Aqueous oral care solutions, procedures, kits and dental surfaces with a coating derived from this oral care solution

Description

BACKGROUND

[0001] Fluoride treatment involves the application of fluoride to a tooth surface with the formation of fluorapatite and calcium fluoride.

[0002] There are two major in-office fluoride treatment methods currently in use. One treatment method uses a fluoride gel / foam in a tray. This method requires several grams of fluoride gel stored in a tray that is then placed into a patient's mouth onto the teeth. This tray is left in the mouth with the gel / foam in contact with the teeth for 1 to 4 minutes. The gel / foam formulation is an aqueous system that includes 2% sodium fluoride. This material requires the use of suction to pull the extra gel out of the mouth to avoid unnecessary high amounts of fluoride ingestion.

[0003] Another treatment method is a dental fluoride varnish. Most fluoride varnishes on the market are rosin / ethanol based formulations with a hydrophobic nature. The varnish is painted on the teeth and remains in place for several hours to allow for the fluoride to be released from the composition. Typically, dentists use fluoride varnishes for in-office fluoride treatments. Most dental fluoride varnishes include 5% sodium fluoride. The dose of varnish is about 0.5 gram. Dental varnishes place much smaller amounts of fluoride into a patient's mouth compared to fluoride gels / foams. Thus, fluoride ingestion is less with fluoride varnishes. Also, fluoride varnishes are easier to apply as they are simply painted on a patient's teeth; however, fluoride varnish treatments are more labor intensive than gel treatments, and fluoride varnish treatments leave the patient with an unpleasant "dirty teeth" feeling. US 6 461 161 B1 discloses a tooth surface treatment method capable of inhibiting the progress of dental caries and being free from a phenomenon in which a dentin after the remedy is discolored black by silver oxide. The method consists of applying a solution of a diamine silver fluoride compound to the teeth surface.

[0004] Compositions that are as simple to apply to teeth as varnishes and work in time periods as short as gel / foam formulations are desired.BRIEF DESCRIPTION OF THE FIGURES

[0005] FIG. 1 is a Scanning Electron Micrograph (SEM) of the material of Comparative Example CE-16, which is a control dentin surface that was not treated. FIG. 2 is an SEM of the material of Comparative Example CE-17, which is a dentin surface that was treated with Comparative Example CE-10 solution. FIG. 3 is an SEM of the material of Example Ex-27, which is a dentin surface that was treated with Example Ex-7 solution. SUMMARY OF THE DISCLOSURE

[0006] The present disclosure provides aqueous oral care solutions, methods of making such solutions, methods of treating (e.g., methods of providing fluoride to a patient's tooth surface) using such solutions, kits, and a treated tooth.

[0007] Such solutions can be used as in-office oral care solutions (e.g., as fluoride treatment solutions). They can be formulated into a solution that can be painted on a tooth surface if desired. They can provide similar fluoride efficacy to that of varnishes in the shorter periods of time of gel / foam formulations.

[0008] In one embodiment, the present disclosure provides an aqueous oral care solution that includes: silver cations; thiocyanate anions provided by a thiocyanate source including Ca(SCN) 2 ; fluoride anions; and water in an amount of up to 57 wt-%, based on the total weight of the solution; wherein the molar ratio of silver to thiocyanate ions is up to 0.40:1.

[0009] In certain embodiments of such solutions, an aqueous oral care solution includes: 12.5-20.2 wt-% silver cations; and 1.0-6.0 wt-% (preferably 2.2-3.5 wt-%) fluoride anions; wherein the weight percentages are based on the total weight of the solution; wherein the molar ratio of silver to thiocyanate ions is at least 0.10:1 and up to 0.40:1; and wherein the oral care solution forms a precipitate (e.g., silver-rich and CaF 2 -rich layer) upon contact with additional water or saliva.

[0010] In another embodiment, the present disclosure provides a method of providing fluoride to a patient's tooth surface. The method involves applying an aqueous oral care solution as disclosed herein to the patient's tooth surface.

[0011] In another embodiment, the present disclosure provides a method of reducing the incidence of dental caries in a patient in need thereof. The method involves applying an aqueous oral care solution as disclosed herein to the patient's tooth surface.

[0012] In another embodiment, the present disclosure provides a method of reducing dentin sensitivity and / or root sensitivity (e.g., during cavity treatment and / or on an exposed root) in a patient in need thereof. The method includes applying an aqueous oral care solution as disclosed herein to the patient's tooth surface.

[0013] In another embodiment, the present disclosure provides a kit that includes an aqueous oral care solution as described herein and an applicator.

[0014] In another embodiment, the present disclosure provides a tooth including a tooth surface having dentin tubules and a coating disposed on the tooth surface, wherein the coating includes silver-rich particles and CaF 2 -rich layer occluding at least a portion of the dentin tubules.

[0015] The term "comprises" and variations thereof do not have a limiting meaning where these terms appear in the description and claims. Such terms will be understood to imply the inclusion of a stated step or element or group of steps or elements but not the exclusion of any other step or element or group of steps or elements. By "consisting of" is meant including, and limited to, whatever follows the phrase "consisting of." Thus, the phrase "consisting of" indicates that the listed elements are required or mandatory, and that no other elements may be present. By "consisting essentially of" is meant including any elements listed after the phrase, and limited to other elements that do not interfere with or contribute to the activity or action specified in the disclosure for the listed elements. Thus, the phrase "consisting essentially of" indicates that the listed elements are required or mandatory, but that other elements are optional and may or may not be present depending upon whether or not they materially affect the activity or action of the listed elements.

[0016] The words "preferred" and "preferably" refer to embodiments of the disclosure that may afford certain benefits, under certain circumstances. However, other embodiments may also be preferred, under the same or other circumstances. Furthermore, the recitation of one or more preferred embodiments does not imply that other embodiments are not useful, and is not intended to exclude other embodiments from the scope of the disclosure.

[0017] In this application, terms such as "a," "an," and "the" are not intended to refer to only a singular entity, but include the general class of which a specific example may be used for illustration. The terms "a," "an," and "the" are used interchangeably with the phrases "at least one" and "one or more." The phrases "at least one of" and "comprises at least one of" followed by a list refers to any one of the items in the list and any combination of two or more items in the list.

[0018] The term "or" is generally employed in its usual sense including "and / or" unless the content clearly dictates otherwise.

[0019] The term "and / or" means one or all of the listed elements or a combination of any two or more of the listed elements.

[0020] Also herein, all numbers are assumed to be modified by the term "about" and in certain embodiments, preferably, by the term "exactly." As used herein in connection with a measured quantity, the term "about" refers to that variation in the measured quantity as would be expected by the skilled artisan making the measurement and exercising a level of care commensurate with the objective of the measurement and the precision of the measuring equipment used. Herein, "up to" a number (e.g., up to 50) includes the number (e.g., 50).

[0021] Also herein, the recitations of numerical ranges by endpoints include all numbers subsumed within that range as well as the endpoints (e.g., 1 to 5 includes 1, 1.5, 2, 2.75, 3, 3.80, 4, 5, etc.).

[0022] Reference throughout this specification to "one embodiment," "an embodiment," "certain embodiments," or "some embodiments," etc., means that a particular feature, configuration, composition, or characteristic described in connection with the embodiment is included in at least one embodiment of the disclosure. Thus, the appearances of such phrases in various places throughout this specification are not necessarily referring to the same embodiment of the disclosure. Furthermore, the particular features, configurations, compositions, or characteristics may be combined in any suitable manner in one or more embodiments.

[0023] The above summary of the present disclosure is not intended to describe each disclosed embodiment or every implementation of the present disclosure. The description that follows more particularly exemplifies illustrative embodiments. In several places throughout the application, guidance is provided through lists of examples, which examples may be used in various combinations. In each instance, the recited list serves only as a representative group and should not be interpreted as an exclusive list.DETAILED DESCRIPTION OF ILLUSTRATIVE EMBODIMENTS

[0024] The present disclosure provides aqueous oral care solutions. The present disclosure also provides methods of providing fluoride to a patient's tooth surface, methods of reducing the incidence of dental caries, and methods of reducing dentin sensitivity and / or root sensitivity (e.g., during cavity treatment and / or on an exposed root) in a patient in need thereof. Such methods involve applying an aqueous oral care solution (e.g., a fluoride treatment solution) as described herein to the patient's tooth surface.

[0025] In certain embodiments, applying an aqueous oral care solution includes painting the oral care solution on the patient's tooth surface.

[0026] In certain embodiments, applying an aqueous oral care solution includes dispensing the oral care solution into a dental tray and attaching the tray having the oral care solution therein to the patient's tooth surface. In certain embodiments, the dental tray includes an orthodontic aligner treatment tray.

[0027] In certain embodiments, an aqueous oral care solution includes: silver cations; thiocyanate anions provided by a thiocyanate source comprising Ca(SCN) 2 ; fluoride anions; and water.

[0028] In certain embodiments, the silver ions (also referred to herein as silver cations) are present in an amount of at least 12.5 percent by weight (wt-%), at least 13.0 wt-%, at least 14.0 wt-%, or at least 15.0 wt-%, wherein the weight percentages are based on the total weight of the solution. In certain embodiments, the silver cations are present in an amount of up to 20.2 wt-%, up to 20.0 wt-%, up to 19.0 wt-%, or up to 18.0 wt-%, wherein the weight percentages are based on the total weight of the solution.

[0029] In certain embodiments, the source of silver cations is selected from silver fluoride, silver chloride, silver nitrate, silver diamine fluoride, and combinations thereof.

[0030] In certain embodiments, the fluoride ions (also referred to herein as fluoride anions) are present in an amount of at least 1.0 wt-%, at least 1.5 wt-%, at least 2.0 wt-%, or at least 2.2 wt-%, wherein the weight percentages are based on the total weight of the solution. In certain embodiments, the fluoride anions are present in an amount of up to 6.0 wt-%, up to 5.0 wt-%, up to 4.5 wt-%, up to 4.0 wt-%, up to 3.5 wt-%, wherein the weight percentages are based on the total weight of the solution.

[0031] In certain embodiments, the source of fluoride anions is selected from silver fluoride, silver diamine fluoride, sodium fluoride, ammonium fluoride, potassium fluoride, amine fluoride, and combinations thereof.

[0032] In certain embodiments, an aqueous oral care solution includes: 12.5-20.2 wt-% silver cations; and 2.2-3.5 wt-% fluoride anions; wherein the weight percentages are based on the total weight of the solution. In certain embodiments, thiocyanate ions are provided by Ca(SCN) 2 , which is provided in an amount of 1 wt-% to 55 wt-%.

[0033] The molar ratio of silver to thiocyanate ions is up to 0.40:1, up to 0.39:1, or up to 0.38:1. In certain embodiments, the molar ratio of silver to thiocyanate ions is at least 0.10:1, at least 0.15:1, at least 0.20:1, at least 0.25:1, at least 0.27:1, or at least 0.30:1. In certain embodiments, the source of thiocyanate ions (also referred to herein as thiocyanate anions) includes Ca(SCN) 2 and optionally a secondary source of thiocyanate ions selected from ammonium thiocyanate, sodium thiocyanate, potassium thiocyanate, guanidinium thiocyanate, and combinations thereof.

[0034] In certain embodiments, an aqueous oral care solution includes water in an amount of at least 20 wt-%, at least 25 wt-%, or at least 30 wt-%, based on the total weight of the solution. The amount of water is up to 57 wt-%, up to 55 wt-%, or up to 50 wt-%, based on the total weight of the solution.

[0035] Upon contact with additional water or saliva in the oral environment, the oral care solution forms a precipitate (i.e., a solid formed from the solution). The precipitate includes Ag, AgSCN, and CaF 2 . The resultant silver-containing precipitate is believed to provide antibacterial effect. While not being bound by theory, it is believed that the CaF 2 , AgSCN, fluoride ions, and / or excess thiocyanate ions, complex with calcium in the tooth.

[0036] In certain embodiments, an oral care solution includes: 12.5-20.2 wt-% silver cations; and 1.0-6.0 wt-% (or 2.2-3.5 wt-%) fluoride anions; wherein the weight percentages are based on the total weight of the solution; and thiocyanate anions, wherein a molar ratio of silver to thiocyanate ions is at least 0.10:1 and up to 0.40:1; wherein the oral care solution forms a precipitate upon contact with additional water or saliva.

[0037] Oral care solutions of the present disclosure are aqueous solutions, although they may include a small amount of one or more organic solvents. Examples of organic solvents are selected from ethanol, isopropanol, dimethyl sulfoxide (DMSO), isoprene sulfone (IS), butadiene sulfone (BS), piperylene sulfone (PS), ethyl acetate, methyl acetate, isopropyl acetate, acetone, methyl ethyl ketone (MEK), methyl isobutyl ketone (MIBK), and combinations thereof.

[0038] Preferably, the aqueous oral care solutions are free of organic solvents that function as liquid carriers (as opposed to organic solvents that are used as carriers / solvents for flavorants or sweeteners). For example, certain additives may be provided as a solution or dispersion in an organic solvent as a liquid carrier. If there is any organic solvent (that functions as a liquid carrier) present in aqueous oral care solutions of the present disclosure, it is present in an amount of less than 5 wt-%, based on the total weight of the aqueous solution.

[0039] Preferably, aqueous oral care solutions of the present disclosure do not stain teeth. This can be determined by combining an oral care solution in a ratio of 3:1 with a 1% phosphate solution and exposing the mixture to a blue LED light with wavelength of 430-480 nm and output of approximately 1500 mW / cm 2< (-10% / +20%), such as that commercially available under the Tradename 3M ELIPAR DEEPCURE-S LED curing light (available from 3M Company, St. Paul, MN), for 20 seconds, to see whether the mixture forms a black precipitate. If no black precipitate forms, the solution will not stain teeth.

[0040] Aqueous oral care solutions of the present disclosure are not generally shelf stable in that they form a layered composition; however, shaking or stirring the composition may result in a homogeneous composition.Additional Optional Active Agents

[0041] Aqueous oral care solutions of the present disclosure can also contain one or more active agents in addition to a source of fluoride. When included, the one or more additional active agents usually, but not always, include one or more active agents that are active in the oral cavity against disorders, diseases, or conditions of the teeth, gums, cheeks, tongue, roof of the mouth, and the like.

[0042] Examples of additional active agents that can be employed include one or more other fluorine-containing compounds, such as sodium monofluorophosphate, stannous fluoride, calcium fluoride, strontium fluoride, zinc fluoride, zinc potassium fluoride, potassium magnesium fluoride, and combinations thereof.

[0043] Examples of additional active agents that can be employed include one or more whitening agents, anticalculus agents, remineralization agents, stannous sources, antimicrobial agents, antioxidants, saliva stimulating agents, breath freshening agents, antiplaque agents, anti-inflammatory agents, H 2 antagonists, desensitizing agents, nutrients, and proteins. Various combinations of such additional active agents may be used if desired. When employed, one or more additional active agents will be typically used in amounts sufficient to achieve their intended effect.

[0044] When employed, the whitening agents can be a wide variety of suitable whitening agents. The whitening agents can include, for example, a peroxide whitening agent, a non-peroxide whitening agent, or both. Peroxide whitening agents include hydrogen peroxide, peroxide of alkali or alkaline earth metals, such as sodium peroxide, potassium peroxide, lithium peroxide, magnesium peroxide, calcium peroxide, barium peroxide, and the like, glyceryl hydrogen peroxide, alkyl hydrogen peroxide, dialkyl peroxide, peroxy acids or peroxy acid salts, benxoyl peroxide, urea peroxide, and the like. Hydrogen peroxide is most common. Non-peroxide whitening agents include chlorine dioxide, chlorites, and hypochlorites. Chlorites and hyperchlorites are typically in the form of alkali or alkaline earth metal salts, such as salts of lithium, potassium, sodium, magnesium, calcium, or barium. Colorants, titanium dioxide, and hydroxyapatite can also be used.

[0045] When employed, the anticalculus agents can be a wide variety of suitable anticalculus agents. The anticalculus agents can include, for example, phosphates, polyphosphates, such as pyrophosphates, polyolefin sulfonates, polyolefin phosphates, diphosphonates, phosphonoalkane carboxylic acids, and salts thereof, typically alkali metal or ammonium salts.

[0046] When employed, the remineralization agents can be a wide variety of suitable remineralization agents. The remineralization agents can include, for example, materials that release calcium ions, phosphorous-containing ions, or both, such as calcium phosphate (e.g., mono-, di-, and / or tricalcium phosphate), hydroxyapatite, calcium carbonate, and the like.

[0047] Examples of materials that release calcium ions are calcium salts that are water soluble, such as those selected from calcium chloride, calcium nitrate, calcium gluconate, calcium lactate gluconate, calcium acetate, hydrates thereof, and combinations thereof. In certain embodiments, the calcium salt is selected from calcium chloride, calcium nitrate, hydrates thereof, and combinations thereof.

[0048] A calcium salt can also be used to modulate the fluoride release profile.

[0049] When employed, the stannous sources can be a wide variety of suitable sources of stannous ions. The stannous ion sources can include, for example, stannous halides, organic stannous carboxylate salts, such as stannous formate, stannous acetate, stannous gluconate, stannous lactate, stannous tartrate, and stannous citrate. When the fluoride source is stannous fluoride, it can also function as a stannous source.

[0050] When employed, the antimicrobial agents can include a wide variety of orally acceptable antimicrobial agents. Examples include triclosan, 8-hydroxyquinoline, zinc ion, stannous ion, cupric compounds, phthalic acid and salts thereof, quaternary ammonium compounds, sanguinarine, salicylanilide, salicylic acid, thymol, eugenol, neomycin, kanamycin, clindamycin, amoxicillin, tetracycline, doxycycline, minocycline, metronidazole, chlorohexidine, and the like.

[0051] When employed, the antioxidants can be a wide variety of orally acceptable antioxidants. Examples include butylated hydroxy anisone, butylated hydroxy toluene, vitamin A, carotenoids, vitamin E, flavonoids, polyphenols, ascorbic acid or salts thereof, chlorophyll, melatonin, and the like.

[0052] When employed, the saliva stimulants can be a wide variety of orally acceptable saliva stimulants. Examples include citric acid, lactic acid, succinic acid, ascorbic acid, adipic acid, fumaric acid, and tartaric acid.

[0053] When employed, the breath freshening agents can be a wide variety of orally acceptable breath freshening agents. Examples include zinc salts such as zinc salts of gluconate, citrate, chlorite, alpha-ionone, and the like.

[0054] When employed, the antiplaque agents can be a wide variety of orally acceptable antiplaque agents. Examples include stannous salts, salts of copper, magnesium or strontium, dimethicone copolyols, such as cetyl dimethicone copolyol, papain, glucamylase, glucose oxidase, urea, calcium lactate, calcium glycerophosphate, strontium polyacrylates, and the like. Further examples of antiplaque agents include biofilm inhibition agents, particularly those described in U.S. Pat. No. 8,968,709 (Yang et al.).

[0055] When employed, the anti-inflammatory agents can be a wide variety of orally acceptable anti-inflammatory agents. Examples include steroids such as flucinolone and hydrocortisone, non-steroidal anti-inflammatory drugs such as ketorolac, flurbiprofen, ibuprofen, naproxen, indomethacin, diclofenac, etodolac, indomethacin, sulindac, tolmetin, ketoprofen, fenoprofen, piroxicam, nabumetone, acetyl salicylic acid, salicylic acid, diflunisal, meclofenamate, mefenamic aicd, oxyphenbutazone, phenylbutazone, and the like.

[0056] When employed, the H 2 antagonists can be a wide variety of orally acceptable H 2 antagonists. Examples include cimetidine, etinidine, ranitidine, tiotidine, lupitidine, denetidine, famotidine, roxatidine, pifatidine, lamtidine, zaltidine, nizatidine, mifentidine, ramixotidine, loxtidine, bisfentidine, sufotidine, ebrotidine, impromdine, and the like.

[0057] When employed, the desensitizing agents can be a wide variety of orally acceptable desensitizing agents. Examples include potassium citrate, potassium chloride, potassium tartrate, potassium bicarbonate, potassium oxalate, potassium nitrate, strontium salts, arginine, acetyl salicylic acid or salts thereof, salicylic acid or salts thereof, codeine, acetaminophen, and the like.

[0058] When employed, the nutrients can be a wide variety of orally acceptable nutrients. Examples include vitamins, such as vitamins C, D, thiamine, riboflavin, folic acid, nicotinamide, niacin, pyridoxine, bioflavonoids, and the like, supplements, such as amino acids, lipotropics, fish oil, polyunsaturated fatty acids, eicosapentanoic acid, docosahexanic acid, coenzyme Q10, ubiquinone, minerals such as potassium, and the like.

[0059] When employed, the proteins can include a wide variety of orally acceptable proteins. Examples include milk proteins, peroxide producing enzymes, amylase, papain, glucoamylase, glucose oxidase, and the like.Buffers

[0060] Aqueous oral care solutions of the present disclosure can include a pharmaceutically acceptable buffer. The type and amount of such buffer is selected to provide an oral care solution with a pH of at least 5.5, at least 6, or at least 6.5. In certain embodiments, the type and amount of such buffer is selected to provide an oral care solution with a pH of up to 9, up to 8.5, up to 7.5, or up to 7. In certain embodiments, the type and amount of such buffer is selected to provide an oral care solution with a pH of 6.5 to 7.5, or a pH of 7.0. A wide variety of suitable pharmaceutically acceptable buffers can be included. Examples include acetate (e.g., sodium acetate), sodium carbonate, citrate (e.g., sodium citrate), tartrate, glycylglycine, histidine, glycine, lysine, arginine, sodium dihydrogen phosphate, disodium hydrogen phosphate, sodium phosphate, tris(hydroxymethyl)-aminomethane, or mixtures thereof.Thickeners

[0061] In certain embodiments, aqueous oral care solutions of the present disclosure include a thickener to provide a solution with a suitable viscosity to allow for the desired method of application. For example, a suitable thickener in a sufficient amount may be used to achieve a solution viscosity adequate to maintain the solution in an inverted mouthpiece tray applicator for up to four minutes (typical time for a professionally applied fluoride treatment), and yet be fluid enough to have acceptable handling characteristics for the dental operator (e.g., when dispensing into a dental tray applicator). Or, a suitable thickener in a sufficient amount may be used to achieve a solution viscosity adequate to paint on a tooth surface.

[0062] In certain embodiments, the type and amount of thickener is selected to provide an oral care solution with a viscosity of at least 0.5 Pascal seconds at a shear rate of 1.0 / second. In certain embodiments, a type and amount of thickener is selected to provide an oral care solution with a viscosity of up to 500 Pascal seconds at a shear rate of 1.0 / second.

[0063] In certain embodiments, a thickener is present in an oral care solution in an amount of less than 2.5 wt-%, based on the total weight of the aqueous solution. In certain embodiments, a thickener is present in an amount of at least 0.5 wt-%, based on the total weight of the aqueous solution.

[0064] Suitable thickeners are typically those that are generally safe for human ingestion (FDA approved for internal use), do not bind fluoride ions, and do not significantly affect the bioavailability of fluoride ions.

[0065] In certain embodiments, the thickener is selected from natural gums, non-acid cellulose derivatives (e.g., hydroxyethyl cellulose), inorganic fillers (e.g., colloidal silica, fumed silica, alumina, titania, and zinc oxide), alkylene oxide polymers (e.g., polyethylene glycol, polypropylene glycol, and copolymers of polyethylene glycol and polypropylene glycol), non-acid modified starches, and combinations thereof.Optional Additives

[0066] In certain embodiments, aqueous oral care solutions of the present disclosure include one or more optional additives including flavoring agents (i.e., flavorants) and sweeteners. Other optional additives include surfactants. Various combinations of such additives may be used if desired.

[0067] In certain embodiments, aqueous oral care solutions of the present disclosure include a sweetener. A wide variety of orally acceptable sweeteners can be used. Common sweeteners include xylitol, sorbitol, sucralose, aspartame, saccharin, usually sodium saccharine, and the like. When present, a sweetener can be used in any suitable amount, most often in an amount sufficient to impart a pleasant sweetness to the solution. The suitable amount is typically 0.5 wt-% to 15 wt-%, based on the total weight of the aqueous solution.

[0068] In certain embodiments, aqueous oral care solutions of the present disclosure include a flavoring agent. A wide variety of orally acceptable flavoring agents can be used. Common flavoring agents include peppermint oil, spearmint oil, cherry flavor, citric acid, orange flavor, vanilla, strawberry flavor, coconut flavor, and bubble gum flavor. When present, a flavoring agent can be used in any suitable amount, most often in an amount sufficient to impart a desired flavor to the solution. The suitable amount is typically 1 wt-% to 4 wt-%, based on the total weight of the aqueous solution.

[0069] In certain embodiments, aqueous oral care solutions of the present disclosure include a surfactant. Typically, such surfactant is an anionic surfactant, examples of which include polysorbate, glycerol, polyglycerol-based surfactant, or combinations thereof. When present, a surfactant can be used in any suitable amount, most often in an amount sufficient to impart wettability. A suitable amount is typically 0.1 wt-% to 5.0 wt-%, based on the total weight of the aqueous solution.Kits

[0070] In certain embodiments, aqueous oral care solutions of the present disclosure are included in kits. Typically, such kit includes an applicator (e.g., dental brush, cotton tip swab) for the oral care solution. Such applicator may be integrated into a container having the oral care solution therein.

[0071] In certain embodiments, the oral care solution is provided in individual sealed unit dose containers. In use, the seals of such individual sealed unit dose containers are broken and the solution picked up with the applicator and the solution applied to a tooth surface.

[0072] In certain embodiments, the oral care solution is provided in a multi-dose container. In use, a drop of the solution can be dispensed onto a tray, piece of plastic, piece of paper, dish, well, pan, etc., and the solution picked up with the applicator and the solution applied to a tooth surface.

[0073] In certain embodiments, the kit may further include one or more of a dental restorative, a tray, a dish, a well, or a pan. Examples of dental restorative include, but are not limited to, an adhesive, primer, cement, liner, sealant, amalgam, resin, resin composite, glass ionomer, resin-modified glass ionomer, glass-ceramic, ceramic, metal, plastic, or combination thereof.Methods of Making and Using

[0074] An aqueous oral care solution of the present disclosure can be made using any techniques known to one of skill in the art. In certain embodiments, the components are added together into water and dissolved, in no particular order. Alternatively, the order of addition can be important in obtaining a solution. For example, in certain embodiments, the source(s) of silver and fluoride (e.g., AgF) are dissolved in water first and then the source of thiocyanate (comprising Ca(SCN) 2 and optionally one or more secondary sources of thiocyanate) is added. Alternatively, each component can be dissolved in water separately and then combined to form an aqueous oral care solution.

[0075] In certain embodiments, an aqueous oral care solution of the present disclosure is used in a method of providing fluoride to a patient's tooth surface. The method includes applying the aqueous oral care solution described herein to the patient's tooth surface.

[0076] In certain embodiments, an aqueous oral care solution of the present disclosure is used in a method of reducing the incidence of dental caries (e.g., by preventing or arresting dental caries) in a patient in need thereof. The method includes applying the aqueous oral care solution described herein to the patient's tooth surface.

[0077] In certain embodiments, an aqueous oral care solution of the present disclosure is used in a method of reducing dentin sensitivity and / or root sensitivity (e.g., during cavity treatment and / or on an exposed root) in a patient in need thereof. The method includes applying the aqueous oral care solution described herein to the patient's tooth surface.

[0078] In certain embodiments, a patient's tooth surface that is treated with a method as described herein includes enamel, dentin, cementum, root, or combinations thereof.

[0079] In certain embodiments of the methods described above, applying includes painting the oral care solution on the patient's tooth surface. In certain embodiments of the methods described above, applying includes dispensing the oral care solution into a dental tray (e.g., an orthodontic aligner treatment tray) and attaching the tray having the oral care solution therein to the patient's tooth surface.

[0080] In certain embodiments of the methods described above, the oral care solution is subsequently dried (e.g., using flowing air) after being applied to the tooth surface. The source of flowing air can be delivered from an air compressor that delivers at high pressure limits of 115 pounds per square inch (psi). One example of a suitable air compressor is an Osprey Compressor from RAMVAC (models OSP22, OSP13, OSP23, OSP24, OSP25, OSP28) commercially available from Dental EZ Integrated Solutions of Malvern, PA, or Patterson Dental of St. Paul, MN. Another example of an air compressor is AirStar Neo air compressors by AIR TECHNIQUES (Models such as AirStar 10 Neo, AirStar 21 Neo) commercially available from Patterson Dental of St. Paul, MN. Alternatively, the pressurized gas device could be a typical air / water syringe found in most dental offices for delivering pressurized air. Optimum air pressure with a typical dental air / water syringe is 40-80 psi. Such syringes are used to dry the teeth or to blow scaled calculus off the teeth. One example of such a syringe is a Johnson-Promident 3-Way Air / Water Syringe commercially available from Patterson Dental Supply Inc., Patterson Item #: 404-1893. Regardless, the gas is blown by some pressurized gas source, and could be air or some other inert gas or gas mixture. For example, the gas could be nitrogen, helium, argon, carbon dioxide, or nitrous oxide. The source of pressurized gas could be part of a permanently installed "in-house" pressurized air / gas system or a hand held, self-contained canister.

[0081] In certain embodiments of the methods described above, water is subsequently applied to the oral care solution after the oral care solution is applied to the tooth surface to form a precipitate thereon (i.e., on the tooth surface). In certain embodiments of the methods described above, saliva is subsequently allowed to contact the oral care solution on the tooth surface to form a precipitate thereon (i.e., on the tooth surface).

[0082] In certain embodiments of the methods described above, the methods further include placing a dental restorative on the tooth surface having the oral care solution applied thereto (either before or after the solution is dried or a precipitate is formed on the tooth surface). Examples of dental restorative include, but are not limited to, an adhesive, primer, cement, liner, sealant, amalgam, resin, resin composite, glass ionomer, resin-modified glass ionomer, glass-ceramic, ceramic, metal, plastic, or combination thereof.

[0083] In certain embodiments, a tooth is provided that includes a tooth surface having dentin tubules and a coating disposed on the tooth surface, wherein the coating comprises silver-rich particles and CaF 2 -rich layer occluding at least a portion of the dentin tubules.

[0084] As shown in the SEM of Figure 3, a dentin surface treated with an aqueous oral care solution of the present disclosure (Example Ex-7 solution), which contains Ca(SCN) 2 tetrahydrate, a tooth surface 300 has a dentin surface 310 with dentin tubule openings 320 and silver-rich particles 330 (e.g., in the form of "snow flake-like" silver crystals) and a calcium fluoride-rich layer 340 dried on the dentin surface, thereby occluding at least a portion of the dentin tubules. This is in contrast to the SEM of Figure 1, which shows a tooth surface 100 with a dentin surface 110 having numerous (non-occluded) dentin tubule openings 120, and the SEM of Figure 2, which shows a tooth surface 200 with a dentin surface 210 having (non-occluded) dentin tubule openings 220 and silver-rich particles 230 (e.g., in the form of "snow flake-like" silver crystals) but no calcium fluoride-rich layer.

[0085] Occluded dentin tubules contribute to the reduction of the incidence of dental caries (e.g., by preventing or arresting dental caries), the reduction of dentin sensitivity and / or root sensitivity (e.g., during cavity treatment and / or on an exposed root), and / or the remineralization and strengthening of the tooth structure.EXAMPLES

[0086] Objects and advantages of this invention are further illustrated by the following examples, but the particular materials and amounts thereof recited in these examples, as well as other conditions and details, should not be construed to unduly limit this invention. These examples are merely for illustrative purposes only. The scope is defined by the appended claims. Unless otherwise stated, all amounts are in weight percent. Table 1. MaterialsDescriptionSourceLocationAmmonium chloride (NH 4 Cl)VWRWest Chester, PAAmmonium iodide (NH 4 I)Honeywell Specialty ChemicalSeelze, GermanyAmmonium thiocyanate (NH 4 SCN)Alfa AesarWard Hill, MACalcium thiocyanate tetrahydrate (Ca(SCN) 2 tetrahydrate)Sigma AldrichSt Louis, MODisodium hydrogen citrate sesquihydrateAlfa AesarWard Hill, MASodium carbonateEMDGibbstown, NJPotassium phosphate monobasicSigma AldrichSt Louis, MOPotassium sulfateJ.T. BakerPhillipsburg, NJSilver fluoride (AgF)Oakwood ChemicalWest Columbia, SCSilver diamine fluoride solution 38%, commercially available as ADVANTAGE ARREST silver diamine fluorideElevate Oral CareWest Palm Beach, FL EXAMPLE PREPARATION and ASSESSMENT

[0087] For each Example or Comparative Example, 0.5 gram of silver fluoride was weighed in a plastic tube and 0.8 gram of deionized (DI) water was added and mixed well to form solution. To achieve the weight percentages reported in the Example tables below, the remaining components of each Example or Comparative Example were weighed out and combined in a weighing boat as a dry mixture. The additional dry components were then slowly added into silver fluoride solution while mixing. This was an exothermic process, as heat was generated during the addition of thiocyanate. Initially a paste-like precipitate formed as the additional dry components were partially added. This is reported in the tables below.

[0088] The slow addition of the remaining dry components continued. For the working Examples, the precipitate completely dissolved after the addition of an appropriate amount of thiocyanate. After the complete addition of all the remaining dry components, including calcium thiocyanate, the Example solutions became cloudy, were mixed on a vortex mixer and remained cloudy. The Example solutions were allowed to stand undisturbed for 1 week at room temperature. After 1 week the Example solutions were observed to have separated into two phases: a clear solution on top and a cloudy bottom layer.

[0089] For the Comparative Examples, the addition of the remaining dry components did not re-dissolve the initial precipitate, with the exception of Comparative Example CE-10. Table 2. COMPARATIVE EXAMPLES CE-1 to CE-5.ComponentsCE-1CE-2CE-3CE-4CE-5AgF16.716.716.716.716.7Disodium hydrogen citrate sesquihydrate50.00.00.00.00.0Sodium carbonate0.050.00.00.00.0Potassium phosphate monobasic0.00.050.00.00.0NH 4 Cl0.00.00.050.00.0Ca(SCN) 2 tetrahydrate0.00.00.00.00.0Potassium sulfate0.00.00.00.050.0DI water33.333.333.333.333.3Total (%)100100100100100Ag%14.214.214.214.214.2F%2.52.52.52.52.5Ag / SCN mole ratioNANANANANAPrecipitate formed upon initial addition of additional dry componentsYesYesYesYesYesPrecipitate dissolved after further addition of dry componentsNoNoNoNoNo Table 3. COMPARATIVE EXAMPLES CE-6 to CE-9. ComponentsCE-6CE-7CE-8CE-9AgF18.418.519.219.2Disodium hydrogen citrate sesquihydrate0.00.00.00.0Sodium carbonate0.00.00.00.0Potassium phosphate monobasic0.00.00.00.0NH 4 Cl22.10.00.026.9NH 4 SCN0.022.20.00.0NH 4 I22.822.226.90.0Ca(SCN) 2 tetrahydrate0.00.015.415.4Potassium sulfate0.00.00.00.0DI water36.837.038.538.5Total (%)100100100100Ag%15.615.716.316.3F%2.82.82.92.9Ag / SCN mole ratioNANA1.121.12Precipitate formed upon initial addition of additional dry componentsYesYesYesYesPrecipitate dissolved after further addition of dry componentsNoNoNoNo Table 4. EXAMPLES Ex-1 to Ex-5. ComponentEx-1Ex-2Ex-3Ex-4Ex-5AgF18.517.219.616.720.8NH 4 SCN0.00.035.30.031.3Ca(SCN) 2 tetrahydrate44.548.35.946.714.6DI water37.034.539.236.733.3Total (%)100100100100100Ag%15.714.616.714.217.7F%2.82.62.92.53.1Ag / SCN mole ratio0.370.320.300.320.30Precipitate formed upon initial addition of additional dry componentsYesYesYesYesYesPrecipitate dissolved after further addition of dry componentsYesYesYesYesYesFormed cloudy solution after addition of all dry components and vortex mixingYesYesYesYesYesFormed a two-layer separated solution after 1 week (bottom layer cloudy)YesYesYesYesYes Table 5. EXAMPLES Ex-6 to Ex-11. ComponentEx-6Ex-7Ex-8Ex-9Ex-10Ex-11AgF20.820.021.322.220.820.4NH 4 SCN25.020.036.237.837.536.7Ca(SCN) 2 tetrahydrate20.828.08.54.44.26.1DI water33.332.034.035.637.536.7Total (%)100100100100100100Ag%17.717.018.118.917.717.4F%3.13.03.23.33.13.1Ag / SCN mole ratio0.320.310.300.380.360.35Precipitate formed upon initial addition of additional dry componentsYesYesYesYesYesYesPrecipitate dissolved after further addition of dry componentsYesYesYesYesYesYesFormed cloudy solution after addition of all dry components and vortex mixingYesYesYesYesYesYesFormed a two-layer separated solution after 1 week (bottom layer cloudy)YesYesYesYesYesYes Table 6. EXAMPLES Ex-12 to Ex-16, and COMPARATIVE EXAMPLE CE-10. ComponentEx-12Ex-13Ex-14Ex-15Ex-16CE-10AgF20.019.618.517.920.614.3NH 4 SCN36.035.30.00.041.228.6Ca(SCN) 2 tetrahydrate8.09.851.950.01.20.0DI water36.035.329.632.137.057.1Total (%)100100100100100100Ag%17.016.715.715.217.512.1F%3.02.92.82.73.12.1Ag / SCN mole ratio0.340.330.380.380.350.35Precipitate formed upon initial addition of additional dry componentsYesYesYesYesYesYesPrecipitate dissolved after further addition of dry componentsYesYesYesYesYesYesFormed cloudy solution after addition of all dry components and vortex mixingYesYesYesYesYesNoFormed a two-layer separated solution after 1 week. (bottom layer cloudy)YesYesYesYesYesNo Table 7. EXAMPLES Ex-17 to Ex-18, and COMPARATIVE EXAMPLES CE-11 to CE-13. Shows Silver to Thiocyanate Mole Ratio must be < 0.40:1 to Dissolve Precipitate.ComponentCE-11EX17EX-18CE-12CE-13AgF23.821.320.022.722.2Ca(SCN) 2 tetrahydrate9.58.58.09.18.9NH 4 SCN19.027.732.022.724.4DI water47.642.640.045.544.4Total (%)100100100100100Ag%20.218.117.019.318.9F%3.63.23.03.43.3Ag / SCN mole ratio0.560.380.320.470.44Precipitate formed upon initial addition of additional dry componentsYesYesYesYesYesPrecipitate dissolved after further addition of dry componentsNoYesYesNoNoFormed cloudy solution after addition of all dry components and vortex mixingN / AYesYesN / AN / AFormed a two-layer separated solution after 1 week (bottom layer cloudy)N / AYesYesN / AN / A Table 8. EXAMPLES: Ex-19 to Ex-23, and COMPARATIVE EXAMPLE CE-14. Shows Total Water % must be < 57%.ComponentEx-19Ex-20Ex-21Ex-22Ex-23CE-14AgF23.320.818.216.115.213.7Ca(SCN) 2 tetrahydrate7.06.35.54.84.54.1NH 4 SCN41.937.532.729.027.324.7DI water27.935.443.650.053.057.5Total (%)100100100100100100Total water %30.137.445.451.554.558.8Ag%19.817.715.513.712.911.6F%3.53.12.72.42.32.1Ag / SCN mole ratio0.300.300.300.300.300.30Precipitate formed upon initial addition of additional dry componentsYesYesYesYesYesYesPrecipitate dissolved after further addition of dry componentsYesYesYesYesYesNoFormed cloudy solution after addition of all dry components and vortex mixingYesYesYesYesYesN / AFormed a two-layer separated solution after 1 week (bottom layer cloudy)YesYesYesYesYesN / A EXAMPLE Ex-24

[0090] Silver diamine fluoride water solution (38 %) from Elevate Oral Care was used as the source of silver and fluoride. An amount of 0.122 gram of silver diamine fluoride solution was mixed with 0.025 gram of NH 4 SCN and 0.100 gram of Ca(SCN) 2 tetrahydrate. Initially a precipitate was formed. The precipitate dissolved and formed a solution after mixing in the weighing boat.LIGHT SENSITIVITY OF EXAMPLES

[0091] The following examples demonstrated that solutions of the inventive composition do not turn black after (1) being precipitated with the addition of a buffer solution (to mimic saliva in the oral environment), and (2) exposure to light using 3M ELIPAR DEEPCURE-S LED curing light.COMPARATIVE EXAMPLE CE-15

[0092] An amount of 58 mg of silver diamine fluoride solution (ADVANTAGE ARREST silver diamine fluoride solution (38%)) was mixed with 108 mg of 1% KH 2 PO 4 water solution. The mixture formed a precipitate and released ammonia. The mixture was exposed to a blue LED light using 3M ELIPAR DEEPCURE-S LED curing light, with wavelength around 450 nm and output approximately 1500 mW / cm 2< for 20 seconds, and the mixture turned black.EXAMPLE Ex-25

[0093] An amount of 35 mg of Ex-22 solution was mixed with 90 mg of 1% KH 2 PO 4 water solution. The mixture formed a precipitate. The mixture was exposed to a blue LED light using 3M ELIPAR DEEPCURE-S LED curing light, with wavelength around 450 nm and output approximately 1500 mW / cm 2< for 20 seconds. The mixture did NOT turn black.EXAMPLE Ex-26

[0094] An amount of 40 mg of Ex-24 solution was mixed with 104 mg of 1% KH 2 PO 4 water solution. The mixture formed a precipitate. The mixture was exposed to a blue LED light using 3M ELIPAR DEEPCURE-S LED curing light, with wavelength around 450 nm and output approximately 1500 mW / cm 2< for 20 seconds. The mixture did NOT turn black.TOOTH DENTIN SURFACE TREATMENT and CHARACTERIZATION

[0095] Bovine teeth were polished with 120 grit sandpaper to expose the dentin, then 320 grit sand paper was used to polish the dentin surface. The dentin was etched to clean the dentin surface for 10 seconds using SCOTCHBOND UNIVERSAL ETCHANT (commercially available from 3M Company, St. Paul, MN). The etched bovine teeth were rinsed with water to clear the surface, then the teeth were blow-dried with pressurized air. The prepared dentin surfaces (teeth) were painted with different Example and Comparative Example solutions, allowed to sit for a minute, rinsed with water, and then air dried before evaluation using a table-top scanning electron microscope. The prepared dentin control and the prepared dentin treated with Example and Comparative Example solutions were examined by a Hitachi TM3000 SEM to observe the structure and characteristics of the coatings deposited on the dentin surface.COMPARATIVE EXAMPLE CE-16

[0096] Comparative Example CE-16 was the control prepared dentin surface that was not treated with Example or Comparative Example solution and was evaluated by SEM. The SEM of CE-16 is shown in FIGURE 1. The acid etched, washed, and dried tooth surface 100 shows the cleaned dentin surface 110 and the many dentin tubule openings 120.COMPARATIVE EXAMPLE CE-17

[0097] Comparative Example CE-17 was the prepared dentin surface that was treated with Comparative Example CE-10 solution, which does not contain Ca(SCN) 2 tetrahydrate, and was evaluated by SEM. The SEM of CE-17 is shown in FIGURE 2. The acid etched, washed, and dried tooth surface 200 shows the cleaned dentin surface 210 covered with dried CE-1 solution. The SEM shows the dentin tubule openings 220 and the "snow flake-like" silver crystals 230, dried on the dentin surface.EXAMPLE Ex-27

[0098] Example Ex-27 was the prepared dentin surface that was treated with Example Ex-7 solution, which contains Ca(SCN) 2 tetrahydrate, and was evaluated by SEM. The SEM of Ex-27 is shown in FIGURE 3. The acid etched, washed, and dried tooth surface 300 shows the cleaned dentin surface 310 covered with dried Ex-7 solution. The SEM shows the dentin tubule openings 320, the "snow flake-like" silver crystals 330 and the separate calcium fluoride layer 340, dried on the dentin surface.

[0099] Various modifications and alterations to this disclosure will become apparent to those skilled in the art.

[0100] It should be understood that this disclosure is not intended to be unduly limited by the illustrative embodiments and examples set forth herein.

[0101] The scope of the patent is limited by the appended claims.

Claims

1. An aqueous oral care solution comprising: silver cations; thiocyanate anions provided by a thiocyanate source comprising Ca(SCN)2; fluoride anions; and water in an amount of up to 57 wt-%, based on the total weight of the solution; wherein the molar ratio of silver to thiocyanate ions is up to 0.40:1.

2. The aqueous oral care solution of claim 1, comprising: 12.5 to 20.2 wt-% silver cations; and 1.0 to 6.0 wt-% fluoride anions; wherein the weight percentages are based on the total weight of the solution; wherein the molar ratio of silver to thiocyanate ions is at least 0.10:1 and up to 0.40:1; and wherein the oral care solution forms a precipitate upon contact with additional water or saliva.

3. The aqueous oral care solution of claim 2, comprising: 12.5 to 20.2 wt-% silver cations; and 2.2 to 3.5 wt-% fluoride anions.

4. The aqueous oral care solution of any one of claims 1 to 3, comprising 1 to 55 wt-% Ca(SCN)2.

5. The aqueous oral care solution of any one of claims 1 to 4, comprising a source of silver cations selected from silver fluoride, silver chloride, silver nitrate, silver diamine fluoride, and combinations thereof.

6. The aqueous oral care solution of any one of claims 1 to 5, comprising a source of fluoride anions selected from silver fluoride, silver diamine fluoride, sodium fluoride, ammonium fluoride, potassium fluoride, amine fluoride, and combinations thereof.

7. The aqueous oral care solution of any one of claims 1 to 6, comprising a secondary source of thiocyanate anions selected from ammonium thiocyanate, sodium thiocyanate, potassium thiocyanate, guanidinium thiocyanate, and combinations thereof.

8. The aqueous oral care solution of any one of claims 1 to 7, further comprising one or more of a thickener, calcium cations, and a surfactant.

9. The aqueous oral care solution of any one of claims 1 to 8, which has a pH of 5.5 to 9.

10. The aqueous oral care solution of any one of claims 1 to 9, comprising less than 5 wt-% organic solvent.

11. The aqueous oral care solution of any one of claims 1 to 10, comprising at least 20 wt-% water, based on the total weight of the solution.

12. An aqueous oral care solution of any one of claims 1 to 11, for use in a method for providing fluoride to a patient's tooth surface, the method comprising applying the aqueous oral care solution of any one of claims 1 to 11 to the patient's tooth surface.

13. An aqueous oral care solution of any one of claims 1 to 11, for use in a method for reducing the incidence of dental caries, the method comprising applying the aqueous oral care solution of any one of claims 1 through 11 to the patient's tooth surface.

14. An aqueous oral care solution of any one of claims 1 to 11, for use in a method for reducing dentin sensitivity and / or root sensitivity, the method comprising applying the aqueous oral care solution of any one of claims 1 through 11 to the patient's tooth surface.

15. A kit comprising an aqueous oral care solution of any one of claims 1 to 11, and an applicator.