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Concealment of hypomineralised lesions

A technology for shaping calcium fluoride phosphate and tooth surfaces, applied in the field of compositions that reduce the visibility of hypomineralized tooth surfaces or subsurfaces, and can solve problems such as reduced sensitivity, low compliance with remineralization, and poor patient prognosis

Pending Publication Date: 2021-12-17
UNIVERSITY OF MELBOURNE
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

However, current treatments using this technology still require weeks of treatment at best to improve the appearance of the lesion and reduce sensitivity
This leads to poor patient outcomes due to low compliance and insufficient remineralization

Method used

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  • Concealment of hypomineralised lesions
  • Concealment of hypomineralised lesions
  • Concealment of hypomineralised lesions

Examples

Experimental program
Comparison scheme
Effect test

Embodiment 1

[0291] Preparation of High Concentration Liquid CPP-ACFP and CPP-ACP Solutions

[0292] 3.25M CaCl 2 and 1.25M NaH 2 PO 4 (pH 5.5) stock solution in approximately 30 aliquots to a 10-15% w / v tryptic digest of casein until just before precipitation or gelation (typically yielding approximately 78 mM to 124 mM Ca 2+ and a final concentration of 48mM to 76mM inorganic phosphate). The solution was added slowly (ie, less than about 1% by volume per minute) with good agitation. Add one part phosphate solution first, followed by one part calcium solution. The pH of the bulk solution was maintained at 9.0 using 1 to 10 M NaOH with thorough mixing. Sodium hydroxide solution is added automatically by the pH stat, usually with hydroxide ions after each addition of calcium ions. After the addition of calcium ions, phosphate ions and hydroxide ions is complete, the solution is filtered through a 0.1 micron filter to concentrate 1-2 times. The retentate was then washed with 1-2 volum...

Embodiment 2

[0295] Masking of Vitiligo Lesions Using CPP-ACP and Alkaline Solutions

[0296] A 45% w / v CPP-ACP, pH 5.5 liquid solution was applied (within seconds) to the surface of the enamel block with the leukoplakia lesion using a microbrush. The enamel blocks were then incubated at 37 °C for 20 min. A 1M NaOH solution (approximately pH 14) was then applied (within a few seconds) with a microbrush, and the enamel pieces were incubated at 37°C for a further 20 min.

[0297] figure 1 Shown are leukoplakia lesions after treatment (T) compared to control lesions (C) from the same lesion (ie enamel block cut in half). Vitiligo lesions in the treated samples were substantially masked by the treatment by returning the lesions to translucency compared to control samples in which the leukoplakia lesions were still clearly visible.

Embodiment 3

[0299] Masking of leukoplakia lesions using 63% w / v CPP-ACP, free fluoride and alkaline solution

[0300] A liquid solution of 63% w / v CPP-ACP and 8,200 ppm F (as NaF), pH 5.5, was applied (within seconds) to the surface of enamel blocks with leukoplakia lesions using a microbrush. The enamel blocks were then incubated at 37 °C for 20 min. A 1M NaOH solution was then applied (within a few seconds) with a microbrush, and the enamel blocks were incubated at 37°C for a further 20 min.

[0301] figure 2 Shown is a treated leukoplakia lesion (T) on the left compared to a control lesion on the right (C) from the same lesion (ie enamel block cut in half). Vitiligo lesions in the treated samples were substantially masked by the treatment by returning the lesions to translucency compared to control samples in which the leukoplakia lesions were still clearly visible.

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Abstract

The present invention relates to compositions and uses for reducing the visibility of hypomineralised dental surfaces or subsurfaces, in particular in dental enamel. In one aspect, the invention involves a method of reducing visibility of a hypomineralised dental surface or subsurface, the method comprising (i) contacting the hypomineralised dental surface or subsurface with a liquid composition comprising at least 40% w / v of phosphopeptide (PP)-stabilized amorphous calcium phosphate (ACP) and / or amorphous calcium fluoride phosphate (ACFP) at a pH of less than or equal to pH 6; and (ii) subsequently to (i), raising the pH of the liquid composition applied to the hypomineralised dental surface or subsurface to equal to, or greater than, about 9, thereby forming a gel in and / or on the hypomineralised dental surface or subsurface, thereby reducing visibility of a hypomineralised dental surface or subsurface.

Description

[0001] Cross References to Prior Applications [0002] This application claims priority from Australian provisional applications 2019900833 and 2019903860, the entire contents of each application being incorporated herein by reference. technical field [0003] The present invention relates to compositions and uses for reducing the visibility of hypomineralised tooth surfaces or subsurfaces, especially enamel. Background technique [0004] Dental plaques are porous lesions in the enamel / dentin that can result from caries (vitiligo lesions), hypomineralisation (eg, fluorosis and other developmental defects), or other demineralizing processes (eg, erosion lesions). Often, they represent the early stages of caries formation, in which the affected surface appears to be intact after light probing. Other common causes of hypomineralization and associated leukoplakia lesions include trauma, xerostomia, and arrested decay that only partially remineralizes around fixed orthodontic ap...

Claims

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Application Information

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Patent Type & Authority Applications(China)
IPC IPC(8): A61K6/76A61K6/838A61K6/20A61K8/21A61Q11/00A61K8/24A61K33/06A61K33/16A61K33/42A61K9/08
CPCA61K6/74A61K6/60A61K8/24A61K8/21A61K8/03A61K8/042A61Q11/00A61P1/02A61K6/16A61K6/20A61K8/64A61K2800/882A61P11/00A61K6/838A61C19/063
Inventor 埃里克·查尔斯·雷诺兹
Owner UNIVERSITY OF MELBOURNE