Patent Application
20220402872
The present invention relates to a compound having antibacterial properties suitable for use as an antibacterial monomer, a photopolymerizable composition comprising said compound, and use thereof in a dental method.
Adhesive dentistry is a branch of dentistry that has developed considerably in recent years, in which the development and increasingly widespread use of materials with adhesive properties has revolutionized many aspects of dentistry, both in the restorative and preventive fields.
Dental adhesives serve the primary purpose of ensuring the preservation of fillers or composite cements used in restorative and preventive dental treatments. Moreover, said adhesives, to be used, must be able to withstand mechanical stresses, and in particular stresses from rubbing and/or compression.
To date, dental adhesives are largely resinous preparations composed of (photo)polymerizable monomers, which can have both a structural role, and in particular having the purpose of creating a rigid three-dimensional network structure, and a functional role, through which properties of interaction with the biological environment, for example with collagen fibrils or dentin, or specific properties are conferred to the adhesives.
Among the specific properties shown by the (photo)polymerizable monomers in said resinous preparations, the antibacterial properties are of fundamental importance since they are particularly useful in preventing bacterial colonization phenomena in the dental treatment sites.
Although examples of photopolymerizable monomers which have a quaternary ammonium functionality (QAMs) acting as antibacterial agents in resinous preparations for dental use are known in the literature and on the market, the Applicant has found that said monomers have a whole series of technical and performance limitations that affect its use and performance.
In particular, the Applicant has found that the hitherto known photopolymerizable monomers which have quaternary ammonium functionalities are generally poorly soluble in organic solvents, and therefore their use is limited to dental adhesives with hydrophilic characteristics, typically primer-type formulations.
Furthermore, the Applicant has found that the present currently known and commercially available photopolymerizable monomers bearing a quaternary ammonium functionalities very often shown a structure characterized by a single methacrylic type group which can limit their use in hydrophobic highly cross-linked dental adhesives, such as bonding-type formulations.
The Applicant has also noted that, if on the one hand the achievement of a relevant antibacterial activity is desirable, it can be accompanied by an undesirable cytotoxic effect, which can compromise the possibility of contact between the compounds having antibacterial properties and the biological substrates, such as the oral mucosa. In particular, the Applicant has noted that the ISO 10093-5 standard indicates that a reduction in cell viability greater than 30% is to be considered due to a cytotoxic effect. The Applicant has found that in order to be able to use a compound in a dental adhesive it is therefore necessary to balance these two different and divergent needs.
At last, the Applicant has noted that depending on the structure of the compound, the antibacterial properties deriving from the presence of the quaternary ammonium zo functionality can vary and be more or less significant and that the structure of the compound can also influence its ability to enter the chain during the (photo)polymerization and, consequently, influencing the mechanical properties of the obtained resin.
Therefore, the aim of the present invention is to develop a new compound having antibacterial properties, capable of being easily and effectively used as an antibacterial monomer in a wide range of adhesive resins for dental use, without causing cytotoxic effect at the concentrations of use and without compromising the mechanical properties of the resins themselves after photopolymerization.
The Applicant has surprisingly observed that it is possible to achieve this and other desirable purposes by suitably identifying some specific structural characteristics of a compound which has quaternary ammonium functionality.
In a first aspect, therefore, the present invention relates to a compound of formula (I):
A-R1-B (I)
wherein:
R1 is selected from the group consisting of:
and
A and B are independently selected from the group consisting of:
wherein:
R2 and R3 are independently selected from the group consisting of: methyl, ethyl, and n-propyl;
R4 is selected from the group consisting of methylene, ethylene, n-propylene, and 1,4-phenylene;
Y is selected from the group consisting of:
and
X1− and X2− are independently selected from the group consisting of: F−, Cl−, and Br−.
Thanks to its specific structural characteristics, the compound according to the present invention in fact shows high antibacterial properties and the absence of unwanted cytotoxic effects, which allow it to be easily and effectively used in a wide range of dental adhesives, without compromising their mechanical properties.
In an additional aspect, the present invention further relates to a photopolymerizable composition comprising at least one compound of formula (I) according to the present invention, and at least one photopolymerization activator.
In fact the structural and antibacterial properties of the compound according to the present invention allow the compound according to the invention and the photopolymerizable compositions containing it to be used in dental treatments, for example in methods of restorative dentistry in order to prevent bacterial colonization phenomena, such as for example caries, in the sites of said treatments.
Therefore, in a further aspect, the present invention also relates to a compound of formula (I) according to the present invention or a photopolymerizable composition according to the present invention, for use in a method of dental treatment.
Thanks to the antibacterial properties deriving from the presence of the quaternary ammonium functionality, the compound of formula (I) and the photopolymerizable composition according to the invention prevent bacterial colonization phenomena in the sites of said dental treatments, especially in restorative dental treatment methods.
In a preferred fulfilment, said dental treatment is a restorative method.
Finally, in a further aspect, the present invention also relates to a compound of formula (I) according to the present invention or a photopolymerizable composition according to the present invention for use as a medicament.
The antibacterial properties deriving from the presence of the quaternary ammonium functionality make the photopolymerizable compound of formula (I) and the photopolymerizable composition according to the invention suitable for use in the medical field.
Finally, in a still further aspect, the present invention relates to the use of at least one compound of formula (I) according to the present invention as an antibacterial monomer in polymeric compositions.
In a first aspect, therefore, the present invention relates to a compound of formula (I):
A-R1-B (I)
wherein:
R1 is selected from the group consisting of:
and
A and B are independently selected from the group consisting of:
wherein:
R2 and R3 are independently selected from the group consisting of: methyl, ethyl, and n-propyl;
R4 is selected from the group consisting of methylene, ethylene, n-propylene, and 1,4-phenylene;
Y is selected from the group consisting of:
and
X1− and X2− are independently selected from the group consisting of: F−, Cl−, and Br−.
Thanks to its specific structural characteristics, the compound according to the present invention in fact shows high antibacterial properties and the absence of unwanted cytotoxic effects, which allow it to be easily and effectively used in a wide range of dental adhesives, without compromising their mechanical properties.
Preferably, in the compound of formula (I) according to the present invention, R1 is the group —(CH2)12—.
Preferably, in the compound of formula (I) according to the present invention, R4 is selected from the group consisting of ethylene, n-propylene, and 1,4-phenylene.
Preferably, in the compound of formula (I) according to the present invention, R2 and R3 are independently selected from the group consisting of: methyl, and ethyl.
Preferably, in the compound of formula (I) according to the present invention, A and B are the same.
Examples of compounds of formula (I) according to the present invention are the following:
In a preferred fulfilment, the compound of formula (I) according to the present invention is selected from:
Thanks to their specific combination of structural elements, said compounds have in fact been found to be particularly preferable in terms of high antibacterial properties and easy and effective use as antibacterial monomers in a wide range of resinous preparations used as dental adhesives, without compromising their mechanical properties after light curing.
The compound according to the present invention can be prepared according to any of the methods known to the skilled in the art in order to obtain a compound bearing a quaternary ammonium function.
The compound according to the present invention can be synthesized, for example, via the Menschutkin reaction between 1 equivalent of di-halide and 2.5-4 equivalents of tertiary amine in acetonitrile or ethanol (halide concentration 0.1-0.5 M), adopting reaction temperatures in the range 20-120° C., reaction times from 1-7 days. Under these conditions, a final yield generally higher than 70% is obtained. At the end of the reaction, the product is then isolated by spontaneous precipitation in the reaction medium or by precipitation induced by acetonitrile/diethyl ether, acetonitrile/ethyl acetate, dichloromethane/ethyl acetate, dichloromethane/diethyl ether.
In an additional aspect thereof, the present invention further relates to a photopolymerizable composition comprising at least one compound of formula (I) according to the present invention, and at least one photopolymerization activator.
The structural and antibacterial properties of the compound according to the present invention, in fact, allow the compound according to the invention and the photopolymerizable compositions containing it to be used in dental treatments, for example in methods of restorative dentistry in order to prevent bacterial colonization phenomena, such as for example caries, in the sites of said treatments. In said compositions, the compound of formula (I) according to the present invention acts as a photopolymerizable monomer bearing quaternary ammonium functionality with an antibacterial effect, thus allowing the prevention of bacterial colonization, such as for example caries, in the sites where said composition is applied and subsequently photopolymerized.
Preferably, the photopolymerizable composition comprises from 0.1% to 10% by weight of the at least one compound of formula (I) according to the present invention.
Preferably, in the photopolymerizable composition the at least one photopolymerization activator is selected from any of the photopolymerization activators known for the purpose to the person skilled in the art, more preferably in the group consisting of: camphorquinone (CQ), diphenyl-(2,4,6-trimethylbenzoyl)phosphine oxide (TPO), and phenylpropanedione (PPD), and 2-hydroxy-4-methoxy benzophenone (UV-9).
Preferably, the photopolymerizable composition comprises from 0.05 to 0.5% by weight, more preferably from 0.15 to 0.35% by weight, with respect to the total weight of the photopolymerizable compounds of the composition, of the at least one photopolymerization activator.
Preferably, the photopolymerizable composition according to the present invention comprises at least one photopolymerization co-activator.
Preferably, in the photopolymerizable composition the at least one photopolymerization co-activator is selected from any of the photopolymerization co-activators known for the purpose to the skilled in the art, more preferably in the group consisting of: ethyl-4-dimethylamino benzoate (EDMAB), and 2-(ethylhexyl)-4-(dimethylamino) benzoate (ODMAB), and N,N-di(2-hydroxy ethyl)-4-toluidine (DHEPT).
Preferably, the photopolymerizable composition comprises from 0.5 to 2% by weight, more preferably from 0.75 to 1.25% by weight, with respect to the total weight of the photopolymerizable compounds of the composition, of the at least one photopolymerization co-activator.
Preferably, the photopolymerizable composition comprises, in addition to the at least one compound of formula (I) according to the present invention, at least one further compound comprising at least one ethylenic unsaturated group.
The at least one ethylenic unsaturated group allows said further compound to act as a monomer in the photopolymerizable composition according to the invention.
Preferably, in the photopolymerizable composition the at least one further compound comprising at least one ethylenic unsaturated group is selected from any of the compounds known for the purpose to the skilled in the art, more preferably from the group consisting of: hydroxyethyl methacrylate (HEMA), urethane-dimethacrylate (UDMA), bisphenol A glycidyl dimethacrylate (Bis-GMA), triethylene glycol dimethacrylate (TEGDMA), 10-methacryloyloxydecyl dihydrogen phosphate (10-MDP), Bis[2-(methacryloyloxy)ethyl]phosphate (Bis-MP), methacrylic acid (MA), methyl methacrylate (MMA), 2-hydroxyethyl methacrylate phosphate (HEMA-phosphate), 2-hydroxypropyl methacrylate (HPMA), 2-acrylamido-2-methyl-sulfonic acid (AMPS), ethylene glycol dimethacrylate (EGDMA), glycerol dimethacrylate (GDMA), 1,10-dodecanediol dimethacrylate (DDDMA), glycerophosphoric acid dimethacrylate (GPDM), bis[2-(methacryloyloxy)ethyl] phosphate (Bis-MEP), mono(2-methacryloyloxy)ethyl phthalate (MMEP or PAMA), mono(2-methacryloyloxy-1-hydroxy)ethyl phthalate (PAMM), N-(2-hydroxy-3-((2 methyl-1-oxo-2-propenyl)oxy)propyl)-N-tolyl glycine (NTG-GMA), N-phenylglycine glycidyl methacrylate (NPG-GMA), 4-methacryloyloxyethyl trimellic anhydride (4-META), 4-methacryloyloxyethyl trimellic acid (4-MET), 1,6-hexanediol dimethacrylate (HDDMA), 11-methacryloyloxy-1,10-undecanedicarboxylic acid (MAC-10), polyethylene glycol dimethacrylate (PEGDMA), biphenyl dimethacrylate (BPDM), di-2-methacryloyloxyethyl phosphate (di-HEMA phosphate), dimethylaminoethyl dimethacrylate (DMAEMA), di-2-butane-1,2,3,4-tetracarboxylic acid hydroxyethyl methacrylate (TCB), N-methacryloyl-5-amino salicylic acid (5-NMSA or MASA), pentamethacryloyloxyethyl cyclohexaphosphazene fluoride (PEM-F), di-pentaerythritol penta-acrylate monophosphate (PENTA), 2-(methacryloxyethyl)phenyl hydrogen phosphate (Phenyl-P), 2,5-dimethacryloyloxyethyloxycarbonyl-1,4-benzene dicarboxylic acid (PMDM), 2,5-bis(1,3-dimethacryloyloxyprop-2-yloxycarbonyl)benzen-1,4-dicarboxylic acid (PMGDM), tetra-methacryloyloxyethyl pyrophosphate (Pyro-HEMA), 4-acryloxyethyl trimellic anhydride (4-AETA), 4-acryloxyethyl trimellic acid (4-AET), trimethylpropane trimethacrylate (TMPTMA).
In a preferred embodiment, the photopolymerizable composition according to the present invention comprises from 10% to 50% by weight, with respect to the total weight of photopolymerizable compounds of the composition, of at least one further compound comprising at least one ethylenic unsaturated group, wherein said at least a further compound comprising at least one ethylenic unsaturated group is of the hydrophilic type and is selected from the group consisting of: hydroxyethyl methacrylate (HEMA), methacrylic acid (MA), methyl methacrylate (MMA), 2-hydroxyethyl methacrylate phosphate (HEMA-phosphate), 2-hydroxy propyl methacrylate (HPMA), 2-acrylamido-2-methyl-sulfonic acid (AMPS).
The presence of said amount of the at least one further compound comprising at least one ethylenic unsaturated group of the hydrophilic type makes such a composition particularly useful in supporting and hydrating the collagen fibrils, advantageously allowing the use of the composition for the so-called primer formulations.
In a further preferred embodiment, the photopolymerizable composition according to the present invention comprises from 30 to 90% by weight, with respect to the total weight of photopolymerizable compounds of the composition, of at least one further compound comprising at least one ethylenic unsaturated group, wherein said at least a further compound comprising at least one ethylenic unsaturated group is of the hydrophobic-type and is selected from the group consisting of: urethane-dimethacrylate (UDMA), bisphenol A glycidyl dimethacrylate (Bis-GMA), triethylene glycol dimethacrylate (TEGDMA), 10-methacryloyloxydecyl dihydrogen phosphate (10-MDP), Bis[2-(methacryloyloxy)ethyl]phosphate (Bis-MP), ethylene glycol dimethacrylate (EGDMA), glycerol dimethacrylate (GDMA), 1,10-dodecanediol dimethacrylate (DDDMA), glycerophosphoric acid dimethacrylate (GPDM), bis[2-(methacryloyloxy)ethyl] phosphate (Bis-MEP), mono(2-methacryloyloxy)ethyl phthalate (MMEP or PAMA), mono(2-methacryloyloxy-1-hydroxy)ethyl phthalate (PAMM), N-(2-hydroxy-3-((2 methyl-1-oxo-2-propenyl)oxy)propyl)-N-tolyl glycine (NTG-GMA), N-phenylglycine glycidyl methacrylate (NPG-GMA), 4-methacryloyloxyethyl trimellic anhydride (4-META), 4-methacryloyloxyethyl trimellic acid (4-MET), 1,6-hexanediol dimethacrylate (HDDMA), 11-methacryloyloxy-1,10-undecanedicarboxylic acid (MAC-10), polyethylene glycol dimethacrylate (PEGDMA), biphenyl dimethacrylate (BPDM), di-2-methacryloyloxyethyl phosphate (di-HEMA phosphate), dimethylaminoethyl dimethacrylate (DMAEMA), di-2-butane-1,2,3,4-tetracarboxylic acid hydroxyethyl methacrylate (TCB), N-methacryloyl-5-amino salicylic acid (5-NMSA or MASA), pentamethacryloyloxyethyl cyclohexaphosphazene fluoride (PEM-F), di-pentaerythritol penta-acrylate monophosphate (PENTA), 2-(methacryloxyethyl)phenyl hydrogen phosphate (Phenyl-P), 2,5-dimethacryloyloxyethyloxycarbonyl-1,4-benzene dicarboxylic acid (PMDM), 2,5-bis(1,3-dimethacryloyloxyprop-2-yloxycarbonyl)benzen-1,4-dicarboxylic acid (PMGDM), tetra-methacryloyloxyethyl pyrophosphate (Pyro-HEMA), 4-acryloxyethyl trimellic anhydride (4-AETA), 4-acryloxyethyl trimellic acid (4-AET), trimethylpropane trimethacrylate (TMPTMA).
The presence of said amount of at least one further compound comprising at least one ethylenic unsaturated group of the hydrophobic-type makes such a composition particularly useful for the formation of a hybrid layer with dentin, advantageously allowing the use of the composition for the so-called bonding formulations.
Preferably, the photopolymerizable composition according to the present invention comprises at least one solvent. Said solvent is advantageously selected from all the solvents commonly used for the production of photopolymerizable compositions for dental use.
Preferably said solvent is selected from the group consisting of: ethanol, acetone, water, and isopropanol.
In addition to the aforementioned components, the photopolymerizable composition according to the present invention advantageously contains one or more additional components known to the skilled in the art, such as for example: inorganic fillers, 4-methoxy phenol (MEHQ, inhibitor), 2,6-di(tert-butyl)-4-methyl phenol (BHT, inhibitor), sodium fluoride (NaF).
In a further aspect, the present invention also relates to a compound of formula (I) according to the present invention or a photopolymerizable composition according to the present invention, for use in a method of dental treatment.
Thanks to the antibacterial properties deriving from the presence of the quaternary ammonium functionality, the compound of formula (I) and the photopolymerizable composition according to the invention prevent bacterial colonization phenomena in the sites of said dental treatments, especially in restorative dental methods.
In a preferred embodiment, said dental treatment is a restorative method.
Finally, as an additional aspect, the present invention also relates to a compound of formula (I) according to the present invention or a photopolymerizable composition according to the present invention for use as a medicament.
The antibacterial properties deriving from the presence of quaternary ammonium functionality make the compound of formula (I) and the photopolymerizable composition according to the invention suitable for use in the medical field.
Finally, in a still further aspect, the present invention relates to the use of at least one compound of formula (I) according to the present invention as an antibacterial monomer in polymeric compositions.
The structure and antibacterial properties deriving from the presence of the quaternary ammonium functionality make the compound of formula (I) particularly suitable for this use, even in fields other than the medical one.
Additional characteristics and advantages of the invention will appear more clearly from the following description of some of its preferred embodiments, given below by way of non-limiting example with reference to the following exemplary examples.
A colony of bacterium taken from agar plate is inoculated in Brain Hearth Infusion medium (BHI) and grown overnight at 37° C. The next day, the bacteria are diluted in fresh medium containing the phenol red indicator, up to a density of 106 bacteria/mL.
A stock solution of 2 mg/mL of compound is prepared in BHI medium containing phenol red.
In a 96-well plate, the compound stock solution is diluted serially (the concentration is halved at each step) to obtain the following final concentrations after addition of the bacteria suspension: 1 mg/mL; 0.5 mg/mL; 0.25 mg/mL; 0.125 mg/mL; 0.065 mg/mL; 0.032 mg/mL; 0.016 mg/mL; 0.008 mg/mL; 0.004 mg/mL; 0.002 mg/mL; 0.001 mg/mL. A compound-free medium is used as a growth control. A volume of bacterial suspension equal to 0.5*106 bacteria/mL is added to each well containing the compound and the control. The dish is incubated at 37° C. for 24 hours. Bacterial growth in each well is detected by the phenol red, which turns from red to yellow following acidification of the medium induced by bacterial metabolism. The lowest concentration of the compound causing no evident color change corresponds to the MIC.
A 20 mg/mL compound stock solution in BHI medium is prepared. In a 96-well plate, the compound solution is diluted serially (the concentration is halved at each step) to obtain the following final concentrations after addition of the bacteria suspension: 10 mg/mL; 5 mg/mL; 2.5 mg/mL; 1.25 mg/mL; 0.625 mg/mL; 0.31 mg/mL; 0.15 mg/mL; 0.08 mg/mL; 0.04 mg/mL; 0.02 mg/mL. Wells containing a mixture of penicillin and streptomycin antibiotics are used as a positive control. Compound-free medium is used as a growth control. A volume of bacterial suspension equal to 0.5*106 bacteria/mL is added to each well containing the compound and the controls. The dish is incubated at 37° C. for 24 hours. The lowest compound concentration at which no turbidity of the culture medium is evident is defined as MIC. For the calculation of MBC, aliquots equal to 50 μL are taken from the wells showing evident no turbidity of the medium and are plated on BHI agar plates for 48 hours. The MBC is calculated as the concentration of compound that did not produce bacterial colony growth on the dish. Bacterial suspensions taken from the positive control (growth medium only) and the negative control (growth medium with Ampicilin 100 μg/mL) are also seeded.
Tested cells: primary from dental pulp in complete high glucose DMEM medium+1 mg ascorbic acid, seeded in 96-well dishes;
Cell viability detection method: MTS assay from Promega (CellTiter 96® AQueous One Solution Cell Proliferation Assay) colorimetric metabolic assay that allows to evaluate variations in the number of cells being a dye reduced by cellular dehydrogenases. The greater the number of cells, the greater the amount of reduced compound;
Execution time: 24 hours and 72 hours from treatment;
Negative control: cells seeded in complete DMEM medium (CNT) are used;
Number of samples: for 24 hours, 6 samples of each type; for 72 hours 8 samples of each type.
Procedure: Cells (6000/well) are seeded on a 96-well dish to form a monolayer at approximately 40% confluence. After 24 hours the medium is replaced by a medium in which the compound has previously been solubilized, sterilized by 0.22 micron filtration. Growth medium alone is used as a negative control (CNT). At the following 24 and 72 hours the colorimetric test is performed. The absorbance values for each sample are averaged and the standard deviation calculated. The percent viability is calculated on the negative control.
A test adapted from a commonly used method for determining the sensitivity of a bacterial strain to antibiotics in solution, known as Kirby-Bauer antibiotic testing or disc diffusion antibiotic sensitivity testing was used (Brown D F, Kothari D (1975), “Comparison of antibiotic discs from different sources”, J. Clin. Pathol. 28 (10): 779-83. Doi: 10.1136 /jcp.28.10.779). The test performed involves the use of discs imbued with a known concentration of the substance under examination that are placed on a layer of bacteria grown on agar. The diffusion of the bactericidal molecule from the disk into the agar causes the inhibition of bacterial growth in the area surrounding the disk itself where the molecule has spread with the formation of what are called zones of growth inhibition. The diameter of these inhibition zones (transparent circular regions in comparison to the bacterial film) is proportional to the antibacterial efficacy of the molecule to its concentration and to its diffusion ability in the medium.
The DCT test is based on the turbidimetric determination of bacterial growth in 96-well microplates.
On the wall of each well, 15 μL of the resin to be tested are polymerized for 40 s, using a VALO® Grand LED curing light (Ultradent, Milan, Italy) in standard mode (1000 mW/cm2, 2 maximum of emission in the ranges of wavelengths 395-415 nm and 440-480 nm);
In this way the side walls of the wells are coated with the polymerized material under test. The wells are then washed with phosphate buffered saline (PBS) before inoculating them with bacteria. Keeping the plate in vertical position, 10 μL of S. mutans bacterial suspension (ATCC 25175) in brain heart infusion medium (BHI) from an o/n culture, is then deposited on the layer of material present on the side walls of the wells. The plate is held upright for 1 hour to allow direct contact between bacteria and the cured material. 200 μL culture broth is then added to each of the wells with gentle mixing. The microplate is then placed in the chamber of a spectrophotometer for ELISA plates reading at 37° C. and the optical density in each well is measured at 600 nm at regular intervals (every 30 minutes for 18 hours). The whole experiment is conducted under aseptic conditions and is repeated on three microplates to ensure reproducibility of the result. 24 wells for each microplate were tested for each sample.
The degree of conversion (DC) was measured with a Fourier Transform Infra-Red Attenuated Total Reflectance equipment (FTIR-ATR, Nicolet 6700, Thermo Scientific, Milan, Italy).
The photopolymerization of the experimental adhesives took place according to the following protocol:
DC(%)=[1−(Rt=x/Rt=0)]*100
where R indicates the ratio between the intensities of the stretching peak of the internal reference, the carbonyl group (C═O) at 1720 cm−1 and the vinyl group (C═C), peak at 1636 cm−1, respectively calculated before polymerization (t=0) and during the irradiation time (t=x).
To determine the μTBS value, human teeth not affected by caries or ruptures and without signs of previous restorations were used.
The protocol followed for the preparation of dental samples using the commercial total-etch Adper™ Scotchbond™ Multi-Purpose adhesive composed by the primer (Adper™ Scotchbond™ Multi-Purpose Primer) and the bonding (Adper™ Scotchbond™ Multi-Purpose Adhesive) (SBMP; 3M™ ESPE, St Paul, Minn., USA) with 3-step adhesion technique, is described below:
1) Sectioning of the crown above the pulp chamber roof in order to obtain as much dentinal surface as possible for each sample;
2) 3 passes of the sample surface on abrasive paper to simulate the action of a cutter;
3) Adhesion protocol:
4) Sectioning of the samples with a microtome obtaining specimens (herein and after defined: stick) with a square base of side 1×1 mm (±0.01 mm) and thickness between 5 and 10 mm;
5) Elimination of peripheral enamel sticks considered invalid for the test;
6) Positioning of the individual sticks in the appropriate slots for the microtensile tests with cyanoacrylate glue using the specifications reported in the guidelines of the Academy of Dental Materials for this test (S. Armstrong, L. Breschi, M. Ozcan, F. Pfefferkorn, M. Ferrari, B. Van Meerbeek, Academy of Dental Materials guidance on in vitro testing of dental composite bonding effectiveness to dentin/enamel using micro-tensile bond strength (μTBS) approach, Dent. Mater. 33 (2) (2017) 133-143.). In particular, the “active gripping” configuration was used with the aid of the Zapit glue (Dental Ventures of America, Corona, Calif., USA;) and the “Microtensile tester” tool produced by Bisco Inc., Schaumburg, Ill., USA;
7) Recording and analysis of the data obtained;
The number of sticks obtained for each sample ranges from 71-83.
The solutions for NMR analysis were prepared by dissolving a portion of material (5-20 mg) in 0.60 mL of deuterated water (D20, Sigma-Aldrich, 99.9% D) or 0.75 mL of deuterated dimethyl sulfoxide (DMSO-d6, Sigma-Aldrich 99.96% D). 1H-NMR (16 scans), 13C-NMR (5200 scans), HH-Cosy (200 scans), gHSQC (128 scans) of the monomers were obtained at room temperature using a Varian 400 MHz NMR (Nuclear Magnetic Resonance) spectrometer.
The analysis was carried out with a Fourier transform infrared spectrometer (Nicolet 6700, deterctor: DTGS KBr, Thermo scientific), equipped with a diamond ATR (Attenuated total reflectance). The background was recorded against air prior to the characterization of each monomer. A portion of solid monomer (10-15 mg), non-derivatized and untreated, was placed on the ATR and pressed by a piston in order to ensure optimal contact. The transmittance (T%) spectrum was recorded in the 4000-500 cm−1 range, with 24 scans and 4 cm−1 resolution.
7.30 grams of 1,12-dibromo dodecane and 9.4 mL of 2-(dimethylamino)ethyl methacrylate in 110 mL of acetonitrile were added to a Schlenk-type reactor equipped with a magnetic stir bar. The reaction mixture was heated to 65° C. for 3 days obtaining via precipitation with ethyl ether and filtration 13.85 grams (97% yield) of the compound represented below in Formula (1)
The compound prepared (herein and after also referred to as “DDM”) was characterized by 1 H-NMR, 13C-NMR, HH-Cosy, gHSQC obtained with NMR spectrometer (Nuclear Magnetic Resonance) Varian 400 MHz and by FTIR-ATR analysis (Nicolet 6700, Thermo scientific), spectra are shown in
0.5 grams of the compound represented in Formula (1) obtained through the procedure in Example 1, are placed in 19 mL of water in a light-shielded Schlenk-type reactor equipped with a magnetic stir bar. 0.22 grams of silver fluoride (AgF) in 4.3 mL of water is added dropwise to the reactor. The reaction is left at room temperature for 24 h. The raw product is filtered and lyophilized obtaining quantitatively the compound represented in Formula (2)
The compound prepared (herein and after also referred to as “DDM-F”) was characterized by 1H-NMR, 13C-NMR, 19F-NMR, HH-Cosy, gHSQC obtained with NMR (Nuclear Magnetic Resonance) Varian 400 MHz spectrometer, spectra are shown in
3.23 grams of 1,12-dibromo dodecane and 4.45 mL of 3-(dimethylamino)propyl methacrylamide in 50 mL of acetonitrile were added to a Schlenk-type reactor equipped with a magnetic stir bar. The reaction mixture was heated to 65° C. for 6 days obtaining via precipitation with ethyl ether and filtration 6.28 grams (95% yield) of the compound represented below in Formula (3)
The prepared compound (herein and after also referred to as “DDMP”) was characterized by 1H-NMR, 13C-NMR, HH-Cosy, gHSQC obtained with NMR spectrometer (Nuclear Magnetic Resonance) Varian 400 MHz and by FTIR-ATR analysis (Nicolet 6700, Thermo scientific), spectra are shown in
0.5 grams of the compound represented in Formula (3) obtained through the procedure in Example 3, are placed in 19 mL of water in a Schlenk type reactor shielded from light and equipped with a magnetic stir bar. 0.21 grams of silver fluoride (AgF) in 4.1 mL of water is added dropwise to the reactor. The reaction is left at room temperature for 24 h. The raw product is filtered and lyophilized obtaining quantitatively the compound represented in Formula (4)
The prepared compound (herein and after also referred to as “DDMP-F”) was characterized by 1H-NMR, 19F-NMR, HH-Cozy, obtained with a NMR (Nuclear Magnetic Resonance) Varian 400 MHz spectrometer, spectra are shown in
0.5 grams of 1,12-dibromo dodecane and 1.22 mL of 2-(diethylamino)ethyl methacrylate in 15 mL of acetonitrile were added to a Schlenk-type reactor equipped with a magnetic stir bar. The reaction mixture was heated to 70° C. for 5 days obtaining via precipitation from dichloromethane/ethyl ether and filtration 0.776 grams (74% yield) of the compound represented in Formula (5)
The compound prepared (herein and after also referred to as “DDE”) was characterized by 1H-NMR, 13C-NMR, HH-Cozy, gHSQC obtained with a NMR (Nuclear Magnetic Resonance) Varian 400 MHz spectrometer and by FTIR-ATR analysis (Nicolet 6700, Thermo scientific), spectra are shown in
0.43 grams of 1,12-dibromo dodecane and 0.8 grams of 4-amino-N,N-dimethylaniline in 6.5 mL of acetonitrile were added to a Schlenk-type reactor equipped with a magnetic stir bar. The reaction mixture was heated to 60° C. for 6 days obtaining by precipitation with ethyl ether and filtration 0.83 grams (87% yield) of the compound represented below in Formula (6)
The compound prepared (herein and after also referred to as “DDMAPMA”) was characterized by 1H-NMR, 13C-NMR, HH-Cosy, gHSQC obtained with NMR (Nuclear Magnetic Resonance) Varian 400 MHz and FTIR-ATR analysis (Nicolet 6700, Thermo scientific), spectra are shown in
0.75 grams of 1,12-dibromo dodecane and 1.0 grams of N-(4-pyridylmethyl) methacrylamide in 11 mL of ethanol were added to a Schlenk-type reactor equipped with a magnetic stir bar. The reaction mixture was heated to 120° C. for 2 days obtaining via precipitation with ethyl ether and filtration 1.33 grams (87% yield) of the compound represented below in Formula (7)
The compound prepared (herein and after also referred to as “DDPyMMA”) was characterized in terms of by 1H-NMR, 13C-NMR, HH-Cozy, gHSQC obtained with NMR (Nuclear Magnetic Resonance) Varian 400 MHz spectrometer and by FTIR analysis. ATR (Nicolet 6700, Thermo scientific), spectra are shown in
3.82 grams of 1,4-dibromo xylene and 5.3 mL of 2-(dimethylamino)ethyl methacrylate in 63 mL of acetonitrile were added to a Schlenk-type reactor equipped with a magnetic stir bar. The reaction mixture was left at room temperature (20° C.) for 24 hours obtaining via precipitation with ethyl ether and filtration 8.34 grams (91% yield) of the compound represented below in Formula (8)
The compound prepared (herein and after also referred to as “XyDM”) was characterized in terms of by 1H-NMR, 13C-NMR, HH-Cozy, gHSQC obtained with NMR spectrometer (Nuclear Magnetic Resonance) Varian 400 MHz and by FTIR analysis-ATR (Nicolet 6700, Thermo scientific), spectra are shown in
In order to test the antibacterial properties of the compounds prepared in Examples 1-8, on colonies of S. mutans (ATCC 25175), a bacterium commonly found in the human oral cavity, a test was set up to determine the minimum inhibitory concentration (MIC) and the minimum bactericidal concentration (MBC) according to the “Determination of minimum inhibitory concentration (MIC)” methods and “Determination of minimum bactericidal concentration (MBC)” described above.
The results are reported in Table 1.
The compounds according to Examples 1, 3, 5, 6, and 7 were tested on bacterial strains different from S. mutans with the same methods described above, obtaining the MIC and MBC values reported in Table 2.
E. Coli
a
S. Aureus
b
S. Sanguis
c
S. Mitis
d
The compounds according to Examples 1, 5, 6, and 7 were tested in order to evaluate their cytotoxicity on primary cells from human dental pulp according to the “Determination of cytotoxicity” method described above, obtaining the values reported respectively in the following Tables 3, 4, 5, and 6. Cells were extracted from healthy third molars of patients after informed consent (Authorization Single Regional Committee FVG, study ID 2433, 29 Aug. 2018). After extraction, the stem cell nature was ascertained by evaluating the expression of the positive markers CD 90, CD 73, CD 29 and the negative markers CD 14, CD 34 and CD 45.
From the obtained data, the compound according to Example 1 did not show significant signs of decrease in cell viability even at concentrations higher than the MIC and MBC, and therefore can also be used in contact with the oral mucosa.
From the obtained data, compound DDE according to Example 5 shown a maximum non-cytotoxic concentration (100 μg/mL) higher than its MIC and MBC values against the analyzed bacteria strains, thereby confirming the suitability of the compound to be used also in contact with the oral mucosa.
The Applicant observed that the maximum tested non-cytotoxic concentration of the compound DDMAPMA according to Example 6 is higher than the respective MIC and MBC values (5-10 μg/mL) against the analyzed bacteria strains, thereby confirming the suitability of the compound to be also used in contact with the oral mucosa.
The Applicant observed that for the compound DDPyMMA according to Example 7 the concentrations corresponding to the MIC and MBC values against the analyzed bacteria strains are lower than the maximum tested non-cytotoxic concentration (50 μg/mL), thereby confirming the suitability of DDPyMMA for it use in contact with the oral mucosa.
In conclusion, from the data shown in Examples 9 and 10 it is possible to conclude that the compounds according to the invention show an adequate balance of antibacterial properties and cytotoxicity profile which allow their use in contact with the oral mucosa, especially in compositions for dental adhesives.
The bactericidal properties of the compounds according to Examples 1, 3, 5, 6 and 7 were tested in various primer-type preparations, using the method “Bacterial inhibition determination-Agar diffusion test” described above. The disk soaked in the tested primer formulation without addition of compounds according to Examples 1, 3, 5, 6 and 7 was used as a negative reference.
For the tests, the following primer-type formulations were used, identified by the following codes:
Primer L1 (% by weight):
Primer “L1” was diluted with 20% by weight of solvent, water (H2O) or ethanol (EtOH) obtaining the following mixtures:
L1A=80% L1+20% H2O;
L1B=80% L1+10% H2O+10% EtOH; and
L1C=80% L1+20% EtOH.
2. Primer L2 (% by weight):
Primer “L2” was diluted with 15% by weight of solvent (water or ethanol) obtaining the following mixtures:
L2A=85% L2+15% H2O; e
L2B=85% L2+7.5% H2O+7.5% EtOH.
3. Primer R5 (% by weight):
Primer “R5” was diluted with 20% by weight of solvent (water or ethanol) obtaining the following mixtures:
R5A=80% R5+20% H2O;
R5B=80% R5+10% H2O+10% EtOH.
4. Primer Pa (% by weight):
Primer “Pa” was diluted with 20% by weight of water obtaining the following final mixture:
PaA=80% Pa+20% H2O.
5. Primer L3 (% by weight):
Tables 7, 8 e 9 show the obtained results.
For all three formulations of DDM primers, the greater the concentration of the monomer in solution, the higher the bactericidal action (a proportional increase in the range of inhibition of bacterial growth can be noted). Furthermore, the three different formulations containing the same concentration of monomer shown comparable bactericidal activity.
In general, the L1 and L2 primer formulations added with DDMP were found to be more efficient than those of R5 primers. Between them, the bactericidal action is overall comparable, although L1A shown a better effect.
In any case, the greater the concentration of the monomer in solution, the higher the bactericidal action (a proportional increase in the inhibition range of bacterial growth can be noted).
All three primer formulations with all 3 monomer types tested shown comparable bactericidal activity. The presence of a modest zone of inhibition even in the control of the acid primer formulation (PaA) is probably due to bacterial death induced by the acidification of the culture medium.
The bactericidal properties of the compounds according to Examples 1, 5, 6 and 7 within a reference bonding resin called R2 were tested using the “Direct contact test (DCT)” method described above. As a negative reference, the reference bonding resin was used without adding compounds according to the invention.
The reference resin called R2 has the following composition (% by weight):
For the tests execution, different quantities of the compounds according to examples 1, 5, 6 and 7 were added to the resin R2 in a quantity range from 0.1 to 10% by weight. The homogeneity of the material to be tested was ensured before application in the wells by carrying out a sonication (50%, 5 min) and mixing with Vortex (800 rpm, 5 min) of the various resins added with the compound according to the invention.
As can be seen from the low optical density values found during the tests, the resin containing the DDM compound according to Example 1 was able to inhibit bacterial survival by contact even at the lowest concentration tested (1% by weight).
As can be seen from the low optical density values found during the tests, also the resin containing the DDE compound according to Example 5 was able to inhibit bacterial survival by contact even at the lowest concentration tested (1% by weight).
As can be seen, the resin containing the DDMAPMA compound according to Example 6 already at a concentration of 0.5% by weight in the resin R2 was able to inhibit bacterial survival by contact.
As can be seen, the resin containing the DDPyMMA compound according to Example 7 was able to inhibit bacterial survival by contact at a concentration of 1% by weight in the R2 resin.
The ability of the compounds according to examples 5, 6 and 7 to enter the polymer chain during photopolymerization, and therefore to act as antibacterial monomers, was tested using the “Determination of the degree of conversion (DC)” method described above. As a reference, the reference resin was used without adding compounds according to the invention.
The compounds were added in quantities of 1% by weight to a reference resin called RT3 having the following composition:
For the tests execution, the homogeneity of the material to be tested was ensured by carrying out a sonication (50%, 5 min) and mixing with Vortex (800 rpm, 5 min) of the various resins added with the compound according to the invention.
The ability of the compounds according to examples 5, 6 and 7 to not affect the mechanical properties of the dental adhesives with which they are formulated, was tested using the method “Determination of the applied tensile strength (Microtensile Bond Strength—μTBS)” described above, by adding 1% by weight of compounds according to the invention to the commercial adhesive Adper™ Scotchbond™ Multi-Purpose Adhesive (SBMP; 3M™ ESPE, St Paul, Minn., USA), according to the following procedure.
1% by weight of a compound according to Examples 5, 6 and 7 was added to an exactly weighed quantity of SBMP inside a dark Eppendorf tube. The mixtures were sonicated (50%, 5 min) and mixed with Vortex (800 rpm, 5 min) until complete solubilization of the tested compounds. Thus, 3 new adhesive systems were obtained which were tested in terms of tensile strength (Microtensile Bond Strength test—∥TBS). The test was performed by placing the individual samples (sticks) in the appropriate slots for the microtensile tests with cyanoacrylate glue using the specifications reported in the guidelines of the Academy of Dental Materials for this test (S. Armstrong, L. Breschi, M. Ozcan, F. Pfefferkorn, M. Ferrari, B. Van Meerbeek, Academy of Dental Materials guidance on in vitro testing of dental composite bonding effectiveness to dentin/enamel using micro-tensile bond strength (μTBS) approach, Dent. Mater. 33 (2) (2017) 133-143). In particular, the “active gripping” configuration was used with the aid of the Zapit glue (Dental Ventures of America, Corona, Calif., USA;) and the “Microtensile tester” tool produced by Bisco Inc., Schaumburg, Ill., USA.
The value of the tensile strength expressed in MPa is shown on the abscissa axis.
As can be seen, there is no statistical difference between the resistance of the SBMP resin alone and the resin added with 1% by weight of the compounds according to the invention, which therefore demonstrate that they do not affect the mechanical properties of the resin itself.
| Number | Date | Country | Kind |
|---|---|---|---|
| 102019000020949 | Nov 2019 | IT | national |
| Filing Document | Filing Date | Country | Kind |
|---|---|---|---|
| PCT/IB2020/060638 | 11/12/2020 | WO |
