorphous calcium phosphate, amorphous fluorinated calcium phosphate or combinations thereof. The viscous paste as a linking agent or a binder can enable nanoscale ACP-APS or/and ACFP-APS and β-TCP to be adhered onto the surfaces of teeth, and then calcium in the dental enamel can be chemically bonded with the nanoscale ACP-APS or/and ACFP-APS and β-TCP compounds, so as to allow more remineralization components to be released in the oral cavity in a controlled manner. Also disclosed in the present invention is a use method of the composition.

Description

使牙釉质再矿化的新型组合物Novel composition for remineralizing tooth enamel 技术领域Technical field
本发明涉及一种组合物,主要由无定形磷酸钙(ACP)和/或无定形氟化磷酸钙(ACFP)、β-磷酸三钙(β-TCP)与作为再矿化剂的两性高分子表面活性剂(APS)缔合或结合而形成的纳米复合物和一种包含疏水阴离子聚合物的粘性膏体组成。还包括所述组合物和一个正畸矫治器结合在一起的情况,当一个主体佩戴所述矫治器时,这种持续释放和再矿化也是可以进行的。The present invention relates to a composition, which is mainly composed of amorphous calcium phosphate (ACP) and/or amorphous calcium fluoride phosphate (ACFP), β-tricalcium phosphate (β-TCP) and an amphoteric polymer as a remineralizing agent It is composed of a nanocomposite formed by the association or combination of surfactants (APS) and a viscous paste containing hydrophobic anionic polymers. It also includes the combination of the composition and an orthodontic appliance. When a subject wears the appliance, the sustained release and remineralization can also be carried out.
背景技术Background technique
牙体硬组织过度脱矿会导致龋病损坏的发生,促进脱矿牙釉质的再矿化,是防治早期龋病的重要方法之一。在牙釉质表面,钙离子和磷酸根离子处于动态平衡状态:牙釉质局部微环境的pH值下降时,硬组织中羟基磷灰石(HA)晶体溶解破坏;当钙离子和磷酸根离子浓度较高时,矿物质将重新沉淀结晶再矿化,形成HA晶体。Excessive demineralization of tooth hard tissues can lead to caries damage and promote the remineralization of demineralized tooth enamel, which is one of the important methods to prevent and treat early caries. On the surface of tooth enamel, calcium ions and phosphate ions are in a state of dynamic equilibrium: when the pH value of the local microenvironment of tooth enamel drops, the hydroxyapatite (HA) crystals in hard tissues are dissolved and destroyed; when the concentration of calcium ions and phosphate ions is higher At high levels, minerals will re-precipitate, crystallize and remineralize, forming HA crystals.
再矿化和脱矿之间的比率决定了牙齿结构的硬度和强度。当脱矿率超过再矿化率时,通常经过数月或数年的时间就会出现龋白斑和空洞。牙釉质的再矿化指的是从牙齿结构外部的来源提供钙和磷酸根离子,以恢复脱矿牙釉质中的矿物离子的过程。现在已开发出一系列的基于磷酸钙的再矿化方法以应用于临床。一种技术是含有磷酸钙钠的生物玻璃(NOVAMINTM),第二种是未稳定化的无定形磷酸钙(ACP,ENAMELONTM),第三种是含有酪蛋白磷酸钛的稳定的无定形磷酸钙(CPP-ACP;RECALDENTTM)。The ratio between remineralization and demineralization determines the hardness and strength of the tooth structure. When the demineralization rate exceeds the remineralization rate, caries white spots and cavities usually appear after months or years. The remineralization of tooth enamel refers to the process of providing calcium and phosphate ions from sources outside the tooth structure to restore the mineral ions in the demineralized tooth enamel. A series of remineralization methods based on calcium phosphate have been developed for clinical application. One technology is bioglass containing calcium sodium phosphate (NOVAMINTM), the second is unstabilized amorphous calcium phosphate (ACP, ENAMELONTM), and the third is stable amorphous calcium phosphate containing casein titanium phosphate ( CPP-ACP; RECALDENTTM).
无定形磷酸钙(ACP)化合物由于其高溶解度,是磷酸钙离子的一种理想来源。无定形磷酸钙(ACP)是一种非稳定的磷酸钙体系,已被开发和商业化。美国专利5427768(此处作为整体引用)公开了相对于碳酸钙固体和二氧化碳过饱和的磷酸钙溶液。所述溶液在牙齿缺陷处,例如龋齿处、暴露的牙根或者牙本质的上面和里面沉积含氟或者不含氟的磷酸钙化合物。美国专利5037639和5268167(其各自作为一个整体在本文中引用)公开了使用无定形钙化合物,例如无定形磷酸钙(ACP)、无定形氟化磷酸钙(ACFP)、无定形碳酸磷酸钙(ACCP)进行矿化、氟化和钙化组织。Arm&Hammer的牙釉质护理牙膏,Discus Dental的Nite White漂白凝胶,以及Premier Dental的牙釉质专业抛光膏中都加入了无定形磷酸钙。为了防止在使用前钙离子和磷酸根相互反应,上述产品通过双管体系或者低水分活性载体保存。Amorphous calcium phosphate (ACP) compounds are an ideal source of calcium phosphate ions due to their high solubility. Amorphous calcium phosphate (ACP) is an unstable calcium phosphate system that has been developed and commercialized. U.S. Patent 5,427,768 (cited here as a whole) discloses a calcium phosphate solution that is supersaturated with respect to calcium carbonate solids and carbon dioxide. The solution deposits fluorine-containing or non-fluorine-containing calcium phosphate compounds on tooth defects, such as caries, exposed roots or dentin. U.S. Patent Nos. 5,037,639 and 5,268,167 (each of which are cited herein as a whole) discloses the use of amorphous calcium compounds, such as amorphous calcium phosphate (ACP), amorphous calcium fluoride phosphate (ACFP), amorphous calcium carbonate phosphate (ACCP) ) Carry out mineralization, fluorination and calcification of the organization. Amorphous calcium phosphate is added to Arm&Hammer's enamel care toothpaste, Discus Dental's Nite White bleaching gel, and Premier Dental's professional enamel polishing paste. In order to prevent the calcium ion and phosphate from reacting with each other before use, the above-mentioned products are stored in a double-pipe system or a low-moisture active carrier.
然而,ACP化合物在口腔环境中与唾液接触时是不稳定的,会迅速转化成稳定的结晶态,其溶解度低,因此生物利用度差。不溶的磷酸钙不易被应用,它不能有效地聚集在牙齿表面,需要酸溶解才能产生能够扩散到牙釉质下表面损伤处的离子。另一方面,由于 磷酸钙固有的不溶性,尤其是氟化磷酸钙,可溶的钙和磷酸根离子只能在很低的浓度下使用。可溶的钙和磷酸根离子基本上不会渗入到牙菌斑里,也不会聚集在牙齿表面以产生有效的浓度梯度来驱动离子扩散到牙釉质的下表面。钙和磷酸根离子的再矿化临床使用在过去并不成功,ACP/ACFP的再矿化功效仍然存在疑问,因为ACP/ACFP在唾液中转化为难溶的相,而且这还有可能导致牙结石。近年来已经开发出几种方法来增强ACP/ACFP在牙釉质中的再矿化。However, the ACP compound is unstable when it comes into contact with saliva in the oral environment, and will quickly transform into a stable crystalline state, with low solubility, and therefore poor bioavailability. Insoluble calcium phosphate is not easy to be applied. It cannot effectively accumulate on the tooth surface and requires acid dissolution to generate ions that can diffuse to the damage on the lower surface of the tooth enamel. On the other hand, due to the inherent insolubility of calcium phosphate, especially calcium fluoride phosphate, soluble calcium and phosphate ions can only be used at very low concentrations. The soluble calcium and phosphate ions basically do not penetrate into the dental plaque, nor do they collect on the surface of the tooth to generate an effective concentration gradient to drive the diffusion of the ions to the lower surface of the tooth enamel. The clinical use of remineralization of calcium and phosphate ions has not been successful in the past. The remineralization effect of ACP/ACFP is still questionable, because ACP/ACFP is transformed into an insoluble phase in saliva, and this may also cause dental calculus . In recent years, several methods have been developed to enhance the remineralization of ACP/ACFP in tooth enamel.
酪蛋白是在牛奶中发现的主要蛋白质组,约占总蛋白的80%。通过胰蛋白酶消化获得的酪蛋白磷酸钛(CPP),已经证实可以通过结合钙表面的钙离子和磷酸根离子簇来稳定无定形磷酸钙(ACP)和无定形氟化磷酸钙(ACFP),从而阻止钙和磷酸根离子簇增长到晶核形态的临界尺寸继而发生相变。Reynolds等人在美国专利6780844,7312193,8609071(其各自作为一个整体在本文中引用)等中均申请了CPP稳定化的ACP复合物(CPP-ACP)和CPP稳定化的ACFP复合物(CPP-ACFP)的专利。许多科学证据表明CPP-ACP和CPP-ACFP可以促进牙釉质下表面损伤的再矿化并防止脱矿,因为这些复合物提供了一个高浓度的生物可接受的钙和磷酸离子源,且这些离子能够扩散到牙釉质中。此外,它们也可以结合在牙结石的表面,阻止或减少进一步的增生。市售的Trident Xtra Care无糖口香糖,Recaldent护牙素(Tooth Mousse and Tooth Mousse Plus,MI Paste and MI Paste Plus)都添加了这些复合物。然而,由于酪蛋白可引起牛奶蛋白过敏,CPP-ACP/CPP-ACFP的使用还是有一定限制。Casein is the main protein group found in milk, accounting for about 80% of the total protein. The casein titanium phosphate (CPP) obtained by trypsin digestion has been proven to stabilize amorphous calcium phosphate (ACP) and amorphous calcium fluoride phosphate (ACFP) by binding calcium ions and phosphate ion clusters on the calcium surface. Prevent calcium and phosphate ion clusters from growing to the critical size of the crystal nucleus shape and then undergo a phase change. Reynolds et al. applied for CPP-stabilized ACP complex (CPP-ACP) and CPP-stabilized ACFP complex (CPP- ACFP) patent. A lot of scientific evidence shows that CPP-ACP and CPP-ACFP can promote the remineralization of the subsurface damage of tooth enamel and prevent demineralization, because these compounds provide a high concentration of biologically acceptable source of calcium and phosphate ions, and these ions Can spread into tooth enamel. In addition, they can also bind to the surface of dental calculus to prevent or reduce further growth. Commercially available Trident Xtra Care sugar-free chewing gum, Recaldent tooth protector (Tooth Mousse and Tooth Mousse Plus, MI Paste and MI Paste Plus) all add these compounds. However, because casein can cause milk protein allergy, the use of CPP-ACP/CPP-ACFP is still limited.
另一方面,以磷酸三钙(tricalcium phosphate,TCP)为基础的新型再矿化材料赋予了磷酸盐特殊的形式,能在口腔局部环境中显著提升钙、磷酸根离子的生物利用度,从而增强再矿化效果。On the other hand, a new type of remineralization material based on tricalcium phosphate (TCP) gives a special form of phosphate, which can significantly increase the bioavailability of calcium and phosphate ions in the local oral environment, thereby enhancing Remineralization effect.
TCP是一种合成无机生物材料,具有良好的生物相容性和生物活性,具有促进牙釉质再矿化的特性,也常被应用于修复受损的骨组织。TCP通常以两种形式存在,即α-TCP和β-TCP,其中β-TCP的溶解度较低,而β-TCP以其优异的骨传导性和生物可吸收性在口腔领域多被当成典型的骨替代物应用于各类骨再生技术并取得良好疗效。β-TCP在预防牙体组织脱矿领域在已有的临床治疗中尚未出现不良反应报道。有专家通过体外基因毒性研究明确了β-TCP在体外对人体外周血培养物无毒性作用,即使用量达最高浓度时也未出现毒性反应,说明β-TCP生物安全性较好。TCP is a synthetic inorganic biological material with good biocompatibility and biological activity, and has the property of promoting the remineralization of tooth enamel. It is also often used to repair damaged bone tissue. TCP usually exists in two forms, namely α-TCP and β-TCP, in which β-TCP has low solubility, and β-TCP is often regarded as typical in the oral cavity due to its excellent osteoconductivity and bioabsorbability. Bone substitutes are used in various bone regeneration techniques and have achieved good results. β-TCP has not been reported in the existing clinical treatment in the field of preventing dental tissue demineralization. Some experts have confirmed through in vitro genotoxicity studies that β-TCP has no toxic effect on human peripheral blood cultures in vitro, and no toxic reaction occurs even when the dosage reaches the highest concentration, indicating that β-TCP has better biological safety.
β-TCP是一种磷酸钙系统,在结构上表现出晶体改性的结构缺陷,这些缺陷可以促进与其他物质的结合。因此,TCP虽然能有效提高脱矿釉质表面和唾液中的钙含量,但当口腔环境中存在氟离子时,磷酸钙中的钙离子和氟离子之间易发生早期反应,会导致生物可用氟离子的损失。为了解决磷酸钙和氟离子不相容的问题,须将TCP进行处理活化后形 成官能化β-磷酸三钙(Functionalizedβ-tricalcium phosphate,fTCP)。fTCP是通过β-TCP与有机和/或无机部分(如羧酸和富马酸等表面活性剂)偶联得到的材料。TCP通过与有机材料作用后,其中的磷酸钙被有机材料保护,从而使TCP的钙离子和磷酸根离子与氟离子在水溶环境中能够共存,阻碍了这些离子与氟化物的早期相互作用,当TCP成分到达牙齿表面时,牙齿表面具有亲和力的有机材料形成一道屏障,当其与唾液接触时发生破裂,释放钙离子,这种表面活性剂将钙离子带到牙齿表面,与氟离子结合,从而增加病变表面的氟离子和钙的生物利用度,随后扩散到病变部位以促进再矿化。这种反应过程也为表层以下的牙釉质创造了再矿化的机会。相对于单纯氟化物的作用,fTCP有助于增加P-O键和P-F键的数量,提高氟化物的再矿化能力。fTCP还可以向釉质递送钙和磷酸盐,从而增加牙釉质表面的有机物沉积,促进再矿化。由于TCP的添加,氟化物的再矿化作用不仅没有受到限制,而且防脱矿效果产生了协同增强作用。β-TCP is a calcium phosphate system that exhibits crystal-modified structural defects in structure, which can promote the combination with other substances. Therefore, although TCP can effectively increase the calcium content in the surface of demineralized enamel and saliva, when fluoride ions are present in the oral environment, early reactions between calcium ions and fluoride ions in calcium phosphate are prone to occur, which will lead to bioavailable fluoride ions. Loss. In order to solve the problem of incompatibility between calcium phosphate and fluoride ions, TCP must be processed and activated to form functionalized β-tricalcium phosphate (fTCP). fTCP is a material obtained by coupling β-TCP with organic and/or inorganic moieties (such as surfactants such as carboxylic acid and fumaric acid). After TCP interacts with organic materials, the calcium phosphate in it is protected by the organic materials, so that the calcium ions, phosphate ions and fluoride ions of TCP can coexist in a water-soluble environment, which prevents the early interaction between these ions and fluoride. When the TCP component reaches the tooth surface, the affinity organic material on the tooth surface forms a barrier. When it comes into contact with saliva, it ruptures and releases calcium ions. This surfactant brings calcium ions to the tooth surface and combines with fluoride ions. Increase the bioavailability of fluoride and calcium on the surface of the lesion, and then diffuse to the lesion to promote remineralization. This reaction process also creates opportunities for remineralization of the enamel below the surface. Compared with the effect of pure fluoride, fTCP helps to increase the number of P-O bonds and P-F bonds, and improve the remineralization ability of fluoride. fTCP can also deliver calcium and phosphate to the enamel, thereby increasing the deposition of organic matter on the enamel surface and promoting remineralization. Due to the addition of TCP, the remineralization effect of fluoride is not limited, and the demineralization prevention effect is synergistically enhanced.
发明内容Summary of the invention
本发明的目的是提供一种使牙釉质再矿化的新型组合物。The purpose of the present invention is to provide a novel composition for remineralizing tooth enamel.
为达到上述目的,本发明采用的技术方案是:In order to achieve the above objective, the technical solution adopted by the present invention is:
一种使牙釉质再矿化的新型组合物,所述组合物是一种粘性膏体,其成份主要包括一种纳米复合物,该纳米复合物包含无定形磷酸盐、两性高分子表面活性剂和β-磷酸三钙;其中,所述无定形磷酸盐选自无定形磷酸钙、无定形氟化磷酸钙或其组合。A new type of composition for remineralizing tooth enamel. The composition is a viscous paste, and its composition mainly includes a nanocomposite containing amorphous phosphate and amphoteric polymer surfactants And β-tricalcium phosphate; wherein the amorphous phosphate is selected from amorphous calcium phosphate, amorphous calcium fluoride phosphate or a combination thereof.
上述技术方案中的有关内容解释如下:The relevant content in the above technical solution is explained as follows:
1、上述方案中,还包含一种粘性膏体。1. In the above solution, a viscous paste is also included.
2、上述方案中,所述粘性膏体包含疏水阴离子聚合物。2. In the above solution, the viscous paste contains a hydrophobic anionic polymer.
所述粘性膏体用于将纳米复合物中的钙离子与牙釉质中的钙相结合,从而在一个有限的时间段内实现ACP和/或ACFP以及β-TCP的持续释放。The viscous paste is used to combine the calcium ions in the nanocomposite with the calcium in the tooth enamel, so as to achieve the sustained release of ACP and/or ACFP and β-TCP within a limited period of time.
3、上述方案中,所述组合物含有重量比为0.2~2%的疏水阴离子聚合物。3. In the above scheme, the composition contains a hydrophobic anionic polymer in a weight ratio of 0.2-2%.
4、上述方案中,所述组合物的含水量小于15%(重量比),且以水含量少于5%(重量比)为最优选。4. In the above solution, the water content of the composition is less than 15% (weight ratio), and it is most preferable that the water content is less than 5% (weight ratio).
5、上述方案中,所述组合物含有一种脱敏剂,该脱敏剂选自硝酸钾、柠檬酸钠、硝酸钙、氢氧化钾、氢氧化镁、氯化钠、磷酸钙、硝酸银、柠檬酸钠或其组合。5. In the above scheme, the composition contains a desensitizer selected from potassium nitrate, sodium citrate, calcium nitrate, potassium hydroxide, magnesium hydroxide, sodium chloride, calcium phosphate, silver nitrate , Sodium citrate or a combination thereof.
6、上述方案中,所述组合物包含可蒸发的临时溶剂,该临时溶剂优选乙醇或丙醇,临时溶剂的作用是溶解疏水阴离子聚合物,该聚合物优选聚乳酸。6. In the above solution, the composition contains an evaporable temporary solvent. The temporary solvent is preferably ethanol or propanol. The temporary solvent is used to dissolve the hydrophobic anionic polymer, and the polymer is preferably polylactic acid.
7、上述方案中,所述组合物含有一种增稠剂,该增稠剂选自卡拉胶、羧乙烯基聚合物、羟乙基纤维素、粘土、刺梧桐胶、黄原胶、阿拉伯胶、黄蓍胶、胶体硅酸铝镁、二氧化硅或其组合。7. In the above solution, the composition contains a thickener selected from carrageenan, carboxyvinyl polymer, hydroxyethyl cellulose, clay, karaya gum, xanthan gum, gum arabic , Tragacanth gum, colloidal magnesium aluminum silicate, silicon dioxide or a combination thereof.
8、上述方案中,所述组合物含有一种液体分散剂,该液体分散剂选自甘油、丙二醇、聚乙二醇或其组合。该聚乙二醇可以是PEG200、PEG400、PEG600。8. In the above solution, the composition contains a liquid dispersant selected from glycerin, propylene glycol, polyethylene glycol or a combination thereof. The polyethylene glycol can be PEG200, PEG400, PEG600.
9、上述方案中,所述组合物含有一种氟化物,该氟化物选自氟化钠、氟化亚锡或其组合。9. In the above solution, the composition contains a fluoride selected from sodium fluoride, stannous fluoride or a combination thereof.
10、上述方案中,所述组合物含有一种螯合共聚物以稳定氟化物,该氟化物选自烷基乙烯醚、马来酸酐或其组合。10. In the above solution, the composition contains a chelating copolymer to stabilize the fluoride, and the fluoride is selected from alkyl vinyl ether, maleic anhydride or a combination thereof.
为达到上述目的,本发明采用的另一技术方案是:In order to achieve the above objective, another technical solution adopted by the present invention is:
一种在牙齿矫正期间将使牙釉质再矿化的组合物施用于正畸矫治器上的方法,包括:A method of applying a composition that remineralizes tooth enamel to an orthodontic appliance during orthodontics, including:
在佩戴正畸矫治器之前在牙齿表面涂抹一层使牙釉质再矿化的组合物;或者在佩戴矫治器之前直接将组合物添加至正畸矫治器内;Apply a layer of composition that remineralizes tooth enamel before wearing the orthodontic appliance; or directly add the composition to the orthodontic appliance before wearing the appliance;
治疗结束后,取下正畸矫治器并用水清洗掉正畸矫治器内残留的牙齿再矿化组合物;After the treatment, remove the orthodontic appliance and rinse with water to remove the residual tooth remineralization composition in the orthodontic appliance;
所述组合物是一种粘性膏体,其成份主要包括一种纳米复合物,该纳米复合物包含无定形磷酸盐、两性高分子表面活性剂和β-磷酸三钙;其中,所述无定形磷酸盐选自无定形磷酸钙、无定形氟化磷酸钙或其组合。The composition is a viscous paste, and its ingredients mainly include a nanocomposite, which contains an amorphous phosphate, an amphoteric polymer surfactant and β-tricalcium phosphate; wherein the amorphous The phosphate is selected from amorphous calcium phosphate, amorphous calcium fluoride phosphate, or a combination thereof.
上述技术方案中的有关内容解释如下:The relevant content in the above technical solution is explained as follows:
1、上述方案中,所述正畸矫治器是一种治疗错颌畸形的装置。1. In the above scheme, the orthodontic appliance is a device for treating malocclusion.
2、上述方案中,所述组合物在正畸治疗期间从正畸矫治器内施加到牙齿的表面。2. In the above solution, the composition is applied to the surface of the tooth from the orthodontic appliance during orthodontic treatment.
3、上述方案中,所述组合物在牙齿表面停留的时间有限,因此在正畸治疗期间通过正畸矫治器来维持其持续的再矿化。3. In the above-mentioned solution, the time that the composition stays on the tooth surface is limited, so during the orthodontic treatment, the orthodontic appliance is used to maintain its continuous remineralization.
4、上述方案中,所述施用方法在每次带上或者脱下正畸矫治器时执行。4. In the above scheme, the application method is performed every time the orthodontic appliance is put on or taken off.
5、上述方案中,所述组合物还包含粘性膏体。5. In the above solution, the composition further includes a viscous paste.
6、上述方案中,所述粘性膏体包含疏水阴离子聚合物。6. In the above solution, the viscous paste contains a hydrophobic anionic polymer.
现就上述技术方案进一步说明如下:The above technical solutions are further explained as follows:
本发明涉及一种组合物,主要由无定形磷酸钙(ACP)和/或无定形氟化磷酸钙(ACFP)、β-磷酸三钙(β-TCP)与作为再矿化剂的两性高分子表面活性剂(APS)缔合或结合而形成的纳米复合物和一种包含疏水性阴离子聚合物的粘性膏体组成。The present invention relates to a composition, which is mainly composed of amorphous calcium phosphate (ACP) and/or amorphous calcium fluoride phosphate (ACFP), β-tricalcium phosphate (β-TCP) and an amphoteric polymer as a remineralizing agent The nanocomposite formed by the association or combination of surfactant (APS) and a viscous paste containing hydrophobic anionic polymer.
本发明可应用于牙釉质再矿化的口腔护理。The invention can be applied to oral care for remineralization of tooth enamel.
在实施方案中,公开了一种使牙釉质再矿化的组合物,其中所述组合物是一种含有纳米复合物的粘性膏体,所述纳米复合物含有无定形磷酸盐、两性高分子表面活性剂和β-磷酸三钙,其中,所述无定形磷酸盐选自无定形磷酸钙(ACP)、无定形氟化磷酸钙(ACFP)或其组合。In an embodiment, a composition for remineralizing tooth enamel is disclosed, wherein the composition is a viscous paste containing a nanocomposite, the nanocomposite containing an amorphous phosphate, an amphoteric polymer Surfactant and β-tricalcium phosphate, wherein the amorphous phosphate is selected from amorphous calcium phosphate (ACP), amorphous calcium fluoride phosphate (ACFP) or a combination thereof.
在相关方面,所述组合物还包含粘性膏体。具体来说,所述粘性膏体包含疏水性阴 离子聚合物。另一方面,所述疏水性阴离子聚合物包含聚乳酸(PLA)。所述β-TCP与两性高分子表面活性剂偶联得到官能化β-磷酸三钙(Functionalizedβ-tricalcium phosphate,fTCP)。In related aspects, the composition further comprises a viscous paste. Specifically, the viscous paste contains a hydrophobic anionic polymer. On the other hand, the hydrophobic anionic polymer contains polylactic acid (PLA). The β-TCP is coupled with an amphoteric polymer surfactant to obtain functionalized β-tricalcium phosphate (fTCP).
一方面,所述疏水性阴离子聚合物优选为聚乳酸(PLA)。高分子量的PLA能在人体内降解,本体侵蚀机理被认为是PLA和PLGA降解的主要方式,聚合物链上酯键的水解是其根本原因。研究还表明,PLA类聚合物中的端羧基(由聚合引入及降解产生)对其水解起催化作用。随着降解的进行,端羧基量增加,降解也加快,这就是所谓的自催化现象。PLA最终降解产物都是可被活体细胞代谢的乳酸。In one aspect, the hydrophobic anionic polymer is preferably polylactic acid (PLA). High-molecular-weight PLA can be degraded in the human body. The body erosion mechanism is considered to be the main way of degradation of PLA and PLGA, and the hydrolysis of the ester bond on the polymer chain is the root cause. Studies have also shown that the terminal carboxyl groups (introduced and degraded by polymerization) in PLA polymers catalyze their hydrolysis. As the degradation progresses, the amount of terminal carboxyl groups increases and the degradation speeds up, which is the so-called autocatalysis phenomenon. The final degradation products of PLA are lactic acid that can be metabolized by living cells.
一方面,所述粘性膏体将牙釉质中的钙与纳米复合物中的钙离子相结合,从而在一个有限的时间段内实现ACP和/或ACFP和β-TCP的持续释放。On the one hand, the viscous paste combines the calcium in the tooth enamel with the calcium ions in the nanocomposite, thereby achieving sustained release of ACP and/or ACFP and β-TCP within a limited period of time.
另一方面,所述疏水阴离子聚合物占组合物总重量的0.2%至2%。On the other hand, the hydrophobic anionic polymer accounts for 0.2% to 2% of the total weight of the composition.
一方面,所述组合物的含水量小于15%(重量比),且以水含量少于5%(重量比)为最优选。另一方面,所述组合物含有选自硝酸钾、柠檬酸钠、硝酸钙、氢氧化钾、氢氧化镁、氯化钠、磷酸钙、硝酸银或其组合的脱敏剂。On the one hand, the water content of the composition is less than 15% (weight ratio), and it is most preferred that the water content is less than 5% (weight ratio). In another aspect, the composition contains a desensitizer selected from potassium nitrate, sodium citrate, calcium nitrate, potassium hydroxide, magnesium hydroxide, sodium chloride, calcium phosphate, silver nitrate or a combination thereof.
另一方面,组合物含有选自卡拉胶、羧乙烯基聚合物、羟乙基纤维素(HEC)、(天然和合成的)粘土、刺梧桐胶、黄原胶、阿拉伯胶、黄蓍胶、胶体硅酸铝镁、(细碎的)二氧化硅或其组合的增稠剂。On the other hand, the composition contains selected from carrageenan, carboxyvinyl polymer, hydroxyethyl cellulose (HEC), (natural and synthetic) clay, karaya, xanthan gum, acacia, tragacanth, Thickener for colloidal magnesium aluminum silicate, (finely divided) silicon dioxide, or a combination thereof.
一方面,所述组合物含有选自甘油、丙二醇、聚乙二醇(PEG200,PEG400,PEG600)或其组合的液体分散剂。In one aspect, the composition contains a liquid dispersant selected from glycerin, propylene glycol, polyethylene glycol (PEG200, PEG400, PEG600) or a combination thereof.
在实施例中,公开了一种在牙齿矫正期间将使牙釉质再矿化的组合物施用于正畸矫治器上的方法,包括:在佩戴正畸矫治器之前在牙齿表面涂抹一层使牙釉质再矿化的组合物;或者在佩戴矫治器之前直接将组合物添加至正畸矫治器内;治疗结束后,取下正畸矫治器并用水清洗掉正畸矫治器内残留的牙齿再矿化组合物。In the embodiment, a method for applying a composition that remineralizes enamel to an orthodontic appliance during orthodontics is disclosed, which includes: applying a layer to the tooth surface before wearing the orthodontic appliance. Enamel remineralization composition; or directly add the composition to the orthodontic appliance before wearing the appliance; after the treatment, remove the orthodontic appliance and wash away the residual teeth in the orthodontic appliance with water. Remineralization化Composition.
在相关方面,在正畸治疗中是将再矿化组合物施用于正畸矫治器内的牙齿表面上。In a related aspect, in orthodontic treatment, the remineralizing composition is applied to the surface of the teeth in the orthodontic appliance.
一方面,再矿化组合物在牙齿表面停留的时间有限,因此在正畸治疗期间通过正畸矫治器以维持其持续的再矿化。On the one hand, the time that the remineralizing composition stays on the tooth surface is limited, so it is passed through an orthodontic appliance during orthodontic treatment to maintain its continuous remineralization.
另一方面,所述施用方法在每次戴上或者脱下正畸矫治器时执行。On the other hand, the application method is performed every time the orthodontic appliance is put on or taken off.
一方面,所述组合物还包括一种粘性膏体。In one aspect, the composition also includes a viscous paste.
在相关方面,所述粘性膏体包含疏水阴离子聚合物。In a related aspect, the viscous paste comprises a hydrophobic anionic polymer.
具体来讲,两性高分子表面活性剂(APS)的分子量在500-500000kDa之间。Specifically, the molecular weight of amphoteric polymer surfactants (APS) is between 500 and 500,000 kDa.
本发明提供了一种组合物,包括纳米复合物,该纳米复合物主要由含有选自无定形磷酸钙(ACP)、无定形氟化磷酸钙(ACFP)或两者组合的无定形磷酸盐、β-磷酸三钙(β -TCP)和两性高分子表面活性剂组成。由于使用两性高分子表面活性剂作为ACP和TCP的纳米载体,组合物不存在潜在的牛奶蛋白过敏。在水溶液中,两性高分子表面活性剂形成了一个由疏水核组成的胶束结构的纳米组件,其被亲水性大分子壳包围。APS胶束作为一个阻止ACP和/或ACFP、TCP聚集的纳米分散剂和促进聚合物与ACP和/或ACFP、TCP结合或者缔合的纳米载体,因此可稳定ACP和/或ACFP、TCP,而不是转化成结晶形式。The present invention provides a composition, including a nanocomposite, the nanocomposite is mainly composed of an amorphous phosphate selected from the group consisting of amorphous calcium phosphate (ACP), amorphous calcium fluoride phosphate (ACFP) or a combination of both, It is composed of β-tricalcium phosphate (β-TCP) and amphoteric polymer surfactant. Due to the use of amphoteric polymer surfactants as nanocarriers for ACP and TCP, the composition does not have potential milk protein allergies. In an aqueous solution, the amphoteric polymer surfactant forms a nano-component of a micelle structure composed of a hydrophobic core, which is surrounded by a hydrophilic macromolecular shell. APS micelles act as a nano-dispersant that prevents the aggregation of ACP and/or ACFP and TCP and a nano-carrier that promotes the combination or association of polymers with ACP and/or ACFP and TCP. Therefore, they can stabilize ACP and/or ACFP and TCP. It is not transformed into a crystalline form.
具体实施方式detailed description
下面结合实施例对本发明作进一步描述:The present invention will be further described below in conjunction with embodiments:
实施例:在描述本发明的组合物,方法和方法学之前,应理解,本发明不限于所述的特定组合物,方法和实验条件,因为这样的组合物,方法和条件可以变化。还应该理解,这里所使用的术语仅仅是为了描述特定的实施例,而不是为了限制,因为本发明的范围仅在所附权利要求中有限制。Examples: Before describing the composition, method, and methodology of the present invention, it should be understood that the present invention is not limited to the specific composition, method, and experimental conditions, as such compositions, methods, and conditions can vary. It should also be understood that the terms used herein are only for describing specific embodiments, not for limitation, because the scope of the present invention is limited only in the appended claims.
如在本说明书和所附权利要求书中所使用的,除非上下文另有明确规定,否则单数形式“一”,“一种”和“这种”包括复数的引用。因此,例如:当提及到“核酸”时,是包括一种或多种核酸,和/或本文中描述的这种类型的组合物,这对阅读本公开或者诸如此类文章的本领域技术人员是显而易见的。As used in this specification and appended claims, unless the context clearly dictates otherwise, the singular forms "a", "an" and "such" include plural references. Therefore, for example: when referring to "nucleic acid", it includes one or more nucleic acids, and/or the type of composition described herein, which is useful to those skilled in the art reading this disclosure or the like Obvious.
除非另有定义,否则本文中所使用的所有技术和科学术语与本发明所属领域的普通技术人员的理解相同。任何类似于或者等同于本文中所描述的方法和材料都可以用于本发明的实践和测试中去,这是可以被理解的,因为本发明的精神和范围包含修改和变化。Unless otherwise defined, all technical and scientific terms used herein are the same as understood by those of ordinary skill in the art to which the present invention belongs. Any methods and materials similar or equivalent to those described herein can be used in the practice and testing of the present invention, which can be understood because the spirit and scope of the present invention include modifications and changes.
如本文所用的“大约”,“大致”,“大体上”,“明显地”,本领域普通技术人员可以理解这些词语,但是其意思一定程度上会根据他们使用的上下文而不同。如果本领域普通技术人员在对文章中术语的使用不清楚的话,“大约”和“大致”表示小于特定术语的加减10%,“大体上”和“明显地”表示大于特定术语的加减10%。在实施例中,组合物可能“包含”,“包括”或者“基本上由一组组分的特定组分组成”,熟练的技术人员会理解后者意味着权利要求的限制范围内特定的材料和步骤,这些并不会在实质上影响所述发明的基本的和新颖的特征。As used herein, "approximately", "approximately", "substantially", "obviously", those of ordinary skill in the art can understand these words, but their meanings will be different to some extent according to the context in which they are used. If a person of ordinary skill in the art is not clear about the use of terms in the article, "about" and "approximately" mean less than the addition or subtraction of the specific term by 10%, and "substantially" and "obviously" mean more than the addition or subtraction of the specific term. 10%. In the embodiments, the composition may "comprise", "include" or "essentially consist of a specific component of a set of components", and the skilled artisan will understand that the latter means specific materials within the scope of the claims. And steps, these will not substantially affect the basic and novel features of the invention.
如本文所用,“粘性”意思是如同胶的质地——粘。例如,粘性膏体可能含有带负电荷的聚合物(疏水性阴离子聚合物),磨料二氧化硅,纳米级二氧化硅,或其组合。As used herein, "sticky" means glue-like texture-sticky. For example, the viscous paste may contain negatively charged polymers (hydrophobic anionic polymers), abrasive silica, nano-sized silica, or a combination thereof.
优选纳米级二氧化硅,纳米颗粒的尺寸达到194nm,可进入并填充牙本质小管(2-4微米)。Nano-scale silica is preferred, and the size of the nanoparticles reaches 194nm, which can enter and fill the dentin tubules (2-4 microns).
本发明的组合物主要是由含有无定形磷酸钙、无定形氟化磷酸钙或其组合的无定形磷酸盐、β-磷酸三钙(β-TCP)与两性高分子表面活性剂缔合或络合而成的纳米复合物和粘性膏体组成。通过与两性高分子表面活性剂缔合或络合,ACP和/或ACFP可以维持稳定 以防止转化成结晶的磷灰石,TCP的钙离子和磷酸根离子与氟离子在水溶环境中也能够共存,然后生物粘附剂可以在牙齿表面与ACP和/或ACFP、β-TCP结合,因此ACP和/或ACFP、β-TCP的牙釉质再矿化得以增强。The composition of the present invention is mainly composed of amorphous phosphate, β-tricalcium phosphate (β-TCP) and amphoteric polymer surfactants associating or complexing with amorphous calcium phosphate, amorphous calcium fluoride phosphate or a combination thereof It is composed of nanocomposite and viscous paste. By associating or complexing with amphoteric polymer surfactants, ACP and/or ACFP can maintain stability to prevent conversion into crystalline apatite. TCP's calcium ion and phosphate ion and fluoride ion can also coexist in a water-soluble environment , And then the bioadhesive can be combined with ACP and/or ACFP, β-TCP on the tooth surface, so the enamel remineralization of ACP and/or ACFP, β-TCP is enhanced.
“两性高分子”是指既能吸引水又能排斥水的分子。两性高分子表面活性剂包含亲水和疏水两部分。由于两性高分子可以降低表面张力一般会用作表面活性剂,“两性高分子”和“两性高分子表面活性剂”在本发明中可以互换使用。"Amphoteric polymer" refers to molecules that can both attract and repel water. Amphoteric polymer surfactants contain two parts, hydrophilic and hydrophobic. Since amphoteric polymers can reduce surface tension, they are generally used as surfactants. "Amphoteric polymer" and "amphoteric polymer surfactant" can be used interchangeably in the present invention.
ACP和/或ACFP、β-TCP与通过作为纳米载体的两性高分子缔合或结合,可以进一步稳定ACP和/或ACFP以防止转化为结晶磷灰石,同时TCP的钙离子和磷酸根离子与氟离子在水溶环境中也能够共存,因此牙釉质的再矿化得以增强。基于上述机理,对分散剂的理想要求就是具有稳定ACP和/或ACFP,阻止其聚集为大颗粒并转化成结晶形式的能力。此外,粘性膏体可以作为一个连接剂或者粘结剂以将纳米级ACP或者ACFP和β-TCP附着在牙齿表面上,并将纳米级ACP-APS或者ACFP-APS和β-TCP-APS复合物中的钙离子与牙釉质中的钙化学键合,使得ACP和/或ACFP、β-TCP能够随着时间持续地从组合物中释放,包括这种组合物可能和例如正畸矫治器相结合的情况下,当一个主体佩戴所述矫治器时,上述持续地释放和再矿化也是可以进行的。The association or combination of ACP and/or ACFP and β-TCP with amphoteric polymers as nanocarriers can further stabilize ACP and/or ACFP to prevent conversion to crystalline apatite. At the same time, the calcium ions and phosphate ions of TCP are combined with Fluoride ions can also coexist in a water-soluble environment, so the remineralization of tooth enamel is enhanced. Based on the above-mentioned mechanism, the ideal requirement for dispersants is to have the ability to stabilize ACP and/or ACFP and prevent them from agglomerating into large particles and transforming into a crystalline form. In addition, the viscous paste can be used as a connecting agent or adhesive to attach nano-level ACP or ACFP and β-TCP to the surface of the tooth, and combine nano-level ACP-APS or ACFP-APS and β-TCP-APS composite The calcium ions in the enamel chemically bond with the calcium in the tooth enamel, so that ACP and/or ACFP and β-TCP can be released from the composition continuously over time, including those that may be combined with, for example, orthodontic appliances. In this case, when a subject wears the appliance, the above-mentioned continuous release and remineralization can also be carried out.
其他可能和组合物一起使用的器械,例如,但不限于牙刷、刮舌器、牙线、牙签、护口器和正畸矫正装置,例如支架和保持器。用于口腔的器械不限于清洁和正畸矫正装置。其他器械包括设计在口腔中使用的物体,例如用于幼儿和婴儿的安抚奶嘴和咀嚼玩具,例如橡皮环。Other devices that may be used with the composition, such as, but not limited to, toothbrushes, tongue scrapers, dental floss, toothpicks, mouth guards, and orthodontic devices, such as brackets and retainers. The appliances used in the oral cavity are not limited to cleaning and orthodontic devices. Other devices include objects designed to be used in the oral cavity, such as pacifiers and chew toys for toddlers and babies, such as rubber rings.
这样的器械可以和本发明的组合物相结合,当器械的表面暴露在口腔中时,器械表面的组合物会释放到口腔里。Such a device can be combined with the composition of the present invention. When the surface of the device is exposed in the oral cavity, the composition on the surface of the device will be released into the oral cavity.
将组合物直接加入到器械上也可以通过多孔材料来完成。器械可以是由多孔材料制造,或者是用其涂覆。通常,这种材料包含组合物可容置的孔。当器械使用时,例如在口腔中,组合物就会释放。如果孔隙释放其中包含的组合物,则可以把多孔材料暴露在组合物中以填充空隙来处理多孔材料。从而,组合物可以通过孔隙释放,或者是进入到空隙中。Adding the composition directly to the device can also be done through porous materials. The device can be made of porous material or coated with it. Generally, this material contains pores into which the composition can be accommodated. When the device is used, for example in the oral cavity, the composition is released. If the pores release the composition contained therein, the porous material can be exposed to the composition to fill the pores to treat the porous material. Thus, the composition can be released through the pores, or can enter the pores.
两性高分子符合上述要求。而且,两性高分子表面活性剂(APS)可以阻止ACP和/或ACFP聚集成大颗粒,稳定ACP和/或ACFP,防止转化为稳定的结晶形态,并且可以增强ACP和/或ACFP分子和两性高分子表面活性剂的结合或缔合。Amphoteric polymers meet the above requirements. Moreover, amphoteric polymer surfactants (APS) can prevent ACP and/or ACFP from agglomerating into large particles, stabilize ACP and/or ACFP, prevent conversion to a stable crystalline form, and can enhance ACP and/or ACFP molecules and amphoteric high The binding or association of molecular surfactants.
同时两性高分子表面活性剂(APS)使TCP的钙离子和磷酸根离子与氟离子在水溶环境中能够共存,阻碍了这些离子与氟化物的早期相互作用,当TCP成分到达牙齿表面时,牙齿表面具有亲和力的有机材料形成一道屏障,当其与唾液接触时发生破裂,释放钙离子,这种表面活性剂将钙离子带到牙齿表面,与氟离子结合,从而增加病变表面的氟离子和钙 的生物利用度,随后扩散到病变部位以促进再矿化。At the same time, amphoteric polymer surfactants (APS) enable TCP’s calcium ions, phosphate ions, and fluoride ions to coexist in a water-soluble environment, which prevents the early interaction between these ions and fluoride. When the TCP component reaches the tooth surface, the tooth The organic material with affinity on the surface forms a barrier. When it comes into contact with saliva, it breaks and releases calcium ions. This surfactant brings calcium ions to the tooth surface and binds to fluoride ions, thereby increasing the fluoride and calcium on the surface of the disease. The bioavailability of it, then spread to the lesion to promote remineralization.
另一方面,APS是从非离子型高分子表面活性剂和离子型高分子表面活性剂和两者组合中选择。非离子型高分子表面活性剂包括(但不限于)二嵌段聚氧化乙烯和聚氧化丙烯(PEO-PPO)共聚物(以PPO为疏水嵌段,PEO为亲水嵌段);二嵌段聚环氧乙烷和聚环氧丁烷共聚物(PEO-PBO)(以PBO为疏水嵌段,PEO为亲水嵌段);三嵌段PEO-PPO-PEO共聚物;三嵌段PEO-PBO-PEO共聚物等。离子型表面活性剂选自(但不限于)聚亚烷基丙烯酸、聚亚烷基马来酸酐、聚亚烷基聚丙烯酸、聚亚烷基马来酸、聚亚烷基磺酸马来酸、和聚苯乙烯丙烯酸、聚苯乙烯马来酸酐、聚苯乙烯聚丙烯酸、聚苯乙烯马来酸、聚苯乙烯磺酸马来酸。离子表面活性剂也可以是聚阳离子聚合物,例如聚亚烷基多胺、聚苯乙烯多胺、由阳离子聚胺,壳聚糖及其衍生物等组成的共聚物。On the other hand, APS is selected from non-ionic polymer surfactants and ionic polymer surfactants, and combinations of both. Non-ionic polymer surfactants include (but are not limited to) diblock polyethylene oxide and polypropylene oxide (PEO-PPO) copolymers (PPO is the hydrophobic block and PEO is the hydrophilic block); diblock polycyclic Ethylene oxide and polybutylene oxide copolymer (PEO-PBO) (using PBO as the hydrophobic block and PEO as the hydrophilic block); triblock PEO-PPO-PEO copolymer; triblock PEO-PBO- PEO copolymer and so on. The ionic surfactant is selected from (but not limited to) polyalkylene acrylic acid, polyalkylene maleic anhydride, polyalkylene polyacrylic acid, polyalkylene maleic acid, polyalkylene sulfonic acid maleic acid , And polystyrene acrylic acid, polystyrene maleic anhydride, polystyrene polyacrylic acid, polystyrene maleic acid, polystyrene sulfonic acid maleic acid. The ionic surfactant can also be a polycationic polymer, such as polyalkylene polyamine, polystyrene polyamine, copolymer composed of cationic polyamine, chitosan and its derivatives.
另一方面,APS的分子量在500-500000kDa之间。On the other hand, the molecular weight of APS is between 500 and 500,000 kDa.
如上所述,所公开的组合物包含粘性膏体,更具体来说,是包含疏水阴离子聚合物的粘性膏体。在实施例中,所述疏水性阴离子聚合物可选用聚乳酸(PLA)。As mentioned above, the disclosed composition includes a viscous paste, more specifically, a viscous paste including a hydrophobic anionic polymer. In an embodiment, the hydrophobic anionic polymer may be polylactic acid (PLA).
在实施例中,至少含有一种可选的脱敏剂,包括柠檬酸钾、氯化钾、酒石酸钾、碳酸氢钾、草酸钾、硝酸钾、锶盐或其混合物。In the embodiment, at least one optional desensitizer is contained, including potassium citrate, potassium chloride, potassium tartrate, potassium bicarbonate, potassium oxalate, potassium nitrate, strontium salt or mixtures thereof.
以下实施例将进一步地描述本发明,但同时不构成对其的任何限制。The following examples will further describe the present invention, but at the same time do not constitute any restriction on it.
实施例1.再矿化膏体组合物1Example 1. Remineralized paste composition 1
Figure PCTCN2021109928-appb-000001
Figure PCTCN2021109928-appb-000001
实施例2.再矿化膏体组合物2Example 2. Remineralized paste composition 2
Figure PCTCN2021109928-appb-000002
Figure PCTCN2021109928-appb-000002
膏体中的含水量小于2%。用Brookfield流变仪测量粘度。粘度在5000厘泊至20000厘泊(cps)之间。The water content in the paste is less than 2%. The viscosity was measured with a Brookfield rheometer. The viscosity is between 5000 centipoise and 20000 centipoise (cps).
需要理解上述组合物或配方仅仅是制剂类型的例子。公开并定义的本发明范围是文本中提及或显而易见的两个或多个单独特征的所有可选组合。所有组合构成了本发明的各种可选点。It should be understood that the above-mentioned composition or formulation is only an example of the type of formulation. The scope of the invention disclosed and defined is all alternative combinations of two or more individual features mentioned or obvious in the text. All combinations constitute various optional points of the present invention.
上述实施例只为说明本发明的技术构思及特点,其目的在于让熟悉此项技术的人士能够了解本发明的内容并据以实施,并不能以此限制本发明的保护范围。凡根据本发明精神实质所作的等效变化或修饰,都应涵盖在本发明的保护范围之内。The above-mentioned embodiments are only to illustrate the technical concept and characteristics of the present invention, and their purpose is to enable those familiar with the technology to understand the content of the present invention and implement them accordingly, and cannot limit the protection scope of the present invention. All equivalent changes or modifications made in accordance with the spirit of the present invention should be covered by the protection scope of the present invention.

Claims (11)

  1. 一种使牙釉质再矿化的新型组合物,其特征在于:所述组合物是一种粘性膏体,其成份主要包括一种纳米复合物,该纳米复合物包含无定形磷酸盐、两性高分子表面活性剂和β-磷酸三钙;其中,所述无定形磷酸盐选自无定形磷酸钙、无定形氟化磷酸钙或其组合。A novel composition for remineralizing tooth enamel, which is characterized in that: the composition is a viscous paste, and its ingredients mainly include a nanocomposite, which contains amorphous phosphate, amphoteric high Molecular surfactants and β-tricalcium phosphate; wherein the amorphous phosphate is selected from amorphous calcium phosphate, amorphous calcium fluoride phosphate or a combination thereof.
  2. 根据权利要求1所述的组合物,其特征在于:还包含一种粘性膏体。The composition of claim 1, further comprising a viscous paste.
  3. 根据权利要求2所述的组合物,其特征在于:所述粘性膏体包含疏水阴离子聚合物。The composition of claim 2, wherein the viscous paste contains a hydrophobic anionic polymer.
  4. 根据权利要求2所述的组合物,其特征在于:所述组合物含有重量比为0.2~2%的疏水阴离子聚合物。The composition according to claim 2, wherein the composition contains a hydrophobic anionic polymer in a weight ratio of 0.2-2%.
  5. 根据权利要求1所述的组合物,其特征在于:所述组合物的含水量小于15%。The composition according to claim 1, wherein the water content of the composition is less than 15%.
  6. 根据权利要求1所述的组合物,其特征在于:所述组合物含有一种脱敏剂,该脱敏剂选自硝酸钾、柠檬酸钠、硝酸钙、氢氧化钾、氢氧化镁、氯化钠、磷酸钙、硝酸银、柠檬酸钠或其组合。The composition according to claim 1, wherein the composition contains a desensitizer selected from potassium nitrate, sodium citrate, calcium nitrate, potassium hydroxide, magnesium hydroxide, chlorine Sodium phosphate, calcium phosphate, silver nitrate, sodium citrate or a combination thereof.
  7. 根据权利要求1所述的组合物,其特征在于:所述组合物含有一种增稠剂,该增稠剂选自卡拉胶、羧乙烯基聚合物、羟乙基纤维素、粘土、刺梧桐胶、黄原胶、阿拉伯胶、黄蓍胶、胶体硅酸铝镁、二氧化硅或其组合。The composition according to claim 1, wherein the composition contains a thickener selected from the group consisting of carrageenan, carboxyvinyl polymer, hydroxyethyl cellulose, clay, karaya Gum, xanthan gum, acacia gum, tragacanth gum, colloidal magnesium aluminum silicate, silicon dioxide, or a combination thereof.
  8. 根据权利要求1所述的组合物,其特征在于:所述组合物含有一种液体分散剂,该液体分散剂选自甘油、丙二醇、聚乙二醇或其组合。The composition according to claim 1, wherein the composition contains a liquid dispersant selected from the group consisting of glycerin, propylene glycol, polyethylene glycol, or a combination thereof.
  9. 根据权利要求1所述的组合物,其特征在于:所述组合物含有一种氟化物,该氟化物选自氟化钠、氟化亚锡或其组合。The composition according to claim 1, wherein the composition contains a fluoride selected from sodium fluoride, stannous fluoride or a combination thereof.
  10. 根据权利要求1所述的组合物,其特征在于:所述组合物含有一种螯合共聚物以稳定氟化物,该氟化物选自烷基乙烯醚、马来酸酐或其组合。The composition according to claim 1, wherein the composition contains a chelating copolymer to stabilize the fluoride, and the fluoride is selected from the group consisting of alkyl vinyl ether, maleic anhydride or a combination thereof.
  11. 一种在牙齿矫正期间将使牙釉质再矿化的组合物施用于正畸矫治器上的方法,其特征在于:包括:A method for applying a composition for remineralizing tooth enamel to an orthodontic appliance during orthodontics, which is characterized in that it comprises:
    在佩戴正畸矫治器之前在牙齿表面涂抹一层使牙釉质再矿化的组合物;或者在佩戴矫治器之前直接将组合物添加至正畸矫治器内;Apply a layer of composition that remineralizes tooth enamel before wearing the orthodontic appliance; or directly add the composition to the orthodontic appliance before wearing the appliance;
    治疗结束后,取下正畸矫治器并用水清洗掉正畸矫治器内残留的牙齿再矿化组合物;After the treatment, remove the orthodontic appliance and rinse with water to remove the residual tooth remineralization composition in the orthodontic appliance;
    所述组合物是一种粘性膏体,其成份主要包括一种纳米复合物,该纳米复合物包含无定形磷酸盐、两性高分子表面活性剂和β-磷酸三钙;其中,所述无定形磷酸盐选自无定形磷酸钙、无定形氟化磷酸钙或其组合。The composition is a viscous paste, and its ingredients mainly include a nanocomposite, which contains an amorphous phosphate, an amphoteric polymer surfactant and β-tricalcium phosphate; wherein the amorphous The phosphate is selected from amorphous calcium phosphate, amorphous calcium fluoride phosphate, or a combination thereof.
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CN111700810A (en) * 2020-06-02 2020-09-25 艾博莱特(苏州)科技有限公司 Novel compositions for remineralizing dental enamel
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CN108403444A (en) * 2018-01-26 2018-08-17 苏州派克顿科技有限公司 Make the composition of Enamel remineralizations
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CN111050733A (en) * 2017-07-07 2020-04-21 荷兰联合利华有限公司 Oral care compositions
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CN111700810A (en) * 2020-06-02 2020-09-25 艾博莱特(苏州)科技有限公司 Novel compositions for remineralizing dental enamel

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