There is a need for oral care products offering superior protection against acid dissolution of tooth enamel that surpasses traditional fluoride approaches as awareness of erosion and the impact of dietary habits increases among dental practitioners and their patients. Extrinsic and intrinsic acid are the two most important factors governing demineralization, in which the former is prevalent because of the strikingly increased consumption of soft drinks. A. Wiegand et al., “Review on fluoride-releasing restorative materials-fluoride release and uptake characteristics, antibacterial activity and influence on caries formation,” Dental Materials, 2007, 23(3): 343-62. An interesting experiment that used soft drinks to etch tooth enamel indicated that the loss rate of enamel in a soft drink was as high as 3 mm per year. R. H. Selwitz et al., “Dental caries,” The Lancet, 2007, 369(9555): 51-9. For example, Coca Cola could reduce the hardness of enamel by 63% of the original enamel hardness after only 100 seconds of erosion. S. Wongkhantee et al., “Effect of acidic food and drinks on surface hardness of enamel, dentine, and tooth-colored filling materials,” Journal of Dentistry, 2006, 34: 214-220. Dietary acids such as citric acid are particularly damaging to tooth enamel because these acids not only have an acid pH, but they also have a calcium chelating capacity which enhances enamel dissolution. Hence, it is important to have new protective agents that are readily applied, are biologically suitable, and can coat tooth enamel and protect enamel from erosion and attack by foods such as dietary acids.
Currently, fluoride compounds are widely used to prevent caries formation and have also been identified as minerals that protect against acid erosion if formulated under the right conditions. A. Wiegand et al., “Review on fluoride-releasing restorative materials-fluoride release and uptake characteristics, antibacterial activity and influence on caries formation,” Dental Materials, 2007, 23(3): 343-62. R. H. Selwitz et al., “Dental caries,” The Lancet, 2007, 369(9555): 51-9. C. Hjortsjo et al. “The Effects of Acidic Fluoride Solutions on Early Enamel Erosion in vivo”, Caries Research, 2008, 43: 126-131. But high loading of fluoride may induce dental fluorosis. WHO, “Fluorides and Oral Health: Report of A WHO Expert Committee On Oral Health Status and Fluoride Use,” WHO Technical Report Series 846 Geneva, Switzerland, World Health Organization, 1994. A. K. Mascarenhas, “Risk factors for dental fluorosis: A review of the recent literature,” Pediatric Dentistry 2000, 22(4): 269-277. Nonfluoride functional agents have also been highlighted to deliver antierosion benefits. Ganss et al. “Efficacy of the stannous ion and a biopolymer in toothpastes on enamel erosion/abrasion” J. of Dentistry, 2012, 40: 1036-1043. There are many publications that also highlight remineralization processes. Nano hydroxyapatite has been employed for remineralization of tooth enamel. L. Li et al., “Bio-Inspired Enamel Repair via Glu-Directed Assembly of Apatite Nanoparticles: an Approach to Biomaterials with Optimal Characteristics,” Advanced Materials, 2011, 23(40): 4695-4701. L. Li et al., “Repair of enamel by using hydroxyapatite nanoparticles as the building blocks,” Journal of Materials Chemistry, 2008, 18: 4079-4084. Y. Cai et al., “Role of hydroxyapatite nanoparticle size in bone cell proliferation,” Journal of Materials Chemistry, 2007, 17: 3780-3787. P. Tschoppe et al., “Enamel and dentine remineralization by nano-hydroxyapatite toothpastes,” Journal of Dentistry, 2011, 39(6): 430-7. But the efficiency of enhancing remineralization is highly dependent on the nanostructure of apatite and varies a lot from case to case.
Casein phosphopeptides-armohous calcium phosphate (CPP-ACP) complexes are known to bind to tooth enamel and provide a way for remineralization of the enamel. Srinivasan et al. “Comparison of the remineralization potential of CPP-ACP and CPP-ACP with 900 ppm fluoride on eroded human enamel: An in situ study”, Archives of Oral Biology, 2010, 57: 541-544. E. C. Reynolds. “Remineralization of enamel subsurface lesions by casein phosphopeptide-stabilized calcium phosphate solutions,” Journal of Dental Research, 1997, 76: 1587-1595. M. Panich et al. “The effect of casein phosphopeptide-amorphous calcium phosphate and a cola soft drink on in vitro enamel hardness,” Journal of American Dental Association, 2009, 140; 455-460.” However, CPP and other dairy products may have potential health risk to cause allergic reactions, ranging from minor swelling of the mouth to serious anaphylaxis, which can be potentially life threatening. G. H. Docena et al., “Identification of casein as the major allergenic and antigenic protein of cow's milk,” Allergy, 1996, 51(6): 412-416. B. Schouten et al., “Acute allergic skin reactions and intestinal contractility changes in mice orally sensitized against casein or whey,” International Archives of Allergy and Immunology, 2008, 147(2): 125-134. In view of the latter problems, alternate materials are needed which will not only provide effective protection of tooth enamel, but also are non-toxic, biologically suitable and provide a readily usable synthesis to provide materials which may be effectively used for enamel protection.
Block amphiphilic copolymers having hydrophobic blocks and hydrophilic phosphonated or phosphorylated or carboxylated blocks have been developed where the copolymers are effective to bind to hard tissue which includes hydroxyapatite (HA), enamel and other calcium phosphate phases. These copolymers bind to and protect the hard tissue from acid erosion. The hydrophilic phosphonated or phosphorylated or carboxylated blocks are effective to bind to the hard tissue and the hydrophobic blocks and are effective to protect the hard tissue from loss of calcium by at least 5 percent after exposure of the hydroxyapatite to the polymers for 0.1-10 minutes and subsequent exposure of the polymer coated hydroxyapatite to a 0.3-1% citric acid solution, such as for 15 minutes at 37° C. as compared to hydroxyapatite that is not bound to the block copolymers. It should be noted that other temperatures and time periods may also be used to illustrate the effect of the composition. In some embodiments, the tooth enamel is exposed to citric acid solution before and/or after applying the block copolymer. In some embodiments, hydrophilic phosphonated or phosphorylated or carboxylated block copolymers are effective to protect the hard tissue from loss of calcium by at least 10 percent. In some embodiments, hydrophilic phosphonated or phosphorylated or carboxylated block copolymers are effective to protect the hard tissue from loss of calcium by at least 15 percent. In some embodiments, hydrophilic phosphonated or phosphorylated or carboxylated block copolymers are effective to protect the hard tissue from loss of calcium by at least 20 percent. In some embodiments, hydrophilic phosphonated or phosphorylated or carboxylated block copolymers are effective to protect the hard tissue from loss of calcium by at least 25 percent. In some embodiments, hydrophilic phosphonated or phosphorylated or carboxylated block copolymers are effective to protect the hard tissue from loss of calcium by about 30 percent. In some embodiments, hydrophilic phosphonated or phosphorylated or carboxylated block copolymers are effective to protect the hard tissue from loss of calcium by at least 30 percent.
In one form, the block copolymers have a molecular weight (Mn) in a range of from about 1,000 to 1,000,000. According to one form, the block copolymers have a molecular weight in a range of 1,000 to 10,000. The hydrophilic blocks may include blocks with pending functional groups such as phosphonic, phosphoryl, carboxyl, sulfonic, amino, hydroxyl groups, or other hydrophilic groups. In an important aspect, the phosphonated or phosphorylated or carboxylated blocks have a molecular weight in a range of from about 200 to about 1,000,000. According to one form, the hydrophobic blocks have a molecular weight in a range of from about 200 to about 1,000,000. The phosphonated or phosphorylated or carboxylated blocks generally comprise from about 10 to about 90 weight percent of the copolymers and the hydrophobic blocks comprise from about 10 to about 90 weight percent of the block copolymers. In any event, the block copolymers are dispersible in an aqueous media and effect protection of tooth enamel from acid erosion. The polymers may be polymers having two blocks (bi-block copolymers), three blocks (tri-block polymers) where there are two blocks which may be hydrophobic and one hydrophilic block or two hydrophilic blocks and one hydrophobic block and multi-armed blocks. Arms extend from a common core and the arms may have one or more blocks.
In one aspect, the polymers have molecular weights of from about 1,000 to about 1,000,000 and hydrophobic and hydrophilic blocks having molecular weights of from about 1,000 to about 1,000,000 which provide a good solubility in water in a range of from about 0.001 to about 100 g/l at 25° C.
In another aspect, compositions which are effective for use in connection with dental hygiene, such as toothpaste, mouthwash, strips, and gel containing trays which include the block copolymers described herein, are effective for reconstituting protection of tooth enamel from acid erosion as described herein. Regular applications of the compositions, which include the block copolymers, are effective for providing a protective layer on tooth enamel at a first time of application, and thereafter. Regular use of the compositions, as by brushing teeth or use of mouthwash, gels, or strips provide a way of regularly applying the copolymers for protection against acid erosion of tooth enamel. The compositions can include any of the block copolymers disclosed herein, and an orally acceptable carrier, and optionally fluoride.
In an important aspect the phosphonated or phosphorylated block copolymers have the general formula:
In another aspect, the carboxylated copolymers have the general formula:
Where in the above formulas I and II A is selected from the group consisting of (CH2)p, (CH2CH2O)q, (phenyl)x, (C(═O)—O)y, (C(═O)—OCH2CH2O)b, or any combination thereof, where for substituent A p, q=0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, or 20; x=0, 1, y=0 or 1, b=0 or 1;
R1 is selected from the group consisting of Ha, (CH2)p, (CH2CH2O)q, (phenyl)x, (C(═O)—O)y, (C(═O)—OH)c, (C(═O)—OCH3)d, (C(═O)—OC(CH3)3)e, or any combination thereof, where for R1 p, q=0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, or 20; x=0, 1, y=0, 1, a=0, 1, c=0, 1, d=0, 1, e=0, 1;
R2 is selected from the group consisting of Ha, (CH2)p, (CH2CH2O)q, (phenyl)x, (C(═O)—O)y, (C(═O)—OH)c, (C(═O)—OCH3)d, (C(═O)—OC(CH3)3)e, or any combination thereof, where for R2 p, q=0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, or 20; x=0, 1, y=0, 1, a=0, 1, c=0, 1, d=0, 1, e=0, 1;
R3 is selected from the group consisting of Ha, (CH2)p, (CH2CH2O)q, (phenyl)x, (C(═O)—O)y, (C(═O)—OH)c, (C(═O)—OCH3)d, (C(═O)—OC(CH3)3)e, or any combination thereof, where for R3 p, q=0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, or 20; x=0, 1, y=0, 1, a=0, 1, c=0, 1, d=0, 1, e=0, 1;
R4 is selected from the group consisting of Ha, (CH2)p, (CH2CH2O)q, (phenyl)x, (C(═O)—O)y, (C(═O)—OH)c, (C(═O)—OCH3)d, (C(═O)—OC(CH3)3)e, or any combination thereof, where for R4 p, q=0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, or 20; x=0, 1, y=0, 1, a=0, 1, c=0, 1, d=0, 1, e=0, 1;
R5 is selected from the group consisting of Ha, (CH2)p, (CH2CH2O)q, (phenyl)x, (C(═O)—O)y, (C(═O)—OH)c, (C(═O)—OCH3)d, (C(═O)—OC(CH3)3)e, or any combination thereof, where for R5 p, q=0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, or 20; x=0, 1, y=0, 1, a=0, 1, c=0, 1, d=0, 1, e=0, 1;
R6 is selected from the group consisting of Ha, (CH2)p, (CH2CH2O)q, (phenyl)x, (C(═O)—O)y, (C(═O)—OH)c, (C(═O)—OCH3)d, (C(═O)—OC(CH3)3)e, or any combination thereof, where for R6 p, q=0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, or 20; x=0, 1, y=0, 1, a=0, 1, c=0, 1, d=0, 1, e=0, 1;
R7 is selected from the group consisting of Ha, (CH2)p, (CH2CH2O)q, (phenyl)x, (C(═O)—O)y, (C(═O)—OH)c, (C(═O)—OCH3)d, (C(═O)—OC(CH3)3)e, or any combination thereof, where for R7 p, q=0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, or 20; x=0, 1, y=0, 1, a=0, 1, c=0, 1, d=0, 1, e=0, 1;
R8 is selected from the group consisting of an alkali metal, an ammonium, protonated alkyl amine, Ha, (CH2)p, (CH2CH2O)q, (phenyl)x, (C(═O)—O)y, or any combination thereof, where for R8 p, q=0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, or 20; x=0, 1, y=0, 1, a=0, 1;
R9 is selected from the group consisting of an alkali metal, an ammonium, protonated alkyl amine, Ha, (CH2)p, (CH2CH2O)q, (phenyl)x, (C(═O)—O)y, or any combination thereof, where for R9 p, q=0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, or 20; x=0, 1, y=0, 1, a=0, 1;
R10 is hydrogen, methyl, alkali metal, or ammonium;
m and n are each independently in a range from about 5 to about 3000.
In a preferred embodiment, m is from 5 to 100. In a preferred embodiment, n is from 5 to 400. Preferred block copolymers include poly methyl methacrylate-poly methacryloyloxyethyl phosphate block copolymers, poly methyl methacrylate-poly acrylate acid block copolymers, and poly methyl methacrylate-poly tert-butyl acrylate block copolymers, in particular poly methyl methacrylate-poly methacryloyloxyethyl phosphate block copolymers.
The block copolymers can be synthesized from reversible addition fragmentation chain transfer radical polymerization (RAFT), atomic transfer radical polymerization (ATRP) which often use a catalyst such as a transition metal catalyst and which can effect multi-armed blocks, other chain transfer polymerization, free radical polymerization, ionic polymerization or direct coupling from homopolymers. Also, the block copolymers can be obtained by hydrolyzing their corresponding block copolymers as the precursors which are obtained from the above polymerization techniques.
Initiators include, but are not limited to, benzoyl peroxide, dicumyl peroxide, t-butyl peroxybenzoate, 2,2-azobisisobutyronitrile (AIBN) and other materials that can generate radicals in direct or indirect approaches. The initiators for ATRP can be 2-bromoisobutyryl bromide or others with similar structure.
The general chemical formula for the chain transfer agent (CTA) for RAFT polymerization is shown below:
where Z and R can be the same or different substitutes. Typical chain transfer agents include, but are not limited to, cumyldithiobenzoate, 2-cyano-2-yl-dithiobenzoate and 4-cyano-4-[(dodecylsulfanylthiocarbonyl)sulfanyl]pentanoic acid with their structure shown as below.
In an important aspect the copolymers are the reaction product of hydrophobic monomers such as acrylates (alkyl (meth)acrylate, alkyl acrylate), styrene, olefins (ethylene, propylene, butylenes, butadiene), vinyl monomers (vinyl acetate, vinyl ether), fluoro monomers (perflurocarbon, tetrafluoroethylene), acrylonitrile, which will provide the hydrophobic block after polymerization and other hydrophilic monomers to provide the hydrophilic block. The hydrophilic monomers contain polymerizable groups and active phosphate acid, phosphonic acid and related esters, as well as other phosphorous containing monomers, such as alkyl (meth)acryloyloxyethyl phosphate, bis(2-methacryloxyethyl) phosphate, vinyl phosphonic acid and other monomers. The carboxylated hydrophilic monomers include acrylic acid, methyl (meth)acrylic acid, methyl acrylic acid, and other alkyl (meth)acrylic acids. It should be noted that the hydrophilic block can also be indirectly obtained by hydrolyzing the corresponding precursors.
In another aspect, the block copolymers comprise from about 0.001 to about 50 weight percent of a dental hygienic composition such as an ingredient which forms the basis of toothpaste or gel which also includes abrasive particulates such as aluminum hydroxide, calcium carbonate, dicalcium phosphate, and silicas; flavorants, humectants, antibacterial agents, and remineralizers such as fluoride, hydroxyapatite and phosphates such as calcium phosphate. The block copolymers also may be included in aqueous compositions which form the basis of mouthwash which also include fluoride, alcohol, chlorhexidine gluconate, cetylpyridinium chloride, hexetidine, buffers such as benzoic acid, methyl salicylate, benzalkonium chloride, methylparaben, hydrogen peroxide, domiphen bromide and fluoride, enzymes, and calcium. Mouthwash can also include other antibacterials such as, e.g., phenol, thymol, eugenol, eucalyptol or menthol as well as sweeteners such as sorbitol, sucralose, sodium saccharin, and xylitol. In this aspect the copolymers are dispersible in an aqueous media and the block copolymers form from about 0.001 to about 20 weight percent of the aqueous composition which forms the mouthwash.
In yet another aspect, the phosphonated or phosphorylated block copolymers are formed in a two-step reversible addition-fragmentation transfer (RAFT) polymerization or a one pot RAFT polymerization reaction. Illustrative of the two step RAFT reaction is shown below.
Monomer-1 (hydrophobic monomer)+Chain Transfer Agent (CTA)+Free Radical Initiator→Poly(monomer-1)-CTA
then
Poly(monomer-1)-CTA+Monomer-2 (phosphorous monomer)+Free Radical Initiator→
In another aspect, the carboxylated block copolymers are also formed in a two-step RAFT polymerization or a one pot RAFT polymerization reaction. Illustrative of the two step RAFT reaction is shown below.
Monomer-1 (hydrophobic monomer)+CTA+Free Radical Initiator→Poly(monomer-1)-CTA
then
Poly(monomer-1)-CTA+Monomer-2 (carboxylated monomer)+Free Radical Initiator→
where A is selected from the group consisting of (CH2)p, (CH2CH2O)q, (phenyl)x, (C(═O)—O)y, (C(═O)—OCH2CH2O)b, or any combination thereof, where for substituent A p, q=0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, or 20; x=0, 1, y=0 or 1, b=0 or 1;
R1 is selected from the group consisting of Ha, (CH2), (CH2CH2O)q, (phenyl)x, (C(═O)—O)y, (C(═O)—OH)c, (C(═O)—OCH3)d, (C(═O)—OC(CH3)3)e or any combination thereof, where for R1 p, q=0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, or 20; x=0, 1, y=0, 1, a=0, 1, c=0, 1, d=0, 1, e=0, 1;
R2 is selected from the group consisting of Ha, (CH2)p, (CH2CH2O)q, (phenyl)x, (C(═O)—O)y, (C(═O)—OH)c, (C(═O)—OCH3)d, (C(═O)—OC(CH3)3)e, or any combination thereof, where for R2 p, q=0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, or 20; x=0, 1, y=0, 1, a=0, 1, c=0, 1, d=0, 1, e=0, 1;
R3 is selected from the group consisting of Ha, (CH2)p, (CH2CH2O)q, (phenyl)x, (C(═O)—O)y, (C(═O)—OH)c, (C(═O)—OCH3)d, (C(═O)—OC(CH3)3)e, or any combination thereof, where for R3 p, q=0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, or 20; x=0, 1, y=0, 1, a=0, 1, c=0, 1, d=0, 1, e=0, 1;
R4 is selected from the group consisting of Ha, (CH2)p, (CH2CH2O)q, (phenyl)x, (C(═O)—O)y, (C(═O)—OH)c, (C(═O)—OCH3)d, (C(═O)—OC(CH3)3)e, or any combination thereof, where for R4 p, q=0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, or 20; x=0, 1, y=0, 1, a=0, 1, c=0, 1, d=0, 1, e=0, 1;
R5 is selected from the group consisting of Ha, (CH2)p, (CH2CH2O)q, (phenyl)x, (C(═O)—O)y, (C(═O)—OH)c, (C(═O)—OCH3)d, (C(═O)—OC(CH3)3)e, or any combination thereof, where for R5 p, q=0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, or 20; x=0, 1, y=0, 1, a=0, 1, c=0, 1, d=0, 1, e=0, 1;
R6 is selected from the group consisting of Ha, (CH2)p, (CH2CH2O)q, (phenyl)x, (C(═O)—O)y, (C(═O)—OH)c, (C(═O)—OCH3)d, (C(═O)—OC(CH3)3)e, or any combination thereof, where for R6 p, q=0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, or 20; x=0, 1, y=0, 1, a=0, 1, c=0, 1, d=0, 1, e=0, 1;
R7 is selected from the group consisting of Ha, (CH2)p, (CH2CH2O)q, (phenyl)x, (C(═O)—O)y, (C(═O)—OH)c, (C(═O)—OCH3)d, (C(═O)—OC(CH3)3)e, or any combination thereof, where for R7 p, q=0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, or 20; x=0, 1, y=0, 1, a=0, 1, c=0, 1, d=0, 1, e=0, 1;
R8 is selected from the group consisting of an alkali metal, an ammonium, protonated alkyl amine, Ha, (CH2)p, (CH2CH2O)q, (phenyl)x, (C(═O)—O)y, or any combination thereof, where for R8 p, q=0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, or 20; x=0, 1, y=0, 1, a=0, 1;
R9 is selected from the group consisting of an alkali metal, an ammonium, protonated alkyl amine, Ha, (CH2)p, (CH2CH2O)q, (phenyl)x, (C(═O)—O)y, or any combination thereof, where for R9 p, q=0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, or 20; x=0, 1, y=0, 1, a=0, 1;
R10 is hydrogen, methyl, alkali metal, or ammonium; and
m and n are each independently in a range from about 5 to about 3000.
In a preferred embodiment, m is from 5 to 100. In a preferred embodiment, n is from 5 to 400.
The block copolymers can be synthesized from reversible addition fragmentation chain transfer radical polymerization (RAFT), atomic transfer radical polymerization (ATRP), other chain transfer polymerization, free radical polymerization, ionic polymerization or direct coupling from homopolymers. Also, the block copolymers can be obtained by hydrolyzing their corresponding block copolymers as the precursors which are obtained from the above polymerization techniques. Additional hydrolysis procedure may be needed if hydrophobic monomers are used as the precursors for hydrophilic block.
Initiators include, but are not limited to, benzoyl peroxide, dicumyl peroxide, t-butyl peroxybenzoate, 2,2-azobisisobutyronitrile (AIBN) and other materials that can generate radicals in direct or indirect approaches. The initiators for ATRP can be 2-bromoisobutyryl bromide or others with similar structure.
The general chemical formula for the chain transfer agent for RAFT is shown below:
where Z and R can be the same or different substitutes.
In the “one pot” method, the reaction for phosphonated or phosphorylated block copolymer proceeds as follows as part of a single step with the phosphorous acid being added to the reaction mixture having the hydrophobic block:
Monomer-1 (hydrophobic monomer)+Chain Transfer Agent+Free Radical Initiator→Poly(monomer-1)-CTA+Monomer-2 (phosphorous monomer)→
or, in another aspect, the reaction for carboxylated block copolymer proceeds as follows as part of a single step with the carboxylated monomer being added to the reaction mixture having the hydrophobic block:
Monomer-1 (hydrophobic monomer)+Chain Transfer Agent+Free Radical Initiator→Poly(monomer-1)-CTA+Monomer-2 (phosphorous monomer)→
where A is selected from the group consisting of (CH2)p, (CH2CH2O)q, (phenyl)x, (C(═O)—O)y, (C(═O)—OCH2CH2O)b, or any combination thereof, where for substituent A p, q=0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, or 20; x=0, 1, y=0 or 1, b=0 or 1;
R1 is selected from the group consisting of Ha, (CH2)p, (CH2CH2O)q, (phenyl)x, (C(═O)—O)y, (C(═O)—OH)c, (C(═O)—OCH3)d, (C(═O)—OC(CH3)3)e or any combination thereof, where for R1 p, q=0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, or 20; x=0, 1, y=0, 1, a=0, 1, c=0, 1, d=0, 1, e=0, 1;
R2 is selected from the group consisting of Ha, (CH2)p, (CH2CH2O)q, (phenyl)x, (C(═O)—O)y, (C(═O)—OH)c, (C(═O)—OCH3)d, (C(═O)—OC(CH3)3)e, or any combination thereof, where for R2 p, q=0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, or 20; x=0, 1, y=0, 1, a=0, 1, c=0, 1, d=0, 1, e=0, 1;
R3 is selected from the group consisting of Ha, (CH2)P, (CH2CH2O)q, (phenyl)x, (C(═O)—O)y, (C(═O)—OH)c, (C(═O)—OCH3)d, (C(═O)—OC(CH3)3)e, or any combination thereof, where for R3 p, q=0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, or 20; x=0, 1, y=0, 1, a=0, 1, c=0, 1, d=0, 1, e=0, 1;
R4 is selected from the group consisting of Ha, (CH2)p, (CH2CH2O)q, (phenyl)x, (C(═O)—O)y, (C(═O)—OH)c, (C(═O)—OCH3)d, (C(═O)—OC(CH3)3)e, or any combination thereof, where for R4 p, q=0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, or 20; x=0, 1, y=0, 1, a=0, 1, c=0, 1, d=0, 1, e=0, 1;
R5 is selected from the group consisting of Ha, (CH2)p, (CH2CH2O)q, (phenyl)x, (C(═O)—O)y, (C(═O)—OH)c, (C(═O)—OCH3) a, (C(═O)—OC(CH3)3)e, or any combination thereof, where for R5 p, q=0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, or 20; x=0, 1, y=0, 1, a=0, 1, c=0, 1, d=0, 1, e=0, 1;
R6 is selected from the group consisting of Ha, (CH2)p, (CH2CH2O)q, (phenyl)x, (C(═O)—O)y, (C(═O)—OH)c, (C(═O)—OCH3)d, (C(═O)—OC(CH3)3)e, or any combination thereof, where for R6 p, q=0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, or 20; x=0, 1, y=0, 1, a=0, 1, c=0, 1, d=0, 1, e=0, 1;
R7 is selected from the group consisting of Ha, (CH2)p, (CH2CH2O)q, (phenyl)x, (C(═O)—O)y, (C(═O)—OH)c, (C(═O)—OCH3)d, (C(═O)—OC(CH3)3)e, or any combination thereof, where for R7 p, q=0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, or 20; x=0, 1, y=0, 1, a=0, 1, c=0, 1, d=0, 1, e=0, 1;
R8 is selected from the group consisting of an alkali metal, an ammonium, protonated alkyl amine, Ha, (CH2)p, (CH2CH2O)q, (phenyl)x, (C(═O)—O)y, or any combination thereof, where for R8 p, q=0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, or 20; x=0, 1, y=0, 1, a=0, 1;
R9 is selected from the group consisting of an alkali metal, an ammonium, protonated alkyl amine, Ha, (CH2)p, (CH2CH2O)q, (phenyl)x, (C(═O)—O)y, or any combination thereof, where for R9 p, q=0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, or 20; x=0, 1, y=0, 1, a=0, 1;
R10 can be hydrogen, methyl, an alkali metal, or an ammonium; and
m and n are each independently in a range from about 5 to about 3000.
In a preferred embodiment, m is from 5 to 100. In a preferred embodiment, n is from 5 to 400. The block copolymers can be synthesized from reversible addition fragmentation chain transfer radical polymerization (RAFT), atomic transfer radical polymerization (ATRP), other chain transfer polymerization, free radical polymerization, ionic polymerization or direct coupling from homopolymers. Also, the block copolymers can be obtained by hydrolyzing their corresponding block copolymers as the precursors which are obtained from the above polymerization techniques. Additional hydrolysis procedure may be needed if hydrophobic monomers are used as the precursors for hydrophilic block.
Initiators include, but are not limited to, benzoyl peroxide, dicumyl peroxide, t-butyl peroxybenzoate, 2,2-azobisisobutyronitrile (AIBN) and other materials that can generate radicals in direct or indirect approaches. The initiators for ATRP can be 2-bromoisobutyryl bromide or others with similar structure.
The general chemical formula for the chain transfer agent for RAFT is shown below:
where Z and R can be the same or different substitutes.
In the third aspect, the amphiphilic copolymers are prepared by using a free radical polymerization without RAFT chain transfer agent or by using an atom transfer radical polymerization (ATRP) either from ‘one-pot’ polymerization or ‘two step’ polymerization as that for RAFT.
The water solubility and/or dispersibility of the block copolymers may be controlled by the molecular weight of the hydrophilic portion of the copolymer and the ratios of the two blocks. This is done for example by having a feeding ratio and polymerization time of the phosphorous monomer such that a dispersibility or solubility of the block copolymer is from about 0.001 g/L to 100 g/L in water at 25° C.
In embodiments of the block co-polymers, the compositions and/or the methods of the invention, the block co-polymer has Formula 1 or Formula 2 and n is from 5 to 320 and m is from 5 to 320.
In embodiments of the block co-polymers, the compositions and/or the methods of the invention, the block co-polymer is P(MMA)77-b-P(AA)23, P(MMA)73-b-P(AA)28, P(MMA)67-b-P(AA)64, P(MMA)69-b-P(AA)198, P(MMA)67-b-P(AA)318, P(MMA)19-b-P(MOEP)14, P(MMA)19-b-P(MOEP)9, P(MMA)17-b-P(AA)35, P(MMA)17-b-P(MOEP)12, P(MMA)18-b-P(AA)29 or P(MMA)19-b-P(MOEP)9.
In an embodiment, the term “about” as used herein in regard to a number in a numerical range, for example a positive integer, includes, as a specific embodiment, that specific integer. For example, in an embodiment, “about 5” includes the embodiment of 5.
All combinations of the various elements described herein are within the scope of the invention unless otherwise indicated herein or otherwise clearly contradicted by context.
Further areas of applicability of the present invention will become apparent from the detailed description provided hereinafter. It should be understood that the detailed description and specific examples, while indicating the preferred embodiment of the invention, are intended for purposes of illustration only and are not intended to limit the scope of the invention.
The present invention will become more fully understood from the detailed description and the accompanying drawings, wherein:
The following description of the preferred embodiment(s) is merely exemplary in nature and is in no way intended to limit the invention, its application, or uses.
As used throughout, ranges are used as shorthand for describing each and every value that is within the range. Any value within the range can be selected as a terminus of the range and is encompassed by the invention. In addition, all references, patents, patent application publications and books cited herein are hereby incorporated by referenced in their entireties. In the event of a conflict in a definition in the present disclosure and that of a cited reference, the present disclosure controls.
Unless otherwise specified, all percentages and amounts expressed herein and elsewhere in the specification should be understood to refer to percentages by weight. The amounts given are based on the active weight of the material.
1. Controlled synthesis of hydrophobic blocks
2. Block copolymer synthesis
3. Polymer/enamel binding
4, Quantitative analysis of polymer/HA binding
5. Anti erosion test by phosphate block copolymer
6. Anti erosion test by phosphate block copolymer in presence of fluoride
7. SEM observation on the surface morphology of enamel
1. Controlled Synthesis of Hydrophobic Blocks
Typically, 10 mmol MMA, 0.25 mmol RAFT CTA agent (e.g. 4-cyano-4-[(dodecylsulfanylthiocarbonyl)sulfanyl]pentanoic acid) and 0.1 mmol AIBN were dissolved in 10 ml 1,4-dioxane. After purging with Argon for 1 h, the system was heated to 70° C. for a period of time. Gel permeation chromatography (GPC) was used to monitor the average macromolecular weight (Mn) of hydrophobic block. For example, Mn of polymethyl methacrylate (PMMA) can be well controlled using different monomer/CTA/initiator ratios as shown in
2. Block Copolymer Synthesis
The synthesis of PMMA-b-PMOEP is shown in Scheme 1. Once the targeted Mn of PMMA segment was achieved, certain amounts of methacryloyloxyethyl phosphate (MOEP) in 1,4-dioxane was then injected into the system with syringe and the reaction was further allowed to continue for different reaction times. The composition of PMMA-b-PMOEP could be adjusted by using different feeding ratios and different polymerization times as shown in Table 1.
The synthesis of PMMA-b-PAA by RAFT polymerization is shown in Scheme 2-1. Once the targeted Mn of PMMA segment was achieved, certain amounts of acrylic acid (AA) in 1,4-dioxane was then injected into the system with syringe and the reaction was further allowed to continue for different reaction times. The composition of PMMA-b-PAA could be adjusted by using different feeding ratios and different polymerization times as shown in Table 2. PAA stands for poly acrylate acid.
The synthesis of PMMA-b-PAA can also be prepared by an indirect method shown in Scheme 2-2.
The hydrophobic and hydrophilic block chain lengthen can be adjusted by monomer/CTA/initiator ratio and polymerization time. Different block copolymers with different compositions are shown in Table 2.
3. Polymer/Enamel Binding
The structure of block copolymer used in this test is P(MMA)19-b-P(MOEP)14. Before polymer treatment, the surface of bovine enamel was pre-conditioned by immersing the enamel in 1% citric acid solution (pH=3.8) for 5 min. Polymer solution with different concentrations (0.2 and 1.0 g/L) and different pHs (3.1, 4.2 and 7.0) were used to treat the bovine enamel surface for 5 min at 50 rpm. Then the treated surface was washed with phosphate buffer solution (pH=7.0) and acid solution (pH=3.8) for three cycles (5 min/cycle). The treated and etched enamel was characterized by FTIR spectroscopy after air dry. The FTIR spectra are shown in
4. Quantitative Analysis of Polymer/Hydroxyapatite (HA) Binding
The structures of block copolymers used in this test are P(MMA)19-b-P(MOEP)9 and P(MMA)17-b-P(AA)35. Polymer solutions of 5 ml with different concentrations and different pH values were mixed with 100 mg HA powder for 2 h at room temperature. After centrifuging for 10 min at 10000 rpm, the solution was used tested by UV-vis spectroscopy. The absorbance of thiocarbonyl group (C═S) before and after binding were utilized to calculate the adsorbed polymer onto HA powder. The calibration curve was performed by using polymer solution with known concentrations. The UV spectra of phosphorylated or carboxylated block copolymer before and after binding are shown in
5. Anti Erosion Test of Phosphate Block Copolymer
The structure of block copolymer used in this test is P(MMA)17-b-P(MOEP)12 and P(MMA)18-b-P(AA)29. Atomic absorption (AA) spectrometry is one of the most reliable and sensitive methods on evaluating the dental erosion by monitoring the mineral loss. The typical testing procedure used was as follows. First, sintered hydroxyapatite (HA) discs were immersed in 1% citric acid (pH=2.5) for 15 min at room temperature, then soaked in water and sonicated for 30 min. HA discs were fixed on a 6 well plate by using KERR compounds. Note that only the top surface of HA was exposed to the solutions. After air drying, the fixed HA discs were challenged by 1% citric acid (pH=3.8) for 15 min at 37° C. with a shaking speed of 50 rpm. The solution was collected and the calcium concentration was designated as [Ca]ref. The HA discs were washed with phosphate buffer solution (PBS, pH=7.0) and then treated with polymer solution (1 g/L) or PBS (as blank) for 2 min. After another washing with PBS, the HA was again challenged with citric acid for another 15 min. The solution was collected and the calcium concentration was measured by AA spectrometry [Ca]treat. Because of the heterogeneity among HA samples, the relative calcium level (Ca level), calculated as the following equation (S1), was utilized as an index to assess the protecting efficiency against acid erosion.
The different polymer treatments on HA surface could influence the calcium level as shown in Table 3. The calcium level after phosphorylated polymer treatments with different polymer treating times was decreased from 91% for blank (non-polymer treated) to 50%, 48%, 34%, 17% for 0.5, 1, 2, or 5 minutes polymer treatment, respectively. The calcium level after carboxylated polymer treatments with different polymer treating time was decreased from 91% for blank (non-polymer treated) to 56%, 60%, 64%, 31% for 0.5, 1, 2, or 5 minutes polymer treatment, respectively. The possible reason is that the adsorbed polymer onto enamel/HA could form a protective layer and prevent the mineral from release.
The treatment with phosphate monomer and block copolymer on HA surface could influence on the calcium level as shown in Table 4. The calcium level without treatment is 90%. With treatment with phosphate monomer, the calcium level is still around that level, indicating phosphate monomer treatment has a negligible effect on inhibiting mineral loss during acid challenge. Once the HA is treated by phosphate block copolymer, the calcium level is significantly decreased to 43%, meaning that phosphate block copolymer could protect tooth by lowering down the mineral loss during acid challenge. The possible reason is that the adsorbed phosphate block copolymer onto enamel/HA via its phosphate groups and the hydrophobic groups could obstruct the acid attack by forming a protective layer.
The carboxlyate block copolymers' protecting effect is similarly evaluated based on the protocol above and the result is shown in Table 5, where the carboxylic monomer, AA, and its homopolymer, polyacrylic acid (PAA), are also included for comparison. The calcium level was also decreased most for the block co-polymer. The pH value doesn't show a significant influence on the anti erosion behavior of the carboxylate block copolymers.
In order to make a comprehensive comparison, some commercially available copolymers with random structure as well as other carboxylic block copolymers as shown in Table 6. It can be shown that both phosphate and carboxylate block copolymers exhibited a lower value of calcium level released, implying the importance of block structure in protecting tooth from acid challenge. Also, it should be addressed that phosphate block copolymer can more significantly inhibit the mineral loss possibly due to its higher binding strengthen onto HAP surface.
Another anti erosion test completed for the phosphorylated or carboxylated block copolymers was performed using the pH stat instrument. In this experiment, HAP discs were immersed in 15 ml 0.3% citric acid solution (pH 3.8) for 15 minutes before and after 2-minute treatment. The amount of the 10 mM HCl added over time to keep a pH 3.8 was recorded. The % reduction (anti-erosion efficiency) is calculated as
The higher reduction indicates better protection on erosion. The corresponding results are shown in Table 7. Similar to the findings obtained for the calcium release experiments, the PMAA homopolymer offered almost no protection (0.65%) while the PMMA-b-PAA block copolymers provided greater protection benefits and the PMMA-b-PMOEP block co-polymer provided the greatest benefits, a 30% reduction in erosion. In addition, increasing the molecular weight of the block co-polymer increases the anti-erosion efficacy
6. Anti Erosion Test of Phosphate Block Copolymer in Presence of Fluoride
Since the fluoride ion is widely used in oral care to protect enamel against acid attack, phosphorylated copolymers can greatly enhance the efficiency of this traditional treatment based on the pH stat assessment. It is clearly shown that the anti-erosion efficiency of the mixture of NaF and polymer is increased by 15-30% compared with the copolymer or NaF alone. This result clearly indicates that it's highly promising to enhance the benefits of fluoride when combining with those claimed block copolymer as oral products. Table 8 shows the anti-erosion protection benefits of the PMMA-b-PMOEP block copolymers (1 g/L) in the presence of 500 ppm F.
7. Surface Morphology
The protective layer that is formed on the enamel surface could prevent the mineral loss as indicated by previous data. This layer could also protect the surface morphology of enamel surface by obstructing the diffusion of external acid. Without any treatment, enamel could be easily etched by acid as shown in
This application is a 35 U.S.C. § 371 National Phase Application of International Application No. PCT/US2013/069199, filed on Nov. 8, 2013, which claims the benefit of U.S. Provisional Application Ser. No. 61/724,736 filed on Nov. 9, 2012, and U.S. Provisional Application Ser. No. 61/780,199, filed on Mar. 13, 2013. The disclosures of each of the above applications are incorporated herein by reference in their entireties.
Filing Document | Filing Date | Country | Kind |
---|---|---|---|
PCT/US2013/069199 | 11/8/2013 | WO | 00 |
Publishing Document | Publishing Date | Country | Kind |
---|---|---|---|
WO2014/074854 | 5/15/2014 | WO | A |
Number | Name | Date | Kind |
---|---|---|---|
3066112 | Bowen et al. | Nov 1962 | A |
3274155 | Saunders et al. | Sep 1966 | A |
5007930 | Dorman et al. | Apr 1991 | A |
5085861 | Gerhart et al. | Feb 1992 | A |
5108755 | Daniels et al. | Apr 1992 | A |
5626861 | Laurencin et al. | May 1997 | A |
5766618 | Laurencin et al. | Jun 1998 | A |
5866155 | Laurencin et al. | Feb 1999 | A |
5977204 | Boyan et al. | Nov 1999 | A |
6027742 | Lee et al. | Feb 2000 | A |
6287341 | Lee et al. | Sep 2001 | B1 |
6331312 | Lee et al. | Dec 2001 | B1 |
6376573 | White et al. | Apr 2002 | B1 |
6387414 | Akashi et al. | May 2002 | B1 |
6437040 | Anthony et al. | Aug 2002 | B2 |
6649669 | Dickens et al. | Nov 2003 | B2 |
7230039 | Trieu et al. | Jun 2007 | B2 |
7270813 | Shimp et al. | Sep 2007 | B2 |
7670359 | Yundt et al. | Mar 2010 | B2 |
7727539 | Laurencin et al. | Jun 2010 | B2 |
7731756 | Maspero et al. | Jun 2010 | B2 |
7740794 | Kumar et al. | Jun 2010 | B1 |
7758882 | Roeder et al. | Jul 2010 | B2 |
7879109 | Borden et al. | Feb 2011 | B2 |
7959940 | Gale et al. | Jun 2011 | B2 |
8283348 | Guglielmotti et al. | Oct 2012 | B2 |
8304087 | Perrier et al. | Nov 2012 | B2 |
20020127262 | Akashi et al. | Sep 2002 | A1 |
20030082808 | Guan et al. | May 2003 | A1 |
20040002770 | King et al. | Jan 2004 | A1 |
20040012335 | Shon et al. | Jan 2004 | A1 |
20040023048 | Schwartz et al. | Feb 2004 | A1 |
20040071871 | Queval et al. | Apr 2004 | A1 |
20040253290 | Kim et al. | Dec 2004 | A1 |
20050100581 | Laurencin et al. | May 2005 | A1 |
20060188712 | Okada et al. | Aug 2006 | A1 |
20060194008 | Schwartz et al. | Aug 2006 | A1 |
20060204452 | Velamakanni et al. | Sep 2006 | A1 |
20060264531 | Zhao et al. | Nov 2006 | A1 |
20070299177 | Serobian et al. | Dec 2007 | A1 |
20080065228 | Kim et al. | Mar 2008 | A1 |
20080200638 | Redepenning et al. | Aug 2008 | A1 |
20080226547 | Larsen et al. | Sep 2008 | A1 |
20090048358 | Kim et al. | Feb 2009 | A1 |
20100040668 | Riman et al. | Feb 2010 | A1 |
20100092782 | Perrier | Apr 2010 | A1 |
20100131064 | Redepenning et al. | May 2010 | A1 |
20100160467 | Lee et al. | Jun 2010 | A1 |
20100179243 | Liu et al. | Jul 2010 | A1 |
20100322908 | Everland et al. | Dec 2010 | A1 |
20110008460 | Riman et al. | Jan 2011 | A1 |
20110069112 | Matsumoto et al. | Mar 2011 | A1 |
20110171144 | Wang et al. | Jul 2011 | A1 |
20110196061 | Ashman et al. | Aug 2011 | A1 |
20120003163 | Mordas | Jan 2012 | A1 |
20120128600 | Chang et al. | May 2012 | A1 |
20130078310 | Sill | Mar 2013 | A1 |
20140134116 | Wang et al. | May 2014 | A1 |
Number | Date | Country |
---|---|---|
1569609 | Sep 2005 | EP |
WO 2002068550 | Sep 2002 | WO |
WO 2004054529 | Jul 2004 | WO |
WO 2006032896 | Mar 2006 | WO |
WO 2011 009228 | Jan 2011 | WO |
WO 2011009228 | Jan 2011 | WO |
WO 2012009555 | Jan 2012 | WO |
WO 2012078980 | Jun 2012 | WO |
Entry |
---|
Rager et al., Macromol. Chem. Phys., 1999, 200(7), pp. 1672-1680. |
A. Wiegand et al., “Review on fluoride-releasing restorative materials—fluoride release and uptake characteristics, antibacterial activity and influence on caries formation,” Dental Materials, 2007, vol. 23(3), p. 343-362. |
A.K. Mascarenhas, “Risk factors for dental fluorosis: A review of the recent literature,” Pediatric Dentistry 2000, vol. 22(4), p. 269-277. |
A.M.P. Dupraz et al., “Biocompatibility screening of silane treated hydroxyapatite powders, for use as filler in resorbable composites,” Journal of Materials Science: Materials in Medicine, Dec. 1996, vol. 7(12), p. 731-738. Retrieved from the internet. <URL: http://springer.com>. |
B. Schouten et al., “Acute allergic skin reactions and intestinal contractility changes in mice orally sensitized against casein or whey,” International Archives of Allergy and Immunology, 2008, vol. 147(2), p. 125-134. |
C. Deng et al., “Preparation and mechanical property of poly (epsilon-caprolactone)—matrix composites containing nano-apatite fillers modified by silane coupling agents,” Journal of Materials Science: Materials in Medicine, Oct. 1, 2010, vol. 21(12), p. 3059-3064. |
C. Deng et al., “Effect of Surface Modification of Nano-Hydroxyapatite Particles on In Vitro Biocompatibility of Poly (epsilon-caprolactone)—Matrix Composite Biomaterials,” International Journal of Polymeric Materials and Polymeric Biomaterials, Nov. 2011, vol. 60(12), p. 969-978. |
C. Hjortsjo et al., “The Effects of Acidic Fluoride Solutions on Early Enamel Erosion in vivo,” Caries Research, 2008, vol. 43, p. 126-131 (Abstract). |
Carmen Kunze, et al., “Surface modification of tricalcium phosphate for improvement of the interfacial compatibility with biodegradable polymers,” Biomaterials, 2003, vol. 24, p. 967-974. Retrieved from the Internet <URL: www.sciencedirect.com>. |
E.C. Reynolds, “Remineralization of enamel subsurface lesions by casein phosphopeptide-stabilized calcium phosphate solutions,” Journal of Dental Research, 1997, vol. 76, p. 1587-1595. |
G.H. Docena et al., “Identification of casein as the major allergenic and antigenic protein of cow's milk,” Allergy, 1996, vol. 51(6), p. 412-416. |
Ganss et al., “Efficacy of the stannous ion and a biopolymer in toothpastes on enamel erosion/abrasion” J. of Dentistry, 2012, vol. 40, p. 1036-1043, (Abstract). |
J.L. Ferracane, “Current Trends in Dental Composites,” Critical Reviews in Oral Biology and Medicine, 1995, vol. 6(4), p. 302-318. |
J.P. Santerre, et al., “Relation of Dental Composite Formulations to Their Degradation and the Release of Hydrolyzed Polymeric-Resin-Derived Products,” Critical Reviews in Oral Biology and Medicine, 2001, vol. 12(2), p. 136-151. |
L. Li et al., “Bio-Inspired Enamel Repair via Glu-Directed Assembly of Apatite Nanoparticles: an Approach to Biomaterials with Optimal Characteristics,” Advanced Materials, 2011, vol. 23(40), p. 4695-4701, (Abstract). |
L. Li et al., “Repair of enamel by using hydroxyapatite nanoparticles as the building blocks,” Journal of Materials Chemistry, 2008, vol. 18, p. 4079-4084. |
M. Panich et al. “The effect of casein phosphopeptide-amorphous calcium phosphate and a cola soft drink on in vitro enamel hardness,” Journal of American Dental Association, 2009, vol. 140, p. 455-460, (Abstract). |
P. Tschoppe et al., “Enamel and dentine remineralization by nano-hydroxyapatite toothpastes,” Journal of Dentistry, 2011, vol. 39(6), p. 430-437. |
PCT International Search Report and Written Opinion of the International Searching Authority dated Mar. 14, 2014 for International Application PCT/US2013/069199, 8 pages. |
R.H. Selwitz et al., “Dental caries,” The Lancet, 2007, vol. 369(9555), p. 51-59. |
Rager et al., “Micelle formation of poly(acrylic acid)—block-poly(methyl methacrylate) block coplymers in mixtures of water with organic solvents”, Macromol. Chem. Phys., 1999, vol. 200(7), p. 1672-1680. |
S. Wongkhantee et al., “Effect of acidic food and drinks on surface hardness of enamel, dentine, and tooth-colored filling materials,” Journal of Dentistry, 2006, vol. 34, p. 214-220, (Abstract). |
S.M. Zhang, et al., “Interfacial fabrication and property of hydroxyapatite/polylactide resorbable bone fixation composites,” Current Applied Physics, 2005, vol. 5., p. 516-518. Retrieved from the Internet <URL: www.sciencedirect.com>. |
Srinivasan et al., “Comparison of the remineralization potential of CPP-ACP and CPP-ACP with 900 ppm fluoride on eroded human enamel: An in situ study”, Archives of Oral Biology, 2010, 57:541-544, (Abstract). |
Tongxin Wang, et al., “Synthesis of amphiphilic triblock copolymers with multidentate ligands for surface coating of quantum dots,” Presentation No. 0711, Poster Session 2d: Development/Novel Use of Imaging Probes, Sep. 25, 2009 [online]. Retrieved from the internet <URL: www.wmicmeeting.org/abstracts/data/papers/0711.html> , 2 pages. |
Tongxin Wang, et al., “High Strength Bioresorbable Composites for Bone Fixation and Repair,” Howard University Health Sciences, Research Day 2011, Apr. 15, 2011, 2 pages. |
Tongxin Wang, et al., “Improve the Strength of PLA/HA Composite Through the Use of Surface Initiated Polymerization and Phosphonic Acid Coupling Agent,” Journal of Research of the National Institute of Standards and Technology, 2011, vol. 116(5), p. 785-796. |
WHO, “Fluorides and Oral Health: Report of a WHO Expert Committee on Oral Health Status and Fluoride Use,” WHO Technical Report Series 846 Geneva, Switzerland, World Health Organization, 1994. |
Y. Cai et al., “Role of hydroxyapatite nanoparticle size in bone cell proliferation,” Journal of Materials Chemistry, 2007, vol. 17, p. 3780-3787. |
European Patent Office Extended European Search Report dated Oct. 12, 2015 for European Patent Application No. 13775678.9, 7 pages. |
PCT International Search Report and Written Opinion of the International Searching Authority dated May 20, 2013 for International Application No. PCT/US2013/029839, 18 pages. |
PCT International Search Report and Written Opinion of the International Searching Authority dated May 20, 2013 for International Application No. PCT/US2013/029858, 18 pages. |
Nielsen et al., “Poly(alkyl methacrylate) Tooth Coatings for Dental Care: Evaluation of the Demineralisation-Protection Benefit Using a Time-Resolved In Vitro Method”, Polymers, vol. 3, p. 314-329, (2011). |
Schricker et al., “Synthesis and Morphological Characterization of Block Copolymers for Improved Biomaterials”, Ultramicroscopy, vol. 110(6), p. 639-649, (2010). |
Suzuki et al., “Synthesis of Soluble Phosphate Polymers by Raft and their in vitro mineralization”, Biomacromolecules, vol. 7(11), p. 3178-3187, (2006) (Abstract). |
Churchley et al., “Synthesis and characterization of low surface energy fluoropolymers as potential barrier coatings in oral care”, Journal of Biomedical Materials Research, p. 994-1005, (2008). |
Carbopoly Polymer Products by Lubrizol Corporation, copy from Lubrizol webpage. |
Guan et al., “Selection of Oral Microbial Adhesion Antagonists Using Biotinylated Streptococcus sanguis and a Human Mixed Oral Microflora”, Archives of Oral Biology, vol. 56, p. 129-138, (2001). |
Number | Date | Country | |
---|---|---|---|
20150283061 A1 | Oct 2015 | US |
Number | Date | Country | |
---|---|---|---|
61780199 | Mar 2013 | US | |
61724736 | Nov 2012 | US |