Oral care formulation with zinc and an amino acid for the treatment of symptoms of stomach ailments in the oral cavity

Description

FIELD

[0001] This invention relates to compositions for use in methods of treating symptoms pertaining to gastric disorders, comprising the application of oral care compositions comprising arginine or salt thereof, zinc oxide and zinc citrate, and an orally acceptable carrier, to a subject's tooth.BACKGROUND

[0002] Dental enamel is a thin, hard layer of calcified material that covers the crown of teeth. The major mineral component of dental enamel is hydroxyapatite, a crystalline form of calcium phosphate. Chemical erosion of dental enamel may arise from tooth exposure to acidic food and drinks (extrinsic) or to stomach acids (intrinsic) arising from gastric reflux. The erosion of dental enamel can lead to enhanced tooth sensitivity due to increased exposure of the dentin tubules and increased dentin visibility leading to the appearance of more yellow teeth. The salivary pellicle (a thin layer of salivary glycoproteins deposited on teeth) is integral in protecting the teeth against an erosive challenge. As a result, people that experience xerostomia are more susceptible to acid erosion damage.

[0003] The sustained presence of intrinsic acid in the oral cavity can be damaging to the enamel of the tooth. In some cases, regurgitation of stomach acids following meals, especially after overeating, can be considered normal, for up to about 1 hour a day. However, for people with certain gastric disorders, such as gastroesophageal reflux disease (GERD), the intrusion of gastric acids into the oral cavity for prolonged periods of time and during, for example sleep, is especially damaging to the teeth, as salivation and swallowing are reduced, and, in a supine position, the lower molars can be bathed in the acids.

[0004] Zinc is a well-known antimicrobial agent used in toothpaste compositions. Zinc is also a well-known essential mineral for human health, and has been reported to help strengthen dental enamel and to promote cell repair. However, formulations with zinc have a variety of challenges. Unfortunately, conventional toothpaste formulations often require a high concentrations of zinc, e.g., 2% by weight or more, to achieve efficacy. And, at this concentration, the zinc imparts a notably astringent taste to the composition.

[0005] Consequently, there is still the need to provide improved methods of using oral care compositions to protect tooth enamel from the effects of intrinsic stomach acid erosion. TW 201625201 A discloses dentifrices comprising a zinc amino acid complex together with soluble phosphate salts and methods of making and using the same, wherein no compositions are disclosed which comprise both, zinc oxide and zinc citrate for use in a method of treating one or more symptoms of a gastric disorder in the oral cavity of a subject in need thereof.BRIEF SUMMARY

[0006] The present inventors have unexpectedly found that combinations of a basic amino acid (i.e., arginine) and one or more sources of zinc (i.e., zinc oxide and zinc citrate, e.g., zinc citrate trihydrate), are effective in inhibiting or decreasing calcium release in tooth enamel exposed to acid. Without being bound by theory, it is believed that these compositions have beneficial effects in inhibiting, repairing, or mitigating the effects of dental erosion.

[0007] In the Examples listed herein, the inventors have detailed how toothpaste slurries with the combination of arginine, zinc oxide and zinc citrate are effective in inhibiting or limiting the amount calcium that is released from Calcium-deficient HA powder upon exposure to citric acid. As noted below, Calcium-deficient HA is chosen to mimic calcium-phosphate material given its similarity in structure, and elemental composition, to dental enamel. Citric acid is also an excellent chelating agent, binding metals by making them soluble. Given citric acid's ability to act as a potent chelator, the ability of the Test Formulation toothpaste slurries described in the Examples - containing arginine, zinc oxide and zinc citrate - to limit or inhibit calcium release is all the more impressive.

[0008] Without being bound by theory, the ability to limit or inhibit calcium release, under such acid conditions described herein, demonstrates how the methods described herein can be effective in treating symptoms (e.g., tooth enamel loss) that occur when gastric disorders (e.g., GERD, heartburn, indigestion) result in the elevation (or prolonged presence) of gastric acid in the oral cavity.

[0009] Accordingly, claimed is composition for use in a method of treating one or more symptoms of a gastric disorder in the oral cavity of a subject in need thereof, wherein the method comprises applying to the subject's teeth an oral care composition comprising: Basic amino acid in free or salt form in an amount from 0.1 wt% to 6.0 wt%, wherein the basic amino acid is arginine, comprising L-arginine in free form; zinc oxide and zinc citrate wherein the zinc oxide is present in an amount from 0.75% by wt. to 1.25% by wt. and the zinc citrate is present in an amount from 0.25% by wt. to 1.0% by wt; an orally acceptable carrier; wherein the gastric disorder is gastroesophageal reflux disease (GERD); and wherein the one or more symptoms of the gastric disorder comprise dental erosion due to loss of calcium in the subject's tooth enamel consequent to the presence of gastric acid in the oral cavity.

[0010] The one or more symptoms of the gastric disorder comprise dental erosion (e.g., tooth enamel erosion) due to loss of calcium in the subject's tooth enamel that is consequent to the presence of gastric acid (e.g., stomach acid) in the oral cavity (e.g., increased or elevated amounts of gastric acid). The dental erosion (e.g., erosion of the tooth enamel) is consequent to the presence of gastric acid is the erosion of the subject's tooth enamel from loss of calcium.

[0011] The oral care composition can inhibit or decrease the release of calcium from the subject's tooth enamel. The inhibition or decrease of the release of calcium in the subject's tooth enamel can be relative to a reference standard. The oral care composition can inhibit the release of calcium relative to one or more oral care compositions that do not contain zinc. The gastric disorder can increase the amount of gastric acid in the oral cavity (e.g., relative to a reference standard). The gastric disorder can prolong the period which gastric acid is present in a subject's oral cavity (e.g., relative to a reference standard).

[0012] The gastric disorder as defined in the claims is GERD. The subject can also have a further gastric disorder that increases the amount of gastric acid in the oral cavity of the subject (and / or prolongs the oral cavity to exposure of gastric acid), and wherein the further gastric disorder is selected from the group consisting of: duodenal ulcers, gastric ulcers, erosive esophagitis, gastroesophageal reflux disease weakly reactive (poorly responsive symptomatic gastroesophageal reflux disease), bulimia nervosa, pathological gastrointestinal hypersecretory disease (pathological gastrointestinal hypersecretory disease), Zhuo - Ellison syndrome, heartburn, and acid indigestion.

[0013] The gastric disorder as defined in the claims is gastroesophageal reflux disease (GERD).

[0014] The one or more symptoms can be that the subject is exposed to gastric acids in the oral cavity during sleep. The subject can be at risk for dental erosion. The risk for dental erosion can be selected from the group consisting of xerostomia, hypersensitivity, weakened tooth integrity (e.g., from one or more tooth fractures), and where the subject has tooth discoloration. The amount of gastric acid in the oral cavity can be elevated relative to a reference standard. The basic amino acid as defined in the claims is arginine and comprises arginine that has the L-configuration (L-arginine). The arginine can be in free form. The arginine can be provided in the form of a di- or tri-peptide comprising arginine, or salts thereof. The arginine in free or salt form is present in an amount from 0.1 wt% to 6.0 wt%, e.g. about 1.5%, 4%, or 5%.

[0015] The arginine in free or salt form is present in an amount from 0.1 wt. % - 6.0 wt. %. (e.g., about 1.5 wt%). The arginine can be present in an amount of about 1.5 wt. %. The amino acid is arginine comprising L-arginine and optionally the amino acid is L-arginine. The amino acid can be free form arginine. The amino acid can be arginine phosphate. The amino acid can be arginine hydrochloride. The amino acid can be arginine bicarbonate. The amino acid can be arginine ionized by neutralization with an acid or a salt of an acid. The composition can be ethanol-free. The composition can be further comprising a fluoride source selected from: stannous fluoride, sodium fluoride, potassium fluoride, sodium monofluorophosphate, sodium fluorosilicate, ammonium fluorosilicate, amine fluoride (e.g., N'-octadecyltrimethylendiamine-N,N,N'- tris(2-ethanol)-dihydrofluoride), ammonium fluoride, titanium fluoride, hexafluorosulfate, and combinations thereof. The fluoride source can be sodium fluoride.

[0016] The fluoride source can be a fluoride salt present in an amount of 0.1 wt. % to 2 wt. % (0.1 wt% - 0.6 wt.%) of the total composition weight (e.g., sodium fluoride (e.g., about 0.32 wt.%).

[0017] The fluoride source can be a soluble fluoride salt which provides fluoride ion in an amount of from 50 to 25,000 ppm (e.g., 750 -2000ppm, e.g., 1000-1500ppm, e.g., about 1000 ppm, e.g., about 1450ppm). The fluoride source can be sodium fluoride which provides fluoride in an amount from 750 - 2000ppm (e.g., about 1450ppm). The fluoride source can be sodium fluoride and which provides fluoride in an amount from 1000ppm -1500ppm. The fluoride source can be sodium fluoride and which provides fluoride in an amount of about 1450ppm.

[0018] The pH can be between 7.5 and 10.5, e.g., 8 - 9.5, e.g., 7.2 -9.0, about 8.0, about 9.0.

[0019] The composition can be comprising calcium carbonate and / or precipitated calcium carbonate.

[0020] The composition can be further comprising an effective amount of one or more alkali phosphate salts, e.g., sodium, potassium or calcium salts, e.g., selected from alkali dibasic phosphate and alkali pyrophosphate salts, e.g., alkali phosphate salts selected from sodium phosphate dibasic, potassium phosphate dibasic, dicalcium phosphate dihydrate, calcium pyrophosphate, tetrasodium pyrophosphate, tetrapotassium pyrophosphate, sodium tripolyphosphate, disodium hydrogenorthophoshpate, monosodium phosphate, pentapotassium triphosphate and mixtures of any of two or more of these, e.g., in an amount of 0.1-20%, e.g., 0.1-8%, e.g., e.g., 0.2 to 5%, e.g., 0.3 to 2%, e.g., 0.3 to 1%, e.g about 0.5%, about 1%, about 2%, about 5%, about 6%, by weight of the composition.

[0021] The composition can be comprising tetrapotassium pyrophosphate, disodium hydrogenorthophoshpate, monosodium phosphate, and pentapotassium triphosphate. The composition can comprise a polyphosphate. The polyphosphate can be tetrasodium pyrophosphate. The tetrasodium pyrophosphate can be present from 0.1 - 1.0 wt% (e.g., about 0.5 wt%). The composition can further comprise an abrasive or particulate (e.g., silica). The silica can be synthetic amorphous silica (e.g., 1% - 28% by wt.) (e.g., 8% - 25% by wt.). The silica abrasives can be silica gels or precipitated amorphous silicas, e.g. silicas having an average particle size ranging from 2.5 microns to 12 microns.

[0022] The composition can be further comprising a small particle silica having a median particle size (d50) of 1- 5 microns (e.g., 3 - 4 microns) (e.g., about 5 wt. % Sorbosil AC43 from PQ Corporation, Warrington, United Kingdom). 20-30 wt% of the total silica in the composition can be small particle silica (e.g., having a median particle size (d50) of 3-4 microns) and wherein the small particle silica is about 5 wt.% of the oral care composition. The composition can be comprising silica wherein the silica is used as a thickening agent, e.g., particle silica.

[0023] The composition can further comprise a nonionic surfactant, wherein the nonionic surfactant is in an amount of from 0.5 -5%, e.g, 1-2%, selected from poloxamers (e.g., poloxamer 407), polysorbates (e.g., polysorbate 20), polyoxyl hydrogenated castor oil (e.g., polyoxyl 40 hydrogenated castor oil), and mixtures thereof.

[0024] The poloxamer nonionic surfactant can have a polyoxypropylene molecular mass of from 3000 to 5000g / mol and a polyoxyethylene content of from 60 to 80 mol%, e.g., the poloxamer nonionic surfactant comprises poloxamer 407. The ratio of the amount of zinc oxide (e.g., wt.%) to zinc citrate (e.g., wt%) in the composition can be from 1.5:1 to 4.5:1 (e.g., 2:1, 2.5:1, 3:1, 3.5:1, or 4:1). The zinc citrate is present in an amount of from 0.25 to 1.0 wt% (e.g., 0.5 wt. %) and zinc oxide in the composition is present in an amount of from 0.75 to 1.25 wt% (e.g., 1.0 wt. %) based on the weight of the oral care composition as defined in the claims.

[0025] The zinc citrate can be present in an amount of about 0.5 wt%. The zinc oxide can be present in an amount of about 1.0 wt%. The zinc citrate can be present in an amount of about 0.5 wt% and the zinc oxide can be present in an amount of about 1.0 wt%. The benzyl alcohol can be present in an amount from 0.1 - 0.6 wt %., (e.g., 0.1 - 0.4 wt %) e.g. about 0.1 wt. %, about 0.2 wt. %, or about 0.3 wt. %. The benzyl alcohol can be present in an amount of about 0.1 wt%. The benzyl alcohol can be considered a preservative.

[0026] The composition can comprise polymer films. The composition can comprise a flavoring, fragrance and / or a coloring agent. The flavoring agent can be sodium saccharin, sucralose, or a mixture thereof.

[0027] The composition can comprise a thickening agent selected from the group consisting of carboxyvinyl polymers, carrageenan, xanthan, hydroxyethyl cellulose and water soluble salts of cellulose ethers (e.g., sodium carboxymethyl cellulose and sodium carboxymethyl hydroxyethyl cellulose).

[0028] The composition can comprise sodium carboxymethyl cellulose (e.g., from 0.5 wt.% - 1.5 wt.%). The oral care composition can comprise from 5% - 40%, e.g., 10% - 35%, e.g., about 15%, 25%, 30%, and 35% water.

[0029] The oral care composition can comprise an additional antibacterial agent selected from: herbal extracts and essential oils (e.g., rosemary extract, tea extract, magnolia extract, thymol, menthol, eucalyptol, geraniol, carvacrol, citral, hinokitol, catechol, methyl salicylate, epigallocatechin gallate, epigallocatechin, gallic acid, miswak extract, sea-buckthorn extract), bisguanide antiseptics (e.g., chlorhexidine, alexidine or octenidine), quaternary ammonium compounds (e.g., cetylpyridinium chloride (CPC), benzalkonium chloride, tetradecylpyridinium chloride (TPC), N-tetradecyl-4-ethylpyridinium chloride (TDEPC)), phenolic antiseptics, hexetidine, octenidine, sanguinarine, povidone iodine, delmopinol, salifluor, metal ions (e.g., zinc salts, for example, Zinc Chloride, Zinc Lactate, Zinc Sulfate, stannous salts, copper salts, iron salts), sanguinarine, propolis and oxygenating agents (e.g., hydrogen peroxide, buffered sodium peroxyborate or peroxycarbonate), phthalic acid and its salts, monoperthalic acid and its salts and esters, ascorbyl stearate, oleoyl sarcosine, alkyl sulfate, dioctyl sulfosuccinate, salicylanilide, domiphen bromide, delmopinol, octapinol and other piperidino derivatives, nicin preparations, chlorite salts; and mixtures of any of the foregoing.

[0030] The oral care composition can comprise an antioxidant, e.g., selected from the group consisting of Co-enzyme Q10, PQQ, Vitamin C, Vitamin E, Vitamin A, BHT, anethole-dithiothione, and mixtures thereof.

[0031] The oral care composition can comprise a whitening agent.

[0032] The oral care composition can comprise a whitening agent selected from a whitening active selected from the group consisting of peroxides, metal chlorites, perborates, percarbonates, peroxyacids, hypochlorites, and combinations thereof.

[0033] The oral care composition can further comprise hydrogen peroxide or a hydrogen peroxide source, e.g., urea peroxide or a peroxide salt or complex (e.g., such as peroxyphosphate, peroxycarbonate, perborate, peroxysilicate, or persulphate salts; for example calcium peroxyphosphate, sodium perborate, sodium carbonate peroxide, sodium peroxyphosphate, and potassium persulfate), or hydrogen peroxide polymer complexes such as hydrogen peroxide-polyvinyl pyrrolidone polymer complexes.

[0034] The glycerin can be present in an amount from 20% - 40% by wt. of the composition.

[0035] The composition can further comprise sorbitol. The sorbitol can be present in an amount from 10%-20% by wt. of the composition.

[0036] The oral care composition can be further comprising an agent that interferes with or prevents bacterial attachment, e.g., ethyl lauroyl arginiate (ELA) or chitosan.

[0037] The oral care composition can comprise: a. about 1.0% zinc oxide b. about 0.5% zinc citrate c. about 1.5% L-arginine

[0038] The oral care composition can comprise: a. about 1.0% zinc oxide b. about 0.5% zinc citrate c. about 1.5% L-arginine d. about 0.32% sodium fluoride; e. about 35% glycerin;

[0039] The oral care composition can comprise: a. about 1.0% zinc oxide b. about 0.5% zinc citrate c. about 5% L-arginine d. about 0.32% sodium fluoride; e. about 26% glycerin; and f. about 13% sorbitol;

[0040] The method can further comprise upon application of the oral care composition to the oral cavity, e.g., by rinsing, optionally in conjunction with brushing, a (i) reduction or inhibition of the formation of dental caries, (ii) reduction, repair or inhibition of pre-carious lesions of the enamel, e.g., as detected by quantitative light-induced fluorescence (QLF) or electrical caries measurement (ECM), (iii) reduction or inhibition of demineralization and promotion of remineralization of the teeth, (iv) reduction of hypersensitivity of the teeth, (v) reduction or inhibition of gingivitis, (vi) promotion of healing of sores or cuts in the mouth, (vii) reduction of levels of acid producing bacteria, (viii) increasing relative levels of arginolytic bacteria, (ix) inhibition of microbial biofilm formation in the oral cavity, (x) raising and / or maintaining plaque pH at levels of at least pH 5.5 following sugar challenge, (xi) reduction of plaque accumulation, (xii) treating, relieving or reducing dry mouth, (xiii) cleaning the teeth and oral cavity (xiv) reducing erosion, (xv) preventing stains and / or whitening teeth, (xvi) immunizing the teeth against cariogenic bacteria; and / or (xvii) promoting systemic health, including cardiovascular health, e.g., by reducing potential for systemic infection via the oral tissues.

[0041] The oral care composition may be any of the following oral compositions selected from the group consisting of: a toothpaste or a dentifrice, a mouthwash or a mouth rinse, a topical oral gel, and a denture cleanser.

[0042] The oral care composition can be in the form of a chewing gum.

[0043] Another method can identify candidate oral care composition that are useful to treat one or more symptoms of a gastric disorder in the oral cavity of a subject in need thereof.

[0044] Such a method to identify candidate oral care composition that are useful to treat one or more symptoms of a gastric disorder in the oral cavity of a subject in need thereof, can comprise the steps of providing a first sample and a second sample, e.g., toothpaste slurries, wherein the first and second samples have the same initial calcium concentrations; contacting the first sample with a measured quantity of acidic substance, e.g., aqueous acids (i.e., 1% Citric Acid solution) to form a solution; contacting the first sample with a candidate oral care composition; determining whether the amount of calcium which is released; contacting the second sample with the measured quantity of acidic substance to form a solution; contacting the second sample with any of the compositions described above; determining whether the calcium released in the second sample solution has changed, wherein the amount of calcium released, in the first sample, being less than or equal to that of the second sample indicates that the candidate oral care composition are useful to treat one or more symptoms of a gastric disorder in the oral cavity of a subject in need thereof.

[0045] A candidate oral care composition that is useful to treat one or more symptoms of a gastric disorder in the oral cavity of a subject in need thereof, is identified using the method described above.

[0046] Such a method can contemplate a method where the first and second samples are added simultaneously with the acidic substance.

[0047] Claimed is an oral care composition for use in a method as further defined in the claims.

[0048] The compositions can also be used a method to treat acid-related conditions in the oral cavity, comprising administering to a subject any of any of the compositions described above.DETAILED DESCRIPTION

[0049] As used herein, the term "oral composition" means the total composition that is delivered to the oral surfaces. The composition is further defined as a product which, during the normal course of usage, is not, the purposes of systemic administration of particular therapeutic agents, intentionally swallowed but is rather retained in the oral cavity for a time sufficient to contact substantially all of the dental surfaces and / or oral tissues for the purposes of oral activity. Examples of such compositions include, but are not limited to, toothpaste or a dentifrice, a mouthwash or a mouth rinse, a topical oral gel, a denture cleanser, and the like.

[0050] As used herein, the term "dentifrice" means paste, gel, or liquid formulations unless otherwise specified. The dentifrice composition can be in any desired form such as deep striped, surface striped, multi-layered, having the gel surrounding the paste, or any combination thereof. Alternatively the oral composition may be dual phase dispensed from a separated compartment dispenser.

[0051] "Dental Erosion" or "Erosion of tooth enamel", as used herein, is defined as a loss of dental hard tissue caused by a chemical process (i.e., exposure to intrinsic acid (e.g., gastric acid)) that does not involve bacteria.

[0052] The word "effective amount" is intended to encompass a therapeutically effective amount to treat a specific disease or disorder or symptom.

[0053] The term "subject" includes human or non-human (i.e., animal) subjects or patients. In a particular embodiment, the invention encompasses both human and nonhuman subjects. In another embodiment, the invention encompasses nonhuman. In other embodiment, the term encompasses human.

[0054] The term "gastric acid" refers to gastric acid or stomach acid, wherein the gastric acid or stomach acid is a digestive fluid which is formed in the stomach, and is composed of hydrochloric acid, potassium chloride, and sodium chloride.

[0055] 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.Basic Amino Acids

[0056] The basic amino acid as defined in the claims is arginine. Other basic amino acids include not only naturally occurring basic amino acids, such as lysine, and histidine, but also any basic amino acids having a carboxyl group and an amino group in the molecule, which are water-soluble and provide an aqueous solution with a pH of 7 or greater.

[0057] Accordingly, other basic amino acids include, but are not limited to, lysine, serine, citrulline, ornithine, creatine, histidine, diaminobutanoic acid, diaminoproprionic acid, salts thereof or combinations thereof. Other basic amino acids can be selected from citrulline, and ornithine.

[0058] The basic amino acid as defined in the claims is arginine, for example, L-arginine, or a salt thereof.

[0059] The compositions of the invention (e.g., compositions described above) are intended for topical use in the mouth and so salts for use in the present invention should be safe for such use, in the amounts and concentrations provided. Suitable salts include salts known in the art to be pharmaceutically acceptable salts are generally considered to be physiologically acceptable in the amounts and concentrations provided. Physiologically acceptable salts include those derived from pharmaceutically acceptable inorganic or organic acids or bases, for example acid addition salts formed by acids which form a physiological acceptable anion, e.g., hydrochloride or bromide salt, and base addition salts formed by bases which form a physiologically acceptable cation, for example those derived from alkali metals such as potassium and sodium or alkaline earth metals such as calcium and magnesium. Physiologically acceptable salts may be obtained using standard procedures known in the art, for example, by reacting a sufficiently basic compound such as an amine with a suitable acid affording a physiologically acceptable anion.Fluoride Ion Source

[0060] The oral care compositions (e.g., compositions described above) may further include one or more fluoride ion sources, e.g., soluble fluoride salts. A wide variety of fluoride ion-yielding materials can be employed as sources of soluble fluoride in the present compositions. Examples of suitable fluoride ion-yielding materials are found in U.S. Pat. No. 3,535,421, to Briner et al.; U.S. Pat. No. 4,885,155, to Parran, Jr. et al. and U.S. Pat. No. 3,678,154, to Widder et al. Representative fluoride ion sources used with the present invention (e.g., compositions described above) include, but are not limited to, stannous fluoride, sodium fluoride, potassium fluoride, sodium monofluorophosphate, sodium fluorosilicate, ammonium fluorosilicate, amine fluoride, ammonium fluoride, and combinations thereof. In certain embodiments the fluoride ion source includes stannous fluoride, sodium fluoride, sodium monofluorophosphate as well as mixtures thereof. Where the formulation comprises calcium salts, the fluoride salts are preferably salts wherein the fluoride is covalently bound to another atom, e.g., as in sodium monofluorophosphate, rather than merely ionically bound, e.g., as in sodium fluoride.Surfactants

[0061] The invention may in some embodiments contain anionic surfactants, e.g., compositions described above, for example, water-soluble salts of higher fatty acid monoglyceride monosulfates, such as the sodium salt of the monosulfated monoglyceride of hydrogenated coconut oil fatty acids such as sodium N- methyl N-cocoyl taurate, sodium cocomo-glyceride sulfate; higher alkyl sulfates, such as sodium lauryl sulfate; higher alkyl-ether sulfates, e.g., of formula CH 3 (CH 2 ) m CH 2 (OCH 2 CH 2 ) n OS0 3 X, wherein m is 6-16, e.g., 10, n is 1-6, e.g., 2, 3 or 4, and X is Na or , for example sodium laureth-2 sulfate (CH 3 (CH2) 10 CH 2 (OCH 2 CH 2 ) 2 OS0 3 Na); higher alkyl aryl sulfonates such as sodium dodecyl benzene sulfonate (sodium lauryl benzene sulfonate); higher alkyl sulfoacetates, such as sodium lauryl sulfoacetate (dodecyl sodium sulfoacetate), higher fatty acid esters of 1,2 dihydroxy propane sulfonate, sulfocolaurate (N-2- ethyl laurate potassium sulfoacetamide) and sodium lauryl sarcosinate. By "higher alkyl" is meant, e.g., C 6-3 o alkyl. In particular embodiments, the anionic surfactant (where present) is selected from sodium lauryl sulfate and sodium ether lauryl sulfate. When present, the anionic surfactant is present in an amount which is effective, e.g., > 0.001% by weight of the formulation, but not at a concentration which would be irritating to the oral tissue, e.g., 1 %, and optimal concentrations depend on the particular formulation and the particular surfactant. In one embodiment, the anionic surfactant is present at from 0.03% to 5% by weight, e.g., 1.5%.

[0062] In another embodiment, cationic surfactants useful in the present invention can be broadly defined as derivatives of aliphatic quaternary ammonium compounds having one long alkyl chain containing 8 to 18 carbon atoms such as lauryl trimethylammonium chloride, cetyl pyridinium chloride, cetyl trimethylammonium bromide, di-isobutylphenoxyethyldimethylbenzylammonium chloride, coconut alkyltrimethylammonium nitrite, cetyl pyridinium fluoride, and mixtures thereof. Illustrative cationic surfactants are the quaternary ammonium fluorides described in U.S. Pat. No. 3,535,421, to Briner et al. Certain cationic surfactants can also act as germicides in the compositions.

[0063] Illustrative nonionic surfactants of compositions described above, that can be used in the compositions of the invention, can be broadly defined as compounds produced by the condensation of alkylene oxide groups (hydrophilic in nature) with an organic hydrophobic compound which may be aliphatic or alkylaromatic in nature. Examples of suitable nonionic surfactants include, but are not limited to, the Pluronics, polyethylene oxide condensates of alkyl phenols, products derived from the condensation of ethylene oxide with the reaction product of propylene oxide and ethylene diamine, ethylene oxide condensates of aliphatic alcohols, long chain tertiary amine oxides, long chain tertiary phosphine oxides, long chain dialkyl sulfoxides and mixtures of such materials. In a particular embodiment, the composition of the invention comprises a nonionic surfactant selected from poloxamers (e.g., poloxamer 407), polysorbates (e.g., polysorbate 20), polyoxyl hydrogenated castor oils (e.g., polyoxyl 40 hydrogenated castor oil), and mixtures thereof.

[0064] Illustrative amphoteric surfactants of compositions described above, that can be used in the compositions of the invention, include betaines (such as cocamidopropylbetaine), derivatives of aliphatic secondary and tertiary amines in which the aliphatic radical can be a straight or branched chain and wherein one of the aliphatic substituents contains about 8-18 carbon atoms and one contains an anionic water-solubilizing group (such as carboxylate, sulfonate, sulfate, phosphate or phosphonate), and mixtures of such materials.

[0065] The surfactant or mixtures of compatible surfactants can be present in the compositions of the present invention (e.g., compositions described above) in 0.1% to 5%, in another embodiment 0.3% to 3% and in another embodiment 0.5% to 2% by weight of the total composition.Flavoring Agents

[0066] The oral care compositions of the invention may also include a flavoring agent. Flavoring agents which are used in the practice of the present invention include, but are not limited to, essential oils and various flavoring aldehydes, esters, alcohols, and similar materials, as well as sweeteners such as sodium saccharin. Examples of the essential oils include oils of spearmint, peppermint, wintergreen, sassafras, clove, sage, eucalyptus, marjoram, cinnamon, lemon, lime, grapefruit, and orange. Also useful are such chemicals as menthol, carvone, and anethole. Certain embodiments employ the oils of peppermint and spearmint.

[0067] The flavoring agent can be incorporated in the oral composition (e.g., compositions described above) at a concentration of 0.01 to 2% by weight.Chelating and anti-calculus agents

[0068] The oral care compositions of the invention also may include one or more chelating agents able to complex calcium found in the cell walls of the bacteria. Binding of this calcium weakens the bacterial cell wall and augments bacterial lysis.

[0069] Another group of agents suitable for use as chelating or anti-calculus agents in the present invention are the soluble pyrophosphates. The pyrophosphate salts used in the present compositions can be any of the alkali metal pyrophosphate salts. In certain embodiments, salts include tetra alkali metal pyrophosphate, dialkali metal diacid pyrophosphate, trialkali metal monoacid pyrophosphate and mixtures thereof, wherein the alkali metals are sodium or potassium. The salts are useful in both their hydrated and unhydrated forms. An effective amount of pyrophosphate salt useful in the present composition is generally enough to provide least 0.1 wt. % pyrophosphate ions, e.g., 0.1 to 3 wt 5, e.g., 0.1 to 2 wt %, e.g., 0.1 to 1 wt%, e.g., 0.2 to 0.5 wt%. The pyrophosphates also contribute to preservation of the compositions by lowering water activity.Polymers

[0070] The oral care compositions of the invention also optionally include one or more polymers, such as polyethylene glycols, polyvinyl methyl ether maleic acid copolymers, polysaccharides (e.g., cellulose derivatives, for example carboxymethyl cellulose, or polysaccharide gums, for example xanthan gum or carrageenan gum). Acidic polymers, for example polyacrylate gels, may be provided in the form of their free acids or partially or fully neutralized water soluble alkali metal (e.g., potassium and sodium) or ammonium salts. Certain embodiments include 1 :4 to 4: 1 copolymers of maleic anhydride or acid with another polymerizable ethylenically unsaturated monomer, for example, methyl vinyl ether (methoxyethylene) having a molecular weight (M.W.) of about 30,000 to about 1,000,000. These copolymers are available for example as Gantrez AN 139(M.W. 500,000), AN 1 19 (M.W. 250,000) and S-97 Pharmaceutical Grade (M.W. 70,000), of GAF Chemicals Corporation.

[0071] Other operative polymers include those such as the 1:1 copolymers of maleic anhydride with ethyl acrylate, hydroxyethyl methacrylate, N-vinyl-2-pyrollidone, or ethylene, the latter being available for example as Monsanto EMA No. 1 103, M.W. 10,000 and EMA Grade 61, and 1 : 1 copolymers of acrylic acid with methyl or hydroxyethyl methacrylate, methyl or ethyl acrylate, isobutyl vinyl ether or N-vinyl-2-pyrrolidone.

[0072] Suitable generally, are polymerized olefinically or ethylenically unsaturated carboxylic acids containing an activated carbon-to-carbon olefinic double bond and at least one carboxyl group, that is, an acid containing an olefinic double bond which readily functions in polymerization because of its presence in the monomer molecule either in the alpha-beta position with respect to a carboxyl group or as part of a terminal methylene grouping. Illustrative of such acids are acrylic, methacrylic, ethacrylic, alpha-chloroacrylic, crotonic, beta-acryloxy propionic, sorbic, alpha-chlorsorbic, cinnamic, beta-styrylacrylic, muconic, itaconic, citraconic, mesaconic, glutaconic, aconitic, alpha-phenylacrylic, 2-benzyl acrylic, 2-cyclohexylacrylic, angelic, umbellic, fumaric, maleic acids and anhydrides. Other different olefinic monomers copolymerizable with such carboxylic monomers include vinylacetate, vinyl chloride, dimethyl maleate and the like. Copolymers contain sufficient carboxylic salt groups for water-solubility.

[0073] A further class of polymeric agents includes a composition containing homopolymers of substituted acrylamides and / or homopolymers of unsaturated sulfonic acids and salts thereof, in particular where polymers are based on unsaturated sulfonic acids selected from acrylamidoalkane sulfonic acids such as 2-acrylamide 2 methylpropane sulfonic acid having a molecular weight of about 1,000 to about 2,000,000, described in U.S. Pat. No. 4,842,847, Jun. 27, 1989 to Zahid.

[0074] Another useful class of polymeric agents includes polyamino acids, particularly those containing proportions of anionic surface-active amino acids such as aspartic acid, glutamic acid and phosphoserine, as disclosed in U.S. Pat. No. 4,866,161 Sikes et al.

[0075] In preparing oral care compositions, it is sometimes necessary to add some thickening material to provide a desirable consistency or to stabilize or enhance the performance of the formulation. In certain embodiments, the thickening agents are carboxyvinyl polymers, carrageenan, xanthan gum, hydroxyethyl cellulose and water soluble salts of cellulose ethers such as sodium carboxymethyl cellulose and sodium carboxymethyl hydroxyethyl cellulose. Natural gums such as karaya, gum arabic, and gum tragacanth can also be incorporated. Colloidal magnesium aluminum silicate or finely divided silica can be used as component of the thickening composition to further improve the composition's texture. In certain embodiments, thickening agents in an amount of about 0.5% to about 5.0% by weight of the total composition are used.Abrasives

[0076] Natural calcium carbonate is found in rocks such as chalk, limestone, marble and travertine. It is also the principle component of egg shells and the shells of mollusks. The natural calcium carbonate abrasive of the invention is typically a finely ground limestone which may optionally be refined or partially refined to remove impurities. For use in the present invention, the material has an average particle size of less than 10 microns, e.g., 3-7 microns, e.g. about 5.5 microns. For example, a small particle silica may have an average particle size (D50) of 2.5 - 4.5 microns. Because natural calcium carbonate may contain a high proportion of relatively large particles of not carefully controlled, which may unacceptably increase the abrasivity, preferably no more than 0.01%, preferably no more than 0.004% by weight of particles would not pass through a 325 mesh. The material has strong crystal structure, and is thus much harder and more abrasive than precipitated calcium carbonate. The tap density for the natural calcium carbonate is for example between 1 and 1.5 g / cc, e.g., about 1.2 for example about 1.19 g / cc. There are different polymorphs of natural calcium carbonate, e.g., calcite, aragonite and vaterite, calcite being preferred for purposes of this invention. An example of a commercially available product suitable for use in the present invention includes Vicron ®< 25-11 FG from GMZ.

[0077] Precipitated calcium carbonate is generally made by calcining limestone, to make calcium oxide (lime), which can then be converted back to calcium carbonate by reaction with carbon dioxide in water. Precipitated calcium carbonate has a different crystal structure from natural calcium carbonate. It is generally more friable and more porous, thus having lower abrasivity and higher water absorption. For use in the present invention, the particles are small, e.g., having an average particle size of 1 - 5 microns, and e.g., no more than 0.1 %, preferably no more than 0.05% by weight of particles which would not pass through a 325 mesh. The particles may for example have a D50 of 3-6 microns, for example 3.8=4.9, e.g., about 4.3; a D50 of 1-4 microns, e.g. 2.2-2.6 microns, e.g., about 2.4 microns, and a D10 of 1-2 microns, e.g., 1.2-1.4, e.g. about 1.3 microns. The particles have relatively high water absorption, e.g., at least 25 g / l00g, e.g. 30-70 g / l00g. Examples of commercially available products suitable for use in the present invention include, for example, Carbolag ®< 15 Plus from Lagos Industria Quimica.

[0078] In certain embodiments the invention may comprise additional calcium-containing abrasives, for example calcium phosphate abrasive, e.g., tricalcium phosphate (Ca 3 (P0 4 ) 2 ), hydroxyapatite (Ca 10 (P0 4 ) 6 (OH) 2 ), or dicalcium phosphate dihydrate (CaHP0 4 · 2H 2 0, also sometimes referred to herein as DiCal) or calcium pyrophosphate, and / or silica abrasives, sodium metaphosphate, potassium metaphosphate, aluminum silicate, calcined alumina, bentonite or other siliceous materials, or combinations thereof. Any silica suitable for oral care compositions may be used, such as precipitated silicas or silica gels. For example synthetic amorphous silica. Silica may also be available as a thickening agent, e.g., particle silica. For example, the silica can also be small particle silica (e.g., Sorbosil AC43 from PQ Corporation, Warrington, United Kingdom). However the additional abrasives are preferably not present in a type or amount so as to increase the RDA of the dentifrice to levels which could damage sensitive teeth, e.g., greater than 130.Water

[0079] Water can be present in the oral compositions of the invention. Water, employed in the preparation of commercial oral compositions should be deionized and free of organic impurities. Water commonly makes up the balance of the compositions and includes 5% to 45%, e.g., 10% to 20%, e.g., 25 - 35%, by weight of the oral compositions. This amount of water includes the free water which is added plus that amount which is introduced with other materials such as with sorbitol or silica or any components of the invention. The Karl Fischer method is a one measure of calculating free water.Humectants

[0080] Within certain embodiments of the oral compositions, it is also desirable to incorporate a further humectant (e.g., in addition to glycerin) to reduce evaporation and also contribute towards preservation by lowering water activity. Certain humectants can also impart desirable sweetness or flavor to the compositions. The humectant, on a pure humectant basis, generally includes 15% to 70% in one embodiment or 30% to 65% in another embodiment by weight of the composition.

[0081] Suitable humectants include edible polyhydric alcohols such as glycerin, sorbitol, xylitol, propylene glycol as well as other polyols and mixtures of these humectants. Mixtures of glycerin and sorbitol may be used in certain embodiments as the humectant component of the compositions herein (e.g., compositions described above).

[0082] The present invention in its method aspect involves applying to the oral cavity a safe and effective amount of the compositions described herein.

[0083] The compositions for use in methods according to the invention (e.g., compositions described above) can be incorporated into oral compositions for the care of the mouth and teeth such as toothpastes, transparent pastes, gels, mouth rinses, sprays and chewing gum.

[0084] As used throughout, ranges are used as shorthand for describing each and every value that is within the range. It is understood that when formulations are described, they may be described in terms of their ingredients, as is common in the art, notwithstanding that these ingredients may react with one another in the actual formulation as it is made, stored and used, and such products are intended to be covered by the formulations described.

[0085] 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.

[0086] The following examples further describe and demonstrate illustrative embodiments within the scope of the present invention.EXAMPLESEXAMPLE 1Preparation of Demineralization and Treatment Solutions

[0087] An aqueous 1% (w / w) citric acid stock solution is prepared by dissolving anhydrous citric acid powder in deionized water with stirring at room temperature. The acidity is adjusted to pH 3.8 with 1M NaOH Additional deionized water is added to a total mass of 1000 g (pH 3.77). Dentifrice slurries (1:2) are generated by suspending the indicated dentifrice and deionized water followed by speed mixing for 2 minutes. Three separate slurries are generated for each toothpaste to permit three separate replicates for each toothpaste dose tested.Demineralization Procedure:

[0088] Toothpaste slurry (at the indicated amounts, Table 1) was added to 0.2 g of calcium deficient carbonated hydroxyapatite (HA) powder (Himed) massed into a 14 mL culture tube. Calcium-deficient HA powder is chosen as the mimic calcium-phosphate material given its similarity in structure and elemental composition to dental enamel. Citric acid (as indicated) is immediately added sequentially. The resultant suspensions are mixed on an orbital shaker for 1 hour. Samples are then centrifuged at 4000 rpm for 5 minutes to pellet the HA powder. The pH of the supernatant is obtained and a portion of the supernatant (1 mL) is removed for elemental analysis. To prepare the samples for analytical analysis, the supernatant aliquot (1mL) is combined with concentrated nitric acid (1 mL) for 10 minutes. The whole solution is then diluted to a total volume of 10 mL with DI water. Samples are ether filtered or centrifuged to remove residual insoluble material. Table 1. Experimental setup depicting ratios of demineralization solution and toothpaste slurry for incubation with HA powder.Dilution Factor of 1:2 SlurryToothpaste Slurry (1:2), µLDemineralization Solution (µL)4500050008250075002010009000405009500802509750

[0089] Method Validation: To validate the method, the effect on calcium release for a no fluoride dentifrice ("Negative Control") is compared to a commercially available dentifrice. Here, the commercially-available dentifrice ("Positive control") contains 0.3% triclosan, 2% PVM / MA copolymer, and 1450 ppm F as sodium fluoride in a silica base. The Positive Control does not contain zinc. As a function of toothpaste dilution factor, the fluoride effect in prevention of calcium release is clear from Table 2. The no fluoride toothpaste shows no dose response while the fluoride toothpaste showed characteristic calcium release dependent upon the toothpaste dilution factor. Table 2Toothpaste Dilution FactorNegative Control (Calcium Released (ppm))Positive Control Calcium Released (ppm))41014± 8294 ± 1581165± 77126 ± 4201125± 146198± 11401151± 118247± 1380991± 76331± 53 EXAMPLE 2

[0090] The present example illustrates that zinc toothpaste inhibits calcium release beyond any fluoride effects. Discernible differences are observed in the amount of calcium released between: a.) Toothpaste slurries of the Test Formulation containing 1% zinc oxide, 0.5% zinc citrate trihydrate, 1.5% L-arginine, and 1450 ppm sodium fluoride in a silica base; and b.) Toothpaste slurries of the Positive Control (i.e., the commercial product) containing 0.3% triclosan, 2% PVM / MA copolymer, and 1450 ppm F as sodium fluoride in a silica base.

[0091] Here, prevention of calcium release was similar between the Test Formulation and Positive Control at high concentrations of the toothpaste slurry. However, at dilute concentrations (less than or equal to 150 ppm Zn), the Test Formulation demonstrates less calcium release as a function of toothpaste dilution factor in comparison to the Positive Control. Fluoride levels are equal in both the Test Formulation and Positive Control. Therefore, this data suggests that the active materials in the zinc formulas (i.e., Test Formulation) are having an effect on the amount of calcium released. Table 3Toothpaste Dilution FactorPositive Control (Calcium Released (ppm))Test Formulation Calcium Released (ppm))494 ± 15112 ± 28126 ± 4120 ± 120198± 11184 ± 1040247± 13190 ± 2080331± 53233 ± 6 EXAMPLE 3

[0092] The amount of zinc remaining in the solution is further measured by ICP analysis. A direct logarithmic correlation is observed between the calcium released and the concentration of zinc in the demineralization solution. Even at the lowest level of zinc (56 ppm) only approximately 230 ppm calcium is released with Test Formulations, a about a 30% improvement over the Positive control. Results are seen in Tables 5 and 6. Table 4Positive ControlToothpaste Dilution FactorZinc (ppm)Calcium Released (ppm)4094 ± 1580126 ± 4200198± 11400247± 13800331± 53 Table 5 Test FormulationToothpaste Dilution FactorZinc (ppm)Calcium Released (ppm)41240 ± 17112 ± 28735 ± 87120 ± 120351 ± 14184 ± 1040140 ± 20190 ± 208056 ± 2233 ± 6 EXAMPLE 4 - Representative Dentifrice FormulationRepresentative Dentifrice Formulation:

[0093] IngredientFormula 1DEMINERALIZED WATERQ.S.ABRASIVES10% - 20%99.0% - 101.0% GLYCERIN - USP, EP VEG35L-Arginine1.5AMPHOTERIC SURFACTANT1.0% - 1.5%NON-IONIC SURFACTANT0.25% - 0.75%POLYMERS0.75% - 1.5%ALKALI PHOSPHATE SALT0.25% - 0.75%ZINC CITRATE TRIHYDRATE0.5WHITENING AGENT0.25% - 1.0%FLAVORING AGENTS1.5% - 1.9%85% SYRUPY PHOSPHORIC ACID - FOOD GRADE0-0.35SODIUM FLUORIDE - USP, EP0.32SILICA - THICKENER5% - 7%ANIONIC SURFACTANT1% - 3%ZINC OXIDE1PRESERVATIVE0.4Total Components100 EXAMPLE 5 - Representative Control Formulation

[0094] The following is a representative negative control dentifrice formulation for use in the described examples, wherein the negative control formulation does not contain fluoride: IngredientFormula 1DEMINERALIZED WATERQ.S.ABRASIVES7% - 9%Sorbitol - Non Crystal - 70% Solution65% -70%AMPHOTERIC SURFACTANT1.0% - 1.5%NON-IONIC SURFACTANT0.25% - 0.75%POLYMERS0.75% - 1.5%WHITENING AGENT0.25% - 1.0%FLAVORING AGENTS1.0% - 1.5%85% SYRUPY PHOSPHORIC ACID - FOOD GRADE0-0.35SILICA - THICKENER6% - 9%ANIONIC SURFACTANT1% - 3%Total Components100 EXAMPLE 6 - GASTRIC ACID SIMULATIONPreparation of Demineralization and Treatment Solutions

[0095] An aqueous artificial gastric acid stock solution is prepared by dissolving sodium chloride (5 g), potassium chloride (5 g), and HCl (12M, 5 g) in deionized water with stirring at room temperature. The acidity is adjusted to pH 3 with 1M NaOH. Additional deionized water was added to a total mass of 1000 g (pH 3.11). This experiment is meant to simulate conditions where enamel in the oral cavity is exposed to gastric acid.

[0096] Dentifrice slurries (1:2) are generated by suspending the indicated dentifrice (5g) and deionized water (10 g) followed by speed mixing for 2 minutes. Five separate slurries are generated for each toothpaste to permit five separate replicates for each toothpaste dose tested.Demineralization Procedure

[0097] Toothpaste slurry (at the indicated amounts, Table 6 ) are added to 0.2 g of calcium deficient carbonated hydroxyapatite (HA) powder massed into a 14 mL culture tube. Calcium-deficient HA powder is chosen as the mimic calcium-phosphate material given its similarity in structure and elemental composition to dental enamel artificial gastric acid (as indicated) is immediately added sequentially. The resultant suspensions are mixed on an orbital shaker for 1 hour. Samples are then centrifuged at 4000 rpm for 5 minutes to pellet the HA powder. To prepare the samples for analytical analysis, the supernatant aliquot (1mL) was combined with concentrated nitric acid (0.5 mL) for 10 minutes. The whole solution is then diluted to a total volume of 5 mL with DI water. Table 6. Experimental setup depicting ratios of demineralization solution and toothpaste slurry for incubation with HA powder.Dilution Factor of 1:2 slurry Toothpaste Slurry (1:2), uL Artificial Gastric Acid, uL 4050095008025097501251609840

[0098] Significant differences in the prevention of calcium release are observed between test formulations and the positive control at extremely low concentrations of toothpaste slurry (e.g., 80- and 125-fold dilution). Without being bound by theory, this level of dilution may be relevant given the amount of toothpaste that would remain in the mouth after brushing. A directional benefit in the prevention of calcium release was observed with test formulations at 40-fold toothpaste dilution in comparison to the positive controls. All toothpastes containing fluoride were shown to perform significantly better against the prevention of calcium release in comparison to water and the negative control with 0 ppm fluoride.

[0099] With all fluoride levels being equal in each formula, this data would suggest that the active materials in the Test Formulation are having an effect on the amount of calcium released, i.e., at very low concentrations of toothpaste slurry. Therefore, this data suggests that the active materials in the Test Formulation are having an effect on the amount of calcium released from hydroxyapatite upon exposure to gastric acid like solution. Table 7. The amount of calcium released by hydroxyapatite upon exposure to an artificial gastric acid solution. Note that values which do not share a common letter, i.e., "A" or "B" or "C", demonstrate statistically significant differences.Dilution Factor of 1:2 slurryTest Formulation Calcium Released (ppm))Positive Control (Calcium Released (ppm))Negative Control (Calcium Released (ppm))Water409.35 ± 0.90A12.48 ± 1.59A25.07 ± 2.99B25.37 ± 1.34B8010.94 ± 0.68A16.53 ± 3.80B24.98 ± 2.02C27.94 ± 0.85C12514.38 ± 1.06A17.97 ± 1.11B26.02 ± 1.01C26.76 0.54C

[0100] The "Test Formulation" and "Positive Control" and "Negative Control" mentioned in Table 7 refer to the following: a. Toothpaste slurries of the Test Formulation containing 1% zinc oxide, 0.5% zinc citrate trihydrate, 1.5% L-arginine, and 1450 ppm sodium fluoride in a silica base; and b. Toothpaste slurries of the Positive Control (i.e., the commercial product) containing 0.3% triclosan, 2% PVM / MA copolymer, and 1450 ppm F as sodium fluoride in a silica base. c. Toothpaste slurries of the Negative Control are as described in Example 5 above.

Claims

1. A composition for use in a method of treating one or more symptoms of a gastric disorder in the oral cavity of a subject in need thereof, wherein the method comprises applying to the subject's teeth an oral care composition comprising: a. Basic amino acid in free or salt form in an amount from 0.1 wt% to 6.0 wt%, wherein the basic amino acid is arginine, comprising L-arginine in free form; b. zinc oxide and zinc citrate wherein the zinc oxide is present in an amount from 0.75% by wt. to 1.25% by wt. and the zinc citrate is present in an amount from 0.25% by wt. to 1.0% by wt; c. an orally acceptable carrier; wherein the gastric disorder is gastroesophageal reflux disease (GERD); and wherein the one or more symptoms of the gastric disorder comprise dental erosion due to loss of calcium in the subject's tooth enamel consequent to the presence of gastric acid in the oral cavity.

2. The composition for use according to any of the preceding claims, wherein the oral care composition inhibits or decreases the release of calcium from the subject's tooth enamel, and / or wherein the basic amino acid, which is arginine, is L-arginine in free form, in an amount of from 0.1 wt% to 6.0 wt%.

3. The composition for use according to any of the preceding claims, wherein the inhibition or decrease of the release of calcium in the subject's tooth enamel is relative to a reference standard.

4. The composition for use according to any of the preceding claims, wherein the oral care composition inhibits the release of calcium relative to one or more compositions that do not contain zinc.

5. The composition for use according to any of the preceding claims, wherein the one or more symptoms is that the subject is exposed to gastric acids in the oral cavity during sleep.

6. The composition for use according to any of the preceding claims, wherein the subject is at risk for dental erosion.

7. The composition for use according to claim 6, wherein the risk for dental erosion is selected from the group consisting of: xerostomia, tooth hypersensitivity, weakened tooth integrity, and tooth discoloration.

8. The composition for use according to any of the preceding claims, wherein the oral care composition comprises: a. about 1.0% zinc oxide b. about 0.5% zinc citrate c. about 1.5% L-arginine