HK1218870B - Dental care product for tooth whitening - Google Patents
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本发明涉及牙科护理领域,具体地涉及牙科护理产品,如牙膏(洁齿剂)、预防性糊剂、牙粉、牙齿抛光剂、牙齿凝胶、香口胶、糖果、锭剂、漱口水、增白牙贴、带涂层的牙线、带涂层的牙刷、涂抹式凝胶、牙漆、胶贴(veneer)和包含凝胶或糊剂的管、注射器或牙托,用于增白牙齿的漱口水、增白牙贴和牙托,其中该产品包含矿物粒子(如晶体)和化合物(优选能够形成作为水凝胶的基质的蛋白质),其中该产品包含荧光团。该矿物粒子可以包括例如磷酸钙,优选羟基磷灰石,优选为结晶形式。该蛋白质基质可以包括例如自组装肽。该产品还包含荧光团,其可以是该蛋白质基质的荧光氨基酸残基。本发明还涉及该牙科护理产品用于增白牙齿或用于治疗一颗或多颗敏感性牙齿和/或预防或治疗龋齿的美容用途,以及用于牙齿增白的相关方法。The present invention relates to the field of dental care, and specifically to dental care products, such as toothpaste (dentifrices), preventive pastes, tooth powders, tooth polishes, tooth gels, chewing gums, candies, lozenges, mouthwashes, whitening strips, coated dental floss, coated toothbrushes, spreadable gels, tooth varnishes, veneers, and tubes, syringes, or trays containing gels or pastes, as well as mouthwashes, whitening strips, and trays for whitening teeth, wherein the product comprises mineral particles (such as crystals) and a compound (preferably a protein capable of forming a matrix as a hydrogel), wherein the product comprises a fluorophore. The mineral particles may comprise, for example, calcium phosphate, preferably hydroxyapatite, preferably in crystalline form. The protein matrix may comprise, for example, a self-assembling peptide. The product further comprises a fluorophore, which may be a fluorescent amino acid residue of the protein matrix. The present invention also relates to cosmetic uses of the dental care product for whitening teeth or for treating one or more sensitive teeth and/or preventing or treating dental caries, as well as related methods for whitening teeth.
牙齿的牙釉质是人体最坚硬的物质。其由大约98%的羟基磷灰石(一种磷酸钙的结晶形式)和一些有机组分组成。牙釉质的薄层在牙齿表面上形成,牙本质作为基底。牙釉质更坚韧,并且适于吸收咀嚼的应力而不会断裂。牙本质也包含羟基磷灰石,具有较高的孔隙率和较高的有机结构含量。Tooth enamel is the hardest substance in the human body. It is composed of approximately 98% hydroxyapatite (a crystalline form of calcium phosphate) and some organic components. A thin layer of enamel forms on the tooth surface, with dentin as a base. Enamel is tougher and better suited to absorbing the stresses of chewing without breaking. Dentin, which also contains hydroxyapatite, has a higher porosity and a higher organic structure.
外因和内因都会造成牙齿变色。例如,咖啡、茶、酒、胡萝卜、橙子或烟草可以在牙釉质表面上留下污渍。某些抗生素、过量的氟化物摄入或遗传性疾病可以造成内源性变色。牙齿变色对于牙科患者可能是重要的审美问题。例如,在英国,大约20%的人对他们的牙齿颜色不满意。在美国,34%的人看起来不满意。Tooth discoloration can occur both externally and internally. For example, coffee, tea, alcohol, carrots, oranges, or tobacco can stain tooth enamel. Certain antibiotics, excessive fluoride intake, or genetic disorders can also cause endogenous discoloration. Tooth discoloration can be a significant aesthetic concern for dental patients. For example, in the UK, approximately 20% of people are dissatisfied with the color of their teeth. In the US, 34% of people are dissatisfied with their appearance.
通常,表面污渍可以通过由患者或健康专业人士对牙齿进行彻底清洁来去除。为此有时使用具有研磨剂材料的抛光剂(polishing),例如使用包含磷酸钙、白垩、浮石或二氧化硅的粒子的糊剂。如果患者期望更进一步地内源性减少牙齿变色,化学漂白是经典的选项。各种漂白技术是已知的,该漂白技术基于氧化剂(如过氧化物)。可以在牙科诊所由健康专业人士或在家里由患者来进行漂白。为此,可使用用于过夜漂白的处方产品或漂白牙膏。Typically, surface stains can be removed by thorough cleaning of the teeth by the patient or a health professional. Polishing with abrasive materials is sometimes used for this purpose, for example using a paste containing particles of calcium phosphate, chalk, pumice or silica. If the patient wishes to further reduce the endogenous discoloration of the teeth, chemical bleaching is a classic option. Various bleaching techniques are known, which are based on oxidizing agents (such as peroxides). Bleaching can be performed in a dental clinic by a health professional or by the patient at home. For this purpose, prescription products for overnight bleaching or bleaching toothpastes can be used.
但是,近年来,对与漂白相关的副作用(如由过氧化物引起的去矿化、腐蚀和牙齿敏感性)的认知已经提高(例如,Dahl等人, 2003)。已经建议使用羟基磷灰石纳米晶体来再矿化例如被漂白所破坏的牙齿表面(Mohd等人, 2007,Jiang等人, 2008,Lim等人, 2009,Roveri等人, 2009)。羟基磷灰石结晶粒子(其非常类似于牙齿的天然材料)可以沉积在牙齿牙釉质上。除了填充牙齿的划痕或侵蚀部分,以及预防或治疗龋齿,沉积的羟基磷灰石还可以对抗牙龈萎缩时牙本质小管暴露所引起的牙齿超敏性(WO 2007/137606 Al)。However, in recent years, awareness of the side effects associated with bleaching, such as peroxide-induced demineralization, erosion, and tooth sensitivity, has increased (e.g., Dahl et al., 2003). Hydroxyapatite nanocrystals have been proposed for remineralizing tooth surfaces damaged by bleaching (Mohd et al., 2007, Jiang et al., 2008, Lim et al., 2009, Roveri et al., 2009). Hydroxyapatite crystalline particles, which closely resemble the natural material of teeth, can be deposited on tooth enamel. In addition to filling scratched or eroded areas of teeth and preventing or treating caries, the deposited hydroxyapatite can also counteract tooth hypersensitivity caused by exposure of dentinal tubules during gingival recession (WO 2007/137606 Al).
用磷蛋白(如酪蛋白磷酸肽)稳定的无定形磷酸钙(CPP-ACP)已经用在用于预防和治疗龋齿损伤的口腔护理产品中(例如US 20050037948 A1、US 20080075675 A1、US20100297203 A1)。Amorphous calcium phosphate stabilized with phosphoproteins such as casein phosphopeptides (CPP-ACP) has been used in oral care products for the prevention and treatment of caries lesions (eg, US 20050037948 A1, US 20080075675 A1, US20100297203 A1).
发现特定形式的磷酸钙(如羟基磷灰石)还具有不依赖于漂白或抛光的增白性质(Niwa等人, 2001,Dabanoglu等人, 2009)。Dabanoglu等人比较了不同材料,例如纳米-羟基磷灰石或纳米-磷酸三钙或包含纳米-羟基磷灰石的可溶性聚合物膜(甲基丙烯酸-丙烯酸乙酯共聚物)的增白性质。他们采用所有受试材料均实现了以光谱法测量为ΔΕ(L*a*b标度)的颜色改变。可以根据ISO 28399进行测量。该效果随着三次施用提高至大约3的ΔΕ,在使治疗的牙齿经历剪切力后,其随着某些材料而降低。要注意的是,一般普通观察者可以注意到相距3-4 ΔE的两种颜色之间的差异。受过训练的眼睛可以区分相距2-3 ΔE的两种颜色。因此,虽然可以产生可感知的变化,但仍然有改进的空间。Certain forms of calcium phosphate, such as hydroxyapatite, have been found to possess whitening properties independent of bleaching or polishing (Niwa et al., 2001, Dabanoglu et al., 2009). Dabanoglu et al. compared the whitening properties of different materials, such as nano-hydroxyapatite, nano-tricalcium phosphate, or a soluble polymer film (methacrylic acid-ethyl acrylate copolymer) containing nano-hydroxyapatite. They achieved a color change, spectroscopically measured as ΔE (L*a*b scale), with all tested materials. This can be measured according to ISO 28399. This effect increased to approximately 3 ΔE after three applications and decreased with some materials after subjecting the treated teeth to shear forces. It is important to note that the average casual observer can notice a difference between two colors that are 3-4 ΔE apart. A trained eye can distinguish between two colors that are 2-3 ΔE apart. Therefore, while perceptible changes can be achieved, there is still room for improvement.
WO 2013/068020公开了包含具有用乳铁蛋白官能化的表面的羟基磷灰石的牙科护理产品。据建议在牙釉质表面上形成薄膜,该薄膜改善了牙齿的再矿化,并具有抗菌效果。WO 2013/068020 discloses a dental care product comprising hydroxyapatite having a surface functionalized with lactoferrin. It is suggested that a film is formed on the enamel surface, which improves the remineralization of the teeth and has an antibacterial effect.
JPH115722涉及用于口腔清洁的水性组合物,即漱口水,其包含羟基磷灰石粒子。JP2008/081424描述了通过包含乳铁蛋白和乳铁蛋白分解产物以及环状或环形聚磷酸盐的组合物来增白牙齿。JP 2007/0176862描述了包含水解的蚕丝(silk)和沉淀物碳酸钙的组合物用于抑制牙本质的洗脱和用于预防龋齿的用途。JP 2001/131041描述了包含具有改善的储存稳定性的羟基磷灰石的口腔组合物如牙膏,其包含镁盐。CN101385856涉及用于吸收和缓释溶菌酶(溶菌酵素)以便治疗/预防龋齿的纳米羟基磷灰石材料。JPH115722 relates to an aqueous composition for oral hygiene, i.e., a mouthwash, containing hydroxyapatite particles. JP2008/081424 describes tooth whitening using a composition comprising lactoferrin and lactoferrin decomposition products and cyclic or annular polyphosphates. JP2007/0176862 describes the use of a composition comprising hydrolyzed silk and precipitated calcium carbonate for inhibiting dentin washout and preventing dental caries. JP2001/131041 describes an oral composition, such as a toothpaste, containing hydroxyapatite with improved storage stability, which also contains magnesium salts. CN101385856 relates to a nanohydroxyapatite material for absorbing and slowly releasing lysozyme (lysozyme) for treating/preventing dental caries.
US 20100247589 A1描述了一种口腔护理体系,其具有不同的组分如部分结合到口腔表面的单体肽和第二结合元素,以及可以包含粒子的组合物,所述粒子可以结合至该第二结合元素,并且所述组合物包含有益试剂如增白剂,例如TiO2或羟基磷灰石粒子,或防污剂或酶。该肽据称促进了有益试剂结合到口腔表面。US 2010/0247457 A1也教导了包含至少一种用于向牙齿表面递送至少一种涂有聚合物的白色着色剂的牙齿表面结合肽的基于肽的试剂。Raoufi等人, 2010已经比较了商业非处方药过氧化钙牙膏和羟基磷灰石牙膏(分别意在漂白或增白牙齿)与氟化物安慰剂牙膏,并且在12周的临床试验中对任何牙膏没有发现目标增白效果。US 20100247589 A1 describes an oral care system comprising various components, such as a monomeric peptide that partially binds to oral surfaces, a second binding element, and a composition that may include particles that can bind to the second binding element, and the composition comprises a beneficial agent, such as a whitening agent, for example, TiO2 or hydroxyapatite particles, or an anti-staining agent or enzyme. The peptide is said to facilitate the binding of the beneficial agent to oral surfaces. US 2010/0247457 A1 also teaches a peptide-based agent comprising at least one tooth-surface-binding peptide for delivering at least one polymer-coated white colorant to the tooth surface. Raoufi et al. (2010) compared commercial over-the-counter calcium peroxide and hydroxyapatite toothpastes (intended to bleach or whiten teeth, respectively) with a fluoride placebo toothpaste and found no targeted whitening effect for any of the toothpastes in a 12-week clinical trial.
在本领域需要有效增白牙齿的牙科护理产品,其优选将漂白的缺点,如去矿化和牙齿敏感性最小化,该产品是安全的,优选用于商业非处方药销售,并且其可以由患者或消费者来施用。There is a need in the art for dental care products that effectively whiten teeth, preferably while minimizing the disadvantages of bleaching, such as demineralization and tooth sensitivity, that are safe, preferably for commercial over-the-counter sale, and that can be applied by the patient or consumer.
本发明人解决了这一问题。本发明提供了如权利要求书中所述的牙科护理产品及其用途。具体地,本发明提供了一种牙科护理产品,其包含0.4-60重量%,优选0.5-50重量%、1-40重量%、5-30重量%或10-25或15-20重量%,例如20-30重量%或大约25重量%的矿物粒子,该粒子具有10纳米-50微米的尺寸,以及0.001-5重量%,优选0.02-2重量%、0.04-1重量%、0.05-0.5重量%、0.05-0.2重量%的能够形成有机基质的有机化合物,优选能够形成蛋白质基质的蛋白质,例如自组装肽。该蛋白质基质是水凝胶。该牙科护理产品包含荧光团。The present inventors have solved this problem. The present invention provides a dental care product and its use as described in the claims. Specifically, the present invention provides a dental care product comprising 0.4-60% by weight, preferably 0.5-50% by weight, 1-40% by weight, 5-30% by weight, or 10-25% or 15-20% by weight, for example 20-30% by weight or about 25% by weight of mineral particles having a size of 10 nanometers to 50 micrometers, and 0.001-5% by weight, preferably 0.02-2% by weight, 0.04-1% by weight, 0.05-0.5% by weight, or 0.05-0.2% by weight of an organic compound capable of forming an organic matrix, preferably a protein capable of forming a protein matrix, such as a self-assembling peptide. The protein matrix is a hydrogel. The dental care product contains a fluorophore.
发明人令人惊讶地发现,在根据本发明的牙科护理产品中,通过混合矿物粒子与合适的有机基质如合适的蛋白质基质,可以显著提高羟基磷灰石粒子在牙齿上的前述增白效果。单独的所述蛋白质也不能实现可与之相比的效果,并且该组合以协同方式起作用。具体地,本发明提供了一种牙科护理产品,其能够产生在3次施用后对CIELAB(= L* a* b*)标度测量的超过5的ΔE,优选在1次施用后产生超过5的ΔE的牙齿白度差异。The inventors surprisingly discovered that, in a dental care product according to the present invention, the aforementioned whitening effect of hydroxyapatite particles on teeth can be significantly enhanced by combining the mineral particles with a suitable organic matrix, such as a suitable protein matrix. The protein alone does not achieve a comparable effect, and the combination works synergistically. Specifically, the present invention provides a dental care product capable of producing a difference in tooth whiteness of more than 5 ΔE, measured on the CIELAB (=L*a*b*) scale, after three applications, preferably more than 5 ΔE after one application.
在本发明的上下文中,该蛋白质能够形成蛋白质基质或水凝胶,特别是通过自组装。优选地,该蛋白质基质以水凝胶形式存在于该牙科护理产品中,即该蛋白质(例如自组装肽)不作为单体存在。术语蛋白质在本发明上下文中涉及包含超过100个氨基酸的蛋白质和/或具有7-100个氨基酸的肽。该蛋白质可以包含天然和/或非天然的氨基酸残基如鸟氨酸。优选地,本发明的蛋白质选自釉原蛋白、血清白蛋白(优选牛血清白蛋白或人血清白蛋白)、溶菌酶、自组装肽、超分子组装体和胶原蛋白家族的成员(优选I型胶原,特别是人或牛胶原),例如为明胶的形式,或其它富含芳族残基的蛋白质(例如包含超过10%或超过20%的芳族残基)。已知所有这些蛋白质能够形成水凝胶。In the context of the present invention, the protein is capable of forming a protein matrix or hydrogel, in particular by self-assembly. Preferably, the protein matrix is present in the dental care product in the form of a hydrogel, i.e., the protein (e.g., a self-assembling peptide) is not present as a monomer. The term protein, in the context of the present invention, refers to proteins comprising more than 100 amino acids and/or peptides having 7-100 amino acids. The protein may contain natural and/or unnatural amino acid residues, such as ornithine. Preferably, the protein of the present invention is selected from amelogenin, serum albumin (preferably bovine serum albumin or human serum albumin), lysozyme, self-assembling peptides, supramolecular assemblies, and members of the collagen family (preferably type I collagen, in particular human or bovine collagen), for example in the form of gelatin, or other proteins rich in aromatic residues (e.g., containing more than 10% or more than 20% aromatic residues). All of these proteins are known to be capable of forming hydrogels.
本发明人已经表明,可以形成在牙齿表面上的所述蛋白质的基质和该矿物粒子,其与采用先前的方法(例如Dabanoglu等人, 2009)在牙齿表面上沉积的矿物粒子层相比具有提高的增白效果。并入本发明的该矿物粒子的结构据信在该牙科护理产品中预先形成并在口腔条件下稳定。它们还至少部分耐受使用超声牙刷的刷洗。The present inventors have shown that a matrix of the protein and the mineral particles can be formed on the tooth surface that has an enhanced whitening effect compared to a layer of mineral particles deposited on the tooth surface using previous methods (e.g., Dabanoglu et al., 2009). The structure of the mineral particles incorporated into the present invention is believed to be preformed in the dental care product and stable under oral conditions. They are also at least partially resistant to brushing using an ultrasonic toothbrush.
自组装肽是本发明的优选蛋白质。例如在WO 2004/007532A1中提供了自组装肽,其通过引用全部并入本文。WO 2004/007532A1公开了能够形成三维支架的肽,由此促进de-novo磷酸钙的成核。这些人造肽在一个维度中组装以形成β-折叠(beta-sheet),以及更高阶的组装体如带状组装体。可以形成自组装蛋白质的三维超分子结构,其具有对/向磷酸钙的亲合力。Self-assembling peptides are preferred proteins for use in the present invention. Self-assembling peptides are provided, for example, in WO 2004/007532A1, which is incorporated herein by reference in its entirety. WO 2004/007532A1 discloses peptides capable of forming three-dimensional scaffolds, thereby promoting the nucleation of de-novo calcium phosphate. These artificial peptides assemble in one dimension to form beta-sheets, as well as higher-order assemblies such as ribbons. Three-dimensional supramolecular structures of self-assembling proteins can be formed that have an affinity for calcium phosphate.
现有技术中已经描述了可以使用的几种其它自组装肽(SAP)。例如,WO 2010/041636A1描述了含有具有8-200个氨基酸残基的人造肽的生物可吸附肽组织阻塞剂,所述肽具有交替结合的亲水性氨基酸和疏水性氨基酸,其在生理pH值下自组装成β-结构。具有与细胞外基质相互作用的交替的疏水性和亲水性残基或区段(stretch)的自组装肽还公开在WO 2008/113030A2中。WO 2010/103887A1公开了自组装肽,其包含具有特定主序列的碱性、疏水性和酸性氨基酸及其具有高强度的肽凝胶。WO2010/019651A1涉及其它自组装肽。Several other self-assembling peptides (SAPs) that can be used have been described in the prior art. For example, WO 2010/041636 A1 describes biosorbable peptide tissue occlusive agents containing artificial peptides with 8-200 amino acid residues, which have alternating combinations of hydrophilic and hydrophobic amino acids and self-assemble into β-structures at physiological pH. Self-assembling peptides with alternating hydrophobic and hydrophilic residues or stretches that interact with the extracellular matrix are also disclosed in WO 2008/113030 A2. WO 2010/103887 A1 discloses self-assembling peptides comprising basic, hydrophobic, and acidic amino acids with a specific primary sequence and peptide gels with high strength. WO 2010/019651 A1 relates to other self-assembling peptides.
另一申请WO 2007/000979A1描述了具有极性和非极性氨基酸的自组装肽。该肽能够形成β-折叠结构,其中该非极性氨基酸残基以组装形式布置在该结构的一侧上。用作稳定的宏观膜(其用于生物材料应用,如缓慢扩散药物递送)的两亲性自组装肽描述在US 6,548,630中。Another application, WO 2007/000979 A1, describes self-assembling peptides containing polar and nonpolar amino acids. These peptides are capable of forming a β-pleated sheet structure, in which the nonpolar amino acid residues are arranged in an assembled pattern on one side of the structure. Amphiphilic self-assembling peptides used as stable macroscopic membranes for biomaterial applications such as slow-diffusion drug delivery are described in US Pat. No. 6,548,630.
EP 2 327 428A2涉及包含自组装肽纳米纤维(其是彼此互补的)和用于修复受损组织(如心肌梗死后的组织)的至少一种细胞的药物组合物。EP 2 327 428 A2 relates to a pharmaceutical composition comprising self-assembling peptide nanofibers, which are complementary to each other, and at least one cell for repairing damaged tissue, such as tissue after myocardial infarction.
在本发明的上下文中,WO 2004/007532 A1中教导的自组装肽是特别优选的。最优选地,所述蛋白质是指定为寡肽104的自组装肽(SEQ ID NO: 1, QQRFEWEFEQQ)或具有SEQID NO: 2, QQOFOWOFQQQ的自组装肽,或其包含所述肽。其还可以是与由SEQ ID NO: 1、2、3、4、5、6、7、8、9、10、11、12、13、14、15、16、17、18或19组成的肽具有至少60%的序列一致性的自组装肽。优选地,该肽与由SEQ ID,优选SEQ ID NO: 1或SEQ ID NO: 2组成的肽具有至少70%、至少80%或至少90%的序列一致性。最优选地,该肽与由SEQ ID NO: 1组成的肽具有至少60%、至少70%、至少80%或至少90%的序列一致性或者是所述肽。或者,该肽可以与由SEQID NO: 2组成的肽具有至少60%、至少70%、至少80%或至少90%的序列一致性或者是所述肽。在下表1中提供了可用于本发明的自组装肽的实例。自组装肽可以是改性的肽,其包含Ac-N-末端和/或NH2-C-末端,或是未改性的肽。In the context of the present invention, the self-assembling peptides taught in WO 2004/007532 A1 are particularly preferred. Most preferably, the protein is the self-assembling peptide designated as oligopeptide 104 (SEQ ID NO: 1, QQRFEWEFEQQ) or the self-assembling peptide having SEQ ID NO: 2, QQOFOWOFQQQ, or comprises said peptide. It may also be a self-assembling peptide having at least 60% sequence identity with a peptide consisting of SEQ ID NO: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18 or 19. Preferably, the peptide has at least 70%, at least 80% or at least 90% sequence identity with a peptide consisting of SEQ ID, preferably SEQ ID NO: 1 or SEQ ID NO: 2. Most preferably, the peptide has at least 60%, at least 70%, at least 80% or at least 90% sequence identity to or is a peptide consisting of SEQ ID NO: 1. Alternatively, the peptide may have at least 60%, at least 70%, at least 80% or at least 90% sequence identity to or is a peptide consisting of SEQ ID NO: 2. Examples of self-assembling peptides useful in the present invention are provided in Table 1 below. The self-assembling peptides may be modified peptides comprising an Ac-N-terminus and/or an NH2-C-terminus, or unmodified peptides.
表1:Table 1:
为了能够将矿物粒子结合在牙齿表面上,该基质必须能够结合该矿物粒子并粘附到牙齿表面上。该基质由此包含该矿物粒子的结合位点,所述结合位点使其能够将该粒子,所述粒子优选包含钙,结合在牙齿表面上。例如,在该自组装肽表面上的带电荷的氨基酸残基如Glu或Orn结合至羟基磷灰石粒子并结合到也基本上由羟基磷灰石形成的牙齿表面。不希望被理论束缚,据信这两种反应提高了形成的络合物的稳定性,以产生更持久的增白效果。三维自组织的能力(其例如在胶原、超分子组装体或在自组装肽中发现)对结合是重要的。通常,高度带电荷表面将促进矿物粒子的粘附。当它们的表面显示出可以附着到磷酸钙或其它矿物粒子上的谷氨酸或鸟氨酸残基时,该蛋白质-基质特别良好地起作用。优选地,该蛋白质包含5%或更多、10%或更多、20%或更多或30%或更多的带电荷氨基酸残基,如谷氨酸和/或鸟氨酸残基。In order to bind mineral particles to the tooth surface, the matrix must be able to bind the mineral particles and adhere to the tooth surface. The matrix thus contains binding sites for the mineral particles, which enable the particles, preferably comprising calcium, to bind to the tooth surface. For example, charged amino acid residues such as Glu or Orn on the surface of the self-assembling peptide bind to hydroxyapatite particles and to the tooth surface, which is also primarily composed of hydroxyapatite. Without wishing to be bound by theory, it is believed that these two reactions enhance the stability of the formed complex, resulting in a more durable whitening effect. The ability to self-organize in three dimensions (such as found in collagen, supramolecular assemblies, or self-assembling peptides) is important for binding. Generally, highly charged surfaces promote the adhesion of mineral particles. Protein-matrices work particularly well when their surfaces exhibit glutamic acid or ornithine residues that can attach to calcium phosphate or other mineral particles. Preferably, the protein contains 5% or more, 10% or more, 20% or more, or 30% or more charged amino acid residues, such as glutamic acid and/or ornithine residues.
该牙科护理产品包含荧光团。Trp是优选的荧光团。优选地,所述荧光团是该蛋白质基质的氨基酸残基,优选Trp、Tyr和/或Phe。优选地,5%或更多、10%或更多、20%或更多或30%或更多的该基质蛋白质的残基是Trp、Tyr和/或Phe。最优选地,5%或更多、10%或更多、20%或更多或30%或更多的该基质蛋白质的残基是Trp。The dental care product comprises a fluorophore. Trp is a preferred fluorophore. Preferably, the fluorophore is an amino acid residue of the protein matrix, preferably Trp, Tyr, and/or Phe. Preferably, 5% or more, 10% or more, 20% or more, or 30% or more of the matrix protein residues are Trp, Tyr, and/or Phe. Most preferably, 5% or more, 10% or more, 20% or more, or 30% or more of the matrix protein residues are Trp.
在一个实施方案中,该蛋白质包含5%或更多、10%或更多、20%或更多或30%或更多的带电荷氨基酸残基如谷氨酸和/或鸟氨酸,并且该蛋白质包含5%或更多、10%或更多、20%或更多或30%或更多的荧光氨基酸残基如Trp。In one embodiment, the protein comprises 5% or more, 10% or more, 20% or more, or 30% or more charged amino acid residues, such as glutamic acid and/or ornithine, and the protein comprises 5% or more, 10% or more, 20% or more, or 30% or more fluorescent amino acid residues, such as Trp.
在一个替代实施方案中,该牙科护理产品包含不是该蛋白质的氨基酸残基的荧光团,并且所述荧光团在一个实施方案中不共价键合至该基质。也设想了荧光团对该蛋白质的共价键。例如,该荧光团可以是酞菁的衍生物,例如铜酞菁(covarin blue)。与将这样的荧光团并入常规牙膏相比,将这样的荧光团嵌入如上所述的基质与矿物粒子的组合令人惊讶地造成了更持久和更强烈的增白效果。当然,该牙科护理产品也可以包含是该蛋白质的氨基酸残基的荧光团和不是该蛋白质的氨基酸残基的附加荧光团两者。但是,令人惊讶地,如果该蛋白质包含如上所述的荧光氨基酸残基,则不需要向本发明的牙科护理产品中添加荧光团以实现增白效果。In an alternative embodiment, the dental care product comprises a fluorophore that is not an amino acid residue of the protein, and in one embodiment, the fluorophore is not covalently bonded to the matrix. Covalent bonding of the fluorophore to the protein is also contemplated. For example, the fluorophore can be a derivative of phthalocyanine, such as copper phthalocyanine (covarin blue). Embedding such a fluorophore in a combination of the matrix and mineral particles described above surprisingly results in a longer-lasting and more intense whitening effect compared to incorporating such a fluorophore into conventional toothpaste. Of course, the dental care product can also comprise both a fluorophore that is an amino acid residue of the protein and an additional fluorophore that is not an amino acid residue of the protein. However, surprisingly, if the protein comprises a fluorescent amino acid residue as described above, it is not necessary to add a fluorophore to the dental care product of the present invention to achieve a whitening effect.
该矿物粒子优选包含磷酸钙或由其组成。磷酸钙在本发明的上下文中可以是一水合磷酸一钙(MCPM)Ca(H2PO4)2•H2O、无水磷酸一钙(MCPA)Ca(H2PO4)2,二水合磷酸二钙(DCPD,Brushit)CaHPO4•2H2O,无水磷酸二钙(DCPA,Monetit)CaHPO4,磷酸八钙(OCP)Ca8(HPO4)2(PO4)4•5H2O,α-磷酸三钙(α-TCP)α-Ca3(PO4)2,β-磷酸三钙(β –TCP)β-Ca3(PO4)2,无定形磷酸钙(ACP)Cax(PO4)y•nH2O,缺钙羟基磷灰石(CDHA)Ca10-x(HPO4)x(PO4)6-x(OH)2-x(0<x<1),羟基磷灰石(HA)Ca10(PO4)6(OH)2,或磷酸四钙(TTCP)Ca4(PO4)2O,或不同磷酸钙的混合物。在一个实施方案中,该粒子具有40%或更高,例如40-60%,60%或更高、80%或更高或90%或更高的结晶度,或者它们是晶体。较高的结晶度预期使得对牙齿白度的效果更持久。在本发明通篇中,该磷酸钙优选是羟基磷灰石。该羟基磷灰石可以是取代的羟基磷灰石,例如碳酸盐羟基磷灰石和碳酸锌羟基磷灰石,或纯磷酸钙,优选为结晶形式。在本发明的上下文中,除非另外提及,提及磷酸钙或羟基磷灰石包括提及这种种类的衍生的磷酸钙或羟基磷灰石。当然,该磷酸钙或羟基磷灰石也可以仅由CaPO4(当然,以及对各自晶体形式合适的结晶水)组成。该矿物还可以是生物玻璃(包含酸溶性硅酸钙)、高岭土(Al2Si2O5(OH)4)或其不同晶体形式的TiO2。The mineral particles preferably comprise or consist of calcium phosphate. Calcium phosphate in the context of the present invention may be monocalcium phosphate monohydrate (MCPM) Ca(H 2 PO 4 ) 2 •H 2 O, monocalcium phosphate anhydrous (MCPA) Ca(H 2 PO 4 ) 2 , dicalcium phosphate dihydrate (DCPD, Brushit) CaHPO 4 •2H 2 O, dicalcium phosphate anhydrous (DCPA, Monetit) CaHPO 4 , octacalcium phosphate (OCP) Ca 8 (HPO 4 ) 2 (PO 4 ) 4 •5H 2 O, α-tricalcium phosphate (α-TCP) α-Ca 3 (PO 4 ) 2 , β-tricalcium phosphate (β –TCP) β-Ca 3 (PO 4 ) 2 , amorphous calcium phosphate (ACP) Ca x (PO 4 ) y •nH 2 O, calcium-deficient hydroxyapatite (CDHA) Ca 10-x (HPO 4 ) x (PO 4 ) 6-x (OH) 2-x (0<x<1), hydroxyapatite (HA) Ca 10 (PO 4 ) 6 (OH) 2 , or tetracalcium phosphate (TTCP) Ca 4 (PO 4 ) 2 O, or a mixture of different calcium phosphates. In one embodiment, the particles have a crystallinity of 40% or more, such as 40-60%, 60% or more, 80% or more or 90% or more, or they are crystalline. A higher crystallinity is expected to result in a longer-lasting effect on tooth whiteness. Throughout the present invention, the calcium phosphate is preferably hydroxyapatite. The hydroxyapatite may be a substituted hydroxyapatite, such as carbonate hydroxyapatite and zinc carbonate hydroxyapatite, or pure calcium phosphate, preferably in crystalline form. In the context of the present invention, unless otherwise mentioned, reference to calcium phosphate or hydroxyapatite includes reference to such types of derivatized calcium phosphate or hydroxyapatite. Of course, the calcium phosphate or hydroxyapatite can also consist solely of CaPO 4 (and, of course, water of crystallization appropriate for the respective crystal form). The mineral can also be bioglass (comprising acid-soluble calcium silicates), kaolin (Al 2 Si 2 O 5 (OH) 4 ) or TiO 2 in its various crystal forms.
该羟基磷灰石粒子可以根据以下文献中公开的方法获得:例如Roveri,Battistelli等人, 2009、EP 1 762 215 A1、US 20050037948 A1、US 20080075675 A1、US20100247589 A1、US 20100297203 A1、WO 2007/137606 A1或WO 2013/068020 A1。优选地,该羟基磷灰石可以根据WO 2007/137606 A1获得,并可以自Budenheim, Budenheim,Germany商业获得。The hydroxyapatite particles can be obtained according to the methods disclosed in the following documents: for example, Roveri, Battistelli et al., 2009, EP 1 762 215 A1, US 20050037948 A1, US 20080075675 A1, US 20100247589 A1, US 20100297203 A1, WO 2007/137606 A1 or WO 2013/068020 A1. Preferably, the hydroxyapatite can be obtained according to WO 2007/137606 A1 and can be commercially obtained from Budenheim, Budenheim, Germany.
该矿物粒子的尺寸优选通过粒度测定法,例如使用光散射粒度分布分析仪(如LA-950, Horiba, Kyoto, Japan)测量。晶体形式优选为针形,但是其也可以是棒形或针状。The size of the mineral particles is preferably measured by granulometry, for example using a light scattering particle size distribution analyzer (such as LA-950, Horiba, Kyoto, Japan). The crystal form is preferably needle-shaped, but it can also be rod-shaped or needle-shaped.
该粒子的尺寸为10纳米-50微米,优选0.1微米- 25微米,更优选1-25微米、4-20微米或5-15微米、8.12微米或大约10微米。在一个实施方案中,该尺寸为10-1200纳米。在本发明的上下文中,这意味着至少80%,优选至少90%的粒子、至少95%或100%的粒子具有各自的尺寸。The particles have a size of 10 nanometers to 50 microns, preferably 0.1 micron to 25 microns, more preferably 1-25 microns, 4-20 microns, or 5-15 microns, 8.12 microns, or about 10 microns. In one embodiment, the size is 10-1200 nanometers. In the context of the present invention, this means that at least 80%, preferably at least 90%, at least 95%, or 100% of the particles have a respective size.
在一个实施方案中,30-100%或50-90%的粒子具有200-600纳米的尺寸。选择该尺寸用于实验,因为这对应于UV光或可见光的波长,其在牙齿的白色外观方面起重要的作用。在本发明的上下文中,“大约”是指+/-10%,优选+/-5%。In one embodiment, 30-100% or 50-90% of the particles have a size of 200-600 nanometers. This size was chosen for the experiments because it corresponds to the wavelength of UV light or visible light, which plays an important role in the white appearance of teeth. In the context of the present invention, "about" means +/- 10%, preferably +/- 5%.
在一个实施方案中,该粒子具有不同尺寸的混合,其可以提供还更强烈的增白效果。特别地,例如30-70%的粒子可以具有200-400纳米的尺寸,30-70%的粒子具有400-600纳米的尺寸,并且任选地,30-70%的粒子具有10-200纳米的尺寸。或者,例如,30-70%的粒子可以具有大约10-15微米的尺寸,大约30-70%的粒子具有大约4-10微米的尺寸,并且任选地,大约10-40%的粒子具有0.1-4微米的尺寸(均指的是重量%)。In one embodiment, the particles have a mixture of different sizes, which can provide an even more intense whitening effect. In particular, for example, 30-70% of the particles can have a size of 200-400 nanometers, 30-70% of the particles can have a size of 400-600 nanometers, and optionally, 30-70% of the particles can have a size of 10-200 nanometers. Alternatively, for example, 30-70% of the particles can have a size of approximately 10-15 microns, approximately 30-70% of the particles can have a size of approximately 4-10 microns, and optionally, approximately 10-40% of the particles can have a size of 0.1-4 microns (all percentages are weight percent).
在一个优选实施方案中,该蛋白质是自组装肽,并且该荧光团是该自组装肽的氨基酸残基,优选为Trp,并且该粒子,其优选是羟基磷灰石粒子,具有1-25微米,优选4-20微米的尺寸。In a preferred embodiment, the protein is a self-assembling peptide and the fluorophore is an amino acid residue of the self-assembling peptide, preferably Trp, and the particle, which is preferably a hydroxyapatite particle, has a size of 1-25 microns, preferably 4-20 microns.
该牙科护理产品选自牙膏(洁齿剂)、预防性糊剂、牙粉、牙齿抛光剂、牙齿凝胶、香口胶、糖果、锭剂、漱口水、增白牙贴、涂抹式凝胶、牙漆、胶贴和包含凝胶或糊剂的管、注射器或牙托,或涂覆在施用载体如牙线或牙刷(手动牙刷、电动牙刷、声波牙刷(soundtoothbrush)、其组合或超声牙刷)上的凝胶或糊剂。该牙膏可以是用于常规牙刷的牙膏,但其也可以是用于超声牙刷的牙膏。在一个实施方案中,该牙科护理产品不是液体,而是糊剂或凝胶,其最优选是包含0.5-40重量%的所述矿物粒子和0.02-1重量%,优选0.05-0.5重量%的所述有机基质,优选蛋白质基质的牙膏或牙齿凝胶。凝胶是通过流体遍及其整个体积扩张的非流体胶体网络或聚合物网络。在水凝胶的情况下,该流体是水。与液体不同,凝胶具有有限的,通常相当小的屈服应力。The dental care product is selected from toothpaste (dentifrices), preventive pastes, tooth powders, tooth polishes, tooth gels, chewing gums, candies, lozenges, mouthwashes, whitening strips, spreadable gels, tooth varnishes, adhesive strips, and tubes, syringes, or trays containing gels or pastes, or gels or pastes applied to an application carrier such as dental floss or a toothbrush (manual toothbrush, electric toothbrush, sonic toothbrush, combinations thereof, or ultrasonic toothbrush). The toothpaste can be a toothpaste for a conventional toothbrush, but it can also be a toothpaste for an ultrasonic toothbrush. In one embodiment, the dental care product is not a liquid, but a paste or gel, most preferably a toothpaste or tooth gel comprising 0.5-40% by weight of the mineral particles and 0.02-1% by weight, preferably 0.05-0.5% by weight of the organic matrix, preferably a protein matrix. A gel is a non-fluid colloidal network or polymer network that is expanded throughout its entire volume by a fluid. In the case of a hydrogel, the fluid is water. Unlike liquids, gels have a finite, usually quite small, yield stress.
该牙科护理产品可以附加地包含一种或多种各自的牙科护理产品的典型成分。这样的典型成分可以是:The dental care product may additionally contain one or more typical ingredients of the respective dental care product. Such typical ingredients may be:
- 研磨剂,如碳酸盐、磷酸盐、硅酸盐、丙烯酸盐、氧化铝,- abrasives such as carbonates, phosphates, silicates, acrylates, aluminum oxide,
- 悬浮剂,如甘油、聚乙二醇(PEG)、山梨糖醇、木糖醇,- suspending agents such as glycerol, polyethylene glycol (PEG), sorbitol, xylitol,
- 粘合剂,如纤维素及其衍生物、角叉菜胶、石蜡、木糖,- binders such as cellulose and its derivatives, carrageenan, paraffin, xylose,
- 清洁剂,如氢化蓖麻油、月桂基硫酸钠,- Cleansing agents such as hydrogenated castor oil, sodium lauryl sulfate,
- 香料,如焦糖、香草醛、薄荷醇,- flavors such as caramel, vanillin, menthol,
- 防腐剂,如乙醇、苯甲酸钠,- Preservatives such as ethanol, sodium benzoate,
- 着色剂,如溶剂红(solvent red)、酸性蓝3,- Colorants, such as solvent red, acid blue 3,
- 活性剂,如氟化物,优选为叔胺形式,如氟化胺或有机氟化物,如单氟磷酸钠,硝酸钾和/或草酸盐。- an active agent, such as a fluoride, preferably in the form of a tertiary amine, such as an amine fluoride or an organic fluoride, such as sodium monofluorophosphate, potassium nitrate and/or oxalate.
在本发明的一个实施方案中,该产品是牙膏,其包含Curodont™ Repair(即寡肽104 (SEQ ID NO: 1)和填充剂)或优选Curodont™ Protect(均可获自credentis ag,Switzerlandand)的所有或主要成分,以及添加的矿物粒子,特别是磷酸钙,优选羟基磷灰石粒子和/或另一种结晶形式,最优选羟基磷灰石。由此,成分可以是例如羟基磷灰石粒子和/或另一种结晶形式的磷酸钙,优选羟基磷灰石,以及Curodont™ Protect,即氢化淀粉水解产物、水(aqua)、水合二氧化硅、PEG-8;纤维素胶、单氟磷酸钠、香料、糖精钠、柠檬酸、氢氧化钠、磷酸二钙、寡肽-104、甘油磷酸钙、氯化钠、硫酸钠、柠檬烯、肉桂醛和CI 42090。In one embodiment of the present invention, the product is a toothpaste comprising all or the major ingredients of Curodont™ Repair (i.e., oligopeptide 104 (SEQ ID NO: 1) and fillers) or preferably Curodont™ Protect (both available from Credentis ag, Switzerland) and added mineral particles, in particular calcium phosphate, preferably hydroxyapatite particles and/or another crystalline form, most preferably hydroxyapatite. Thus, the ingredients may be, for example, hydroxyapatite particles and/or another crystalline form of calcium phosphate, preferably hydroxyapatite, and Curodont™ Protect, i.e., hydrogenated starch hydrolysate, water (aqua), hydrated silica, PEG-8; cellulose gum, sodium monofluorophosphate, flavoring, sodium saccharin, citric acid, sodium hydroxide, dicalcium phosphate, oligopeptide-104, calcium glycerophosphate, sodium chloride, sodium sulfate, limonene, cinnamaldehyde, and CI 42090.
在一个实施方案中,该产品是包含大约50%的Curodont™ Protect、大约25%的羟基磷灰石粒子和大约25%的水的牙膏。In one embodiment, the product is a toothpaste comprising about 50% Curodont™ Protect, about 25% hydroxyapatite particles, and about 25% water.
本发明还涉及本发明的牙科护理产品用于牙齿增白的美容用途。还公开了出于美容原因的牙齿增白的方法,其包括向牙齿施用本发明的牙科护理产品。在本发明的上下文中,除非明确提及或由上下文显而易见,“一个”不限于单数,而是也可以指“一个或多个”。例如,提及“一颗牙齿”包括特指超过一颗牙齿,特别是一个人的所有牙齿的选项。本发明的牙科护理产品还可以用于增白牙冠、植入物、填充材料和其它口腔用具。The present invention also relates to the cosmetic use of the dental care product of the present invention for tooth whitening. A method for whitening teeth for cosmetic reasons is also disclosed, comprising applying the dental care product of the present invention to teeth. In the context of the present invention, "one" is not limited to the singular, but may also refer to "one or more," unless expressly stated or apparent from the context. For example, reference to "a tooth" includes the option of specifically referring to more than one tooth, particularly all teeth of a person. The dental care product of the present invention may also be used to whiten crowns, implants, filling materials, and other oral appliances.
在本发明的方法中,该组合物优选在1、2、3、4、5、6、7天或更多天施用一天一次、两次或三次,在一个实施方案中,该组合物每天施用。也可以不那么频繁地施用,例如一周一次或一个月一次。施用频率强烈依赖于使用者期望的增白效果,以及依赖于牙齿经历的机械磨损的量。这包括终生施用,优选在恒牙已经长出后开始,特别是在已经注意到牙齿变色后开始。施用指的是一颗牙齿,或优选一个人的所有牙齿与该牙科护理产品以通常使用各自类型的产品的方式接触。例如,牙膏通常用于刷牙1-5分钟、特别是大约2-3分钟的时间。In the method of the present invention, the composition is preferably applied once, twice or three times a day on 1, 2, 3, 4, 5, 6, 7 days or more, in one embodiment, the composition is applied every day. It can also be applied less frequently, for example once a week or once a month. The frequency of application strongly depends on the whitening effect desired by the user, and on the amount of mechanical wear experienced by the teeth. This includes lifelong application, preferably starting after the permanent teeth have grown, particularly after tooth discoloration has been noticed. Application refers to a tooth, or preferably all teeth of a person being contacted with the dental care product in the manner of a product of the respective type that is usually used. For example, toothpaste is usually used for brushing teeth for 1-5 minutes, particularly for a period of about 2-3 minutes.
由于本发明的牙科护理产品不导致包含过氧化物的漂白产品的不期望的副作用,其可以每日用于牙科护理的所有循环,而不会损害牙齿或牙龈。由于该牙科护理产品可以进一步提高牙齿的再矿化、降低牙齿敏感性和预防龋齿,并且甚至可以用于治疗初龋病变,而无需附加的牙科护理产品。此外,该产品可用于抑制牙齿的去矿化。特别地,本发明的洁齿剂或牙膏可用于每次刷牙。Because the dental care products of the present invention do not cause the undesirable side effects of peroxide-containing bleaching products, they can be used daily throughout all cycles of dental care without damaging teeth or gums. Since the dental care products can further enhance tooth remineralization, reduce tooth sensitivity, and prevent caries, they can even be used to treat incipient caries lesions without the need for additional dental care products. Furthermore, the products can be used to inhibit tooth demineralization. In particular, the dentifrice or toothpaste of the present invention can be used every time you brush your teeth.
或者,其可以与不同的洁齿剂一起使用或替代不同的洁齿剂使用,所述洁齿剂例如是替代的含氟牙膏。例如,替代的含氟牙膏可以在早上使用,而本发明的牙膏可以在晚上在一天的最后一餐后使用。该牙科护理产品还可以在正常的牙科护理后使用,例如在晚上在刷牙后使用。Alternatively, it can be used with or in place of a different dentifrice, such as an alternative fluoride toothpaste. For example, the alternative fluoride toothpaste can be used in the morning, while the toothpaste of the present invention can be used in the evening after the last meal of the day. The dental care product can also be used after normal dental care, such as in the evening after brushing the teeth.
本发明还提供了本发明的牙科护理产品用于治疗敏感性牙齿和/或用于预防或治疗龋齿的用途。还公开了治疗敏感性牙齿和/或预防和/或治疗龋齿和/或牙齿增白的方法,其包括向一颗或多颗牙齿施用有效量的本发明的牙科护理产品。The present invention also provides use of the dental care product of the present invention for treating sensitive teeth and/or for preventing or treating dental caries. Also disclosed is a method for treating sensitive teeth and/or preventing and/or treating dental caries and/or whitening teeth, comprising applying an effective amount of the dental care product of the present invention to one or more teeth.
下面的实施例意在举例说明而非限制本发明。本申请中引用的所有文献由此全部并入本文。The following examples are intended to illustrate but not to limit the present invention.All documents cited in this application are hereby incorporated in their entirety.
附图说明:Description of the drawings:
图1(A)用P11-4基质和羟基磷灰石粒子悬浮液的混合物处理过的牙齿表面的电子显微镜照片。该牙齿的表面显示紧密结合的粒子。(B)仅用在水中的羟基磷灰石粒子悬浮液处理过的牙齿表面的电子显微镜照片。该表面显示了在该表面上粒子的不规则定位。Figure 1. (A) Electron micrograph of a tooth surface treated with a mixture of P11-4 matrix and a suspension of hydroxyapatite particles. The tooth surface shows tightly bound particles. (B) Electron micrograph of a tooth surface treated with a suspension of hydroxyapatite particles in water alone. The surface shows irregular positioning of the particles.
图2 根据实施例2的方案,不同的羟基磷灰石粒子在粘土板上在不存在(1-4)和存在(1+-4+)自组装肽(Curodont™ Protect)的情况下的增白效果的照相评估。该照片显示了用牙刷刷洗后的粘土板。Figure 2 Photographic evaluation of the whitening effect of different hydroxyapatite particles on a clay plate in the absence (1-4) and presence (1+-4+) of a self-assembling peptide (Curodont™ Protect) according to the protocol of Example 2. The photograph shows the clay plate after scrubbing with a toothbrush.
实施例Example
实施例1:Example 1:
材料与方法Materials and Methods
生成含有或不含有羟基磷灰石粒子(平均尺寸d50≤300纳米(Horiba);40-60%结晶度,25重量%)的寡肽104(5毫克/毫升)的悬浮液。Suspensions of oligopeptide 104 (5 mg/mL) with or without hydroxyapatite particles (average size d50 ≤ 300 nm (Horiba); 40-60% crystallinity, 25 wt %) were generated.
将该悬浮液直接施用到牙齿的牙釉质表面上,并洗掉残留物(10秒)。将试样在蒸馏水中在37℃下储存24小时。将该程序重复3次。The suspension was applied directly to the enamel surface of the teeth and the residue was washed off (10 seconds). The specimens were stored in distilled water at 37°C for 24 hours. This procedure was repeated three times.
用牙科分光光度计(VITA Easyshade)测量牙齿颜色。在测量过程中用黑箱作为牙齿的背景将照明条件标准化。将尖端垂直于牙齿表面施加,并且来自三次重复的平均L*a*b值用于评估。在基线(t1=未经处理)、首次施用后24小时(t1)、第二次施用后24小时(t3)、第三次施用后24小时(t4)处完成颜色测量。Tooth color was measured using a dental spectrophotometer (VITA EasyShade). A black box served as the tooth background to standardize lighting conditions during measurement. The tip was applied perpendicular to the tooth surface, and the average L*a*b value from three replicates was used for evaluation. Color measurements were completed at baseline (t1 = untreated), 24 hours after the first application (t1), 24 hours after the second application (t3), and 24 hours after the third application (t4).
在各组中不同测量之间L*a*b值的平均变化表示为ΔE(根据ISO 28399)。The mean change in L*a*b values between the different measurements in each group is expressed as ΔE (according to ISO 28399).
结果result
在下表2中提供了该结果:The results are provided in Table 2 below:
表2Table 2
该实验显示,令人惊讶地,根据本发明的蛋白质基质与HA的组合显著提高了在仅施用HA时看到的增白效果。This experiment shows that, surprisingly, the combination of a protein matrix according to the invention with HA significantly enhances the whitening effect seen when HA alone is applied.
实施例2:Example 2:
测试方案Test plan
1. 将由粘土制成的陶瓷板用无色指甲油划分为四格。将所有化学物质称出并在管中组合。用超纯水填充该管至100重量%。如果使用明胶,则将该悬浮液在水浴中在80℃下加热5分钟。随后,通过涡旋混合器混合悬浮液。将该悬浮液准备好施用到该陶瓷板上;这以两个体积为50微升的移液管步骤来完成。在两个移液管步骤之间休息10分钟。将该陶瓷板干燥大约3小时。1. Divide a clay ceramic plate into four sections using colorless nail polish. Weigh all chemicals and combine them in a tube. Fill the tube to 100% by weight with ultrapure water. If using gelatin, heat the suspension in a water bath at 80°C for 5 minutes. Then, mix the suspension using a vortex mixer. Prepare the suspension for application to the ceramic plate using two 50 μl pipetting steps. Allow 10 minutes to rest between pipetting steps. Allow the ceramic plate to dry for approximately 3 hours.
2. 将该陶瓷板在超纯水中培育24小时。在培育后,移除该陶瓷板并将其干燥。2. Incubate the ceramic plate in ultrapure water for 24 hours. After incubation, remove the ceramic plate and dry it.
3. 通过Vita Easyshade分光光度计(Advance 4.0, SN: H26818, VitaZahnfabrik GmbH, Bad Säckingen)测量陶瓷板的白度。各区域测量三次并使用平均值。3. The whiteness of the ceramic panels was measured using a Vita Easyshade spectrophotometer (Advance 4.0, SN: H26818, VitaZahnfabrik GmbH, Bad Säckingen). Each area was measured three times and the average value was used.
4. 将描述的程序(1-3)重复三次。各组中不同测量之间L*a*b*值的平均变化表示为ΔE,其使用根据ISO标准28399:2011(用于外部牙齿漂白的产品)的方法来计算。4. The described procedures (1-3) were repeated three times. The average change in L*a*b* values between the different measurements in each group was expressed as ΔE, which was calculated using the method according to ISO standard 28399:2011 (products for external tooth bleaching).
5. 在三次施用后,通过超声牙刷在0.5厘米的距离处刷洗该陶瓷板2分钟。如上所述再次测量该板的Lab值。5. After three applications, the ceramic plate was brushed with an ultrasonic toothbrush at a distance of 0.5 cm for 2 minutes. The Lab value of the plate was measured again as described above.
受试材料Test materials
根据上述测试方案测试根据本发明和现有技术的不同组合物。%涉及重量/重量%。将水添加至100%。Curodont ProtectTM包含1毫克/克寡肽104。Different compositions according to the invention and the prior art were tested according to the test protocol described above. % refers to weight/weight%. Water was added to 100%. Curodont Protect ™ contains 1 mg/g of oligopeptide 104.
表3A:含有或不含有自组装肽/Curodont ProtectTM的包含不同HA粒子的组合物Table 3A: Compositions containing different HA particles with or without self-assembling peptides/Curodont Protect ™
表3B:含有或不含有自组装肽/Curodont ProtectTM的不同HA粒子的增白效果。ΔE是指对于基线的变化Table 3B: Whitening effect of different HA particles with or without self-assembling peptides/Curodont Protect ™ . ΔE is the change from baseline.
*用基线校正。*Baseline corrected.
表4A:包含不同量的HA的组合物Table 4A: Compositions containing different amounts of HA
表4B:包含不同量的HA的组合物的增白效果Table 4B: Whitening effect of compositions containing different amounts of HA
*用基线校正。*Baseline corrected.
该实验表明了不同量的HA连同自组装肽一起具有增白效果,采用更高量的HA改善该增白效果。This experiment demonstrated that different amounts of HA together with the self-assembling peptides had a whitening effect, which was improved with higher amounts of HA.
表5A:来自现有技术的比较组合物;Table 5A: Comparative compositions from the prior art;
31JP 根据JP2008/081424的实施例31的组合物31JP Composition according to Example 31 of JP2008/081424
8% 乳铁蛋白,8% lactoferrin,
2% 乳铁蛋白水解产物,2% Lactoferrin Hydrolysate,
43% 甘油,43% glycerin,
23.5% 聚乙二醇(PEG),23.5% polyethylene glycol (PEG),
15% 硅酸酐15% Silicic Anhydride
5% 羟基磷灰石,10微米5% Hydroxyapatite, 10 microns
3% 甲基纤维素钠3% sodium methylcellulose
0.3% 月桂基硫酸钠0.3% Sodium Lauryl Sulfate
10JP 根据JPH115722的实施例10的组合物(漱口水)10JP Composition according to Example 10 of JPH115722 (mouthwash)
1% 羟基磷灰石,1微米1% Hydroxyapatite, 1 micron
2% 抗坏血酸2% ascorbic acid
1% 抗坏血酸钠1% sodium ascorbate
0.5 % 胶原0.5% collagen
0.5 % 明胶/胶原分解产物0.5% gelatin/collagen breakdown products
10% 甘油10% glycerol
1% 乙醇1% ethanol
表5B:根据现有技术的组合物的增白效果Table 5B: Whitening effect of compositions according to the prior art
*用基线校正。*Baseline corrected.
与现有技术组合物的比较显示,本发明的组合物令人惊讶地更适于牙齿增白得多。特别地,应当注意,在施用后,组合物31JP积累了厚的壳,其本身在水中24小时培育过程中浮起(float off)。组合物10JP变为黄色。Comparison with prior art compositions shows that the compositions of the present invention are surprisingly much more suitable for teeth whitening. In particular, it should be noted that after application, composition 31JP accumulated a thick crust, which itself floated off during the 24-hour incubation in water. Composition 10JP turned yellow.
实施例3:Example 3:
进行40位期望更亮/更白牙齿的志愿者的单中心非受控美容研究。该研究的主要目的是使用牙科分光光度计(VITA easyshade)对被评估产品的增白效果进行体内评估。次要目标是:A single-center, uncontrolled cosmetic study was conducted on 40 volunteers who desired brighter/whiter teeth. The primary objective of the study was to evaluate the whitening effect of the evaluated products in vivo using a dental spectrophotometer (VITA easyshade). Secondary objectives were to:
a)评估该产品的安全性和耐受性,a) evaluate the safety and tolerability of the product,
b)确定和验证该产品的施用频率,b) determine and verify the frequency of application of the product,
c)评估增白效果的耐久性,c) evaluate the durability of the whitening effect,
d)评估重复施用的附加效果。d) To evaluate the additive effects of repeated administration.
所有受试者在18至75岁之间。至少一颗牙齿必须达到采用VITA easyshade的>=15的亮度水平。受试者具有健康的门齿和上颚犬齿,即没有口腔龋齿、无腐蚀、无局部修复(所述标准应用于必须达到采用VITA easyshade的>= 15的亮度水平的至少一颗牙齿)。受试者进一步必须理解所有程序,并且能够和愿意遵循指令,他们必须接受所有测量和控制,并且他们必须在研究开始前签署相应的声明。排除具有对糖的一般敏感性、不良的口腔卫生、在研究的牙齿上的氟斑(fluorosis)的受试者,或在该研究期间参与另一项临床研究或进行漂白的受试者。All subjects were between 18 and 75 years of age. At least one tooth had to achieve a brightness level of ≥15 using VITA easyshade. Subjects had healthy incisors and maxillary canines, i.e., no caries, no decay, and no local restorations (these criteria applied to at least one tooth, which had to achieve a brightness level of ≥15 using VITA easyshade). Subjects also had to understand all procedures and be able and willing to follow instructions. They had to accept all measurements and controls, and they had to sign the corresponding declaration before the start of the study. Subjects with a general sensitivity to sugars, poor oral hygiene, fluorosis on the studied tooth, or those participating in another clinical study or undergoing bleaching during the study were excluded.
受试产品由50%的Curodont Protect™(包含1毫克寡肽104/克Curodont Protect™,因此,该产品含有0.5毫克/克寡肽104,即0.05%的自组装肽)、25%的羟基磷灰石(d50 ≤300纳米(Horiba))和25%的水。The test product consisted of 50% Curodont Protect™ (containing 1 mg oligopeptide 104/g Curodont Protect™, thus the product contained 0.5 mg/g oligopeptide 104, i.e. 0.05% self-assembling peptides), 25% hydroxyapatite (d50 ≤300 nm (Horiba)) and 25% water.
在第0天,在口腔外科处,牙科医生或研究小组成员分别用用于上颚和下颚的牙托向牙齿施用该产品。在5-10分钟后,受试者吐出该产品,并用水冲洗他/她的牙齿。在第1-7天,每天一次,在晚上在定期牙科护理后,受试者用该产品刷前牙1-2分钟。在研究期间,指示受试者每天像往常一样使用加氟牙膏Candida fresh®和电动牙刷(Sonicare®)清洁他们的牙齿2-3次。On Day 0, at the Oral Surgery Department, a dentist or research team member applied the product to the teeth using a tray for the upper and lower jaws, respectively. After 5-10 minutes, the subject spat out the product and rinsed their teeth with water. On Days 1-7, once daily, in the evening after their regular dental care, the subject brushed their front teeth with the product for 1-2 minutes. During the study, the subjects were instructed to clean their teeth as usual 2-3 times daily using the fluoride toothpaste Candida Fresh® and an electric toothbrush (Sonicare®).
在第一次治疗(D0T)之前和之后、在第1天(在当日与该产品接触前)、在第7天(D7)(在当日与该产品接触前)和在第30天(D30)用牙科分光光度计记录至少一颗所评估的牙齿的亮度。各组中不同测量之间L*a*b值的平均变化表示为ΔE(根据ISO 28399)。结果显示在下表3中。The lightness of at least one tooth evaluated was recorded using a dental spectrophotometer before and after the first treatment (D0T), on day 1 (before product contact on that day), on day 7 (D7) (before product contact on that day), and on day 30 (D30). The average change in L*a*b values between the different measurements in each group was expressed as ΔE (according to ISO 28399). The results are shown in Table 3 below.
表6:根据本发明的牙齿增白的体内效果。该表提供了参考治疗前的测量值的ΔE值,即所有值用基线校正。Table 6: In vivo effect of teeth whitening according to the present invention. The table provides ΔE values with reference to the measurements before treatment, ie all values are baseline corrected.
**退出,因此未能获得数据。** Exited, therefore failed to obtain data.
该研究清楚地显示,通过本发明的产品获得了牙齿颜色的显著增白。在第一次施用后,对许多患者已经发生了视觉牙齿增白(ΔE>3)。平均而言,在D1后看到视觉增白效果。在家里每日治疗一周后,发生进一步的改善。要注意的是,对所有患者发生了治疗的增白效果,程度不等。即使在30天后,该增白效果对大多数受试者仍然可检测。This study clearly demonstrates that the product of the present invention achieves a significant whitening of tooth color. Visual tooth whitening (ΔE > 3) occurred in many patients after the first application. On average, a visual whitening effect was seen after Day 1. Further improvement occurred after a week of daily treatment at home. It is important to note that the whitening effect of the treatment occurred in all patients, to varying degrees. Even after 30 days, the whitening effect was still detectable in the majority of subjects.
要注意的是,大部分患者不具有牙齿的均匀变色或泛黄。本发明的组合物对之前具有较深颜色的单颗牙齿的效果比在平均值中所看到的效果更显著。It is to be noted that most patients do not have a uniform discoloration or yellowing of the teeth. The effect of the composition of the present invention on individual teeth that were previously darker in color is more pronounced than that seen in the average values.
牙齿增白的平均程度可以与现有技术的化学漂白方法相比(例如导致以下ΔE)The average degree of tooth whitening is comparable to that of state-of-the-art chemical bleaching methods (e.g. resulting in the following ΔE)
- 对家庭漂白,ΔE小于4,- For home bleaching, ΔE is less than 4,
- 对增白牙贴,在7天后ΔE为大约2.4-5.7,或在14天后ΔE为2.9-5.5,- For whitening strips, the ΔE is approximately 2.4-5.7 after 7 days, or 2.9-5.5 after 14 days,
- 和对功率(power)漂白(仅限诊所使用),ΔE高至12(Gerlach等人, 2002;Demarco等人, 2009;Delfino等人, 2009)。- and power bleaching (for clinical use only), with ΔE as high as 12 (Gerlach et al., 2002; Demarco et al., 2009; Delfino et al., 2009).
但是,本发明的牙科护理产品和方法关于不期望的效果如牙齿腐蚀、提高的牙齿敏感性等具有超过化学漂白的显著优点。However, the dental care products and methods of the present invention have significant advantages over chemical bleaching with respect to undesirable effects such as tooth erosion, increased tooth sensitivity, and the like.
文献literature
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EP 1 762 215 A1、EP 2 327 428 A2EP 1 762 215 A1, EP 2 327 428 A2
US 20050037948 A1、US 20080075675 A1、US 2008199431 A1、US 20100247589A1、US 20100297203 A1、US 2010/0247457 A1US 20050037948 A1, US 20080075675 A1, US 2008199431 A1, US 20100247589A1, US 20100297203 A1, US 2010/0247457 A1
US 6,548,630US 6,548,630
WO 2004/007532 A1、WO 2006/073889 A2、WO 2007/000979 A1、WO 2006/047315A2、WO 2007/137606 A1、WO 2008/113030 A2、WO 2009/026729 A1、WO 2010/041636 A1、WO2010/103887 A1、WO 2013/068020 A1、WO2010/019651 A1WO 2004/007532 A1, WO 2006/073889 A2, WO 2007/000979 A1, WO 2006/047315A2, WO 2007/137606 A1, WO 2008/113030 A2, WO 2009/026729 A1, WO 2010/041636 A1, WO2010/103887 A1, WO 2013/068020 A1, WO2010/019651 A1
JP2008/081424、JPH115722JP2008/081424, JPH115722
JPH115722、JP2008/081424、JP 2007/0176862、JP 2001/131041、CN101385856JPH115722, JP2008/081424, JP 2007/0176862, JP 2001/131041, CN101385856
Claims (18)
Applications Claiming Priority (5)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| EP13185928.2A EP2853256A1 (en) | 2013-09-25 | 2013-09-25 | Dental care product for tooth whitening |
| EP13185928.2 | 2013-09-25 | ||
| EP14180365 | 2014-08-08 | ||
| EP14180365.0 | 2014-08-08 | ||
| PCT/EP2014/070487 WO2015044268A1 (en) | 2013-09-25 | 2014-09-25 | Dental care product for tooth whitening |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| HK1218870A1 HK1218870A1 (en) | 2017-03-17 |
| HK1218870B true HK1218870B (en) | 2020-09-04 |
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