WO2016065443A1 - Oral preparation for reducing dentinal erosion, oral composition for reducing dentinal erosion and use of the preparation - Google Patents

Oral preparation for reducing dentinal erosion, oral composition for reducing dentinal erosion and use of the preparation Download PDF

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Publication number
WO2016065443A1
WO2016065443A1 PCT/BR2014/050003 BR2014050003W WO2016065443A1 WO 2016065443 A1 WO2016065443 A1 WO 2016065443A1 BR 2014050003 W BR2014050003 W BR 2014050003W WO 2016065443 A1 WO2016065443 A1 WO 2016065443A1
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Prior art keywords
fluoride
methylsilanol
preparation
erosion
oral
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PCT/BR2014/050003
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French (fr)
Portuguese (pt)
Inventor
Rejane FUKUSHIMA
Roseli Alves de Sá ZUPELI
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Hypermarcas S.A.
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Priority to PCT/BR2014/050003 priority Critical patent/WO2016065443A1/en
Priority to BR112015030093A priority patent/BR112015030093A2/en
Priority to ARP140104914A priority patent/AR098962A1/en
Publication of WO2016065443A1 publication Critical patent/WO2016065443A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K8/00Cosmetics or similar toiletry preparations
    • A61K8/18Cosmetics or similar toiletry preparations characterised by the composition
    • A61K8/30Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds
    • A61K8/40Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds containing nitrogen
    • A61K8/43Guanidines

Definitions

  • the present invention belongs to the field of human needs, specifically to the field of personal hygiene and relates to a preparation with PHMB (polyhexamethylene biguanide) + silanol + fluoride ions. Such preparation and compositions thereof are used for the prevention of dentin erosion caused by acids.
  • PHMB polyhexamethylene biguanide
  • Dental erosion caused by intrinsic or extrinsic acids is a progressive and irreversible lesion of hard dental tissue, enamel, dentin and / or cementum resulting from a chemical process that does not involve bacterial action. Unlike dental caries, erosion occurs in places without bacterial biofilm as it protects the dental structure from the erosive process. Dental erosion can be caused by extrinsic acids such as acidic foods or beverages and medicines, or intrinsic acids such as stomach fluids or gases causing the loss of mineralized tissue and may stimulate dentin hypersensitivity.
  • the main factor influencing erosion demineralization is the pH of the solution or food. Another factor is the presence of ions in the solution, as they determine the strength with which the dissolution of the tooth mineral occurs.
  • the dissolution gradient of the ions depends on the degree of saturation of the enamel in relation to the oral medium. If a particular solution has a lower pH, or a lower concentration of calcium and phosphate, it will be unsaturated relative to the tooth. This solution has the ability to react with enamel and cause tooth demineralization.
  • Tooth erosion injury occurs through long-lasting, frequent, non-carious chemical processes without bacterial involvement. Exposure of the tooth to lower than critical enamel pH (5.5) may dissolve hydroxyapatite crystals, depending on calcium and ions concentrations. phosphate in saliva and the availability of fluoride to act in the remineralization process.
  • Dentin erosion occurs when dentin is affected after loss of tooth enamel or cementum. In this paper, we treat dentine erosion as part of total tooth erosion.
  • a surface layer of the demineralized organic matrix is detectable.
  • the DOM is capable of preventing ionic diffusion into and out of the demineralized area by modulating the progression of mineral loss.
  • the DOM may be affected by enzymes or chemical degradation, in the acid case, and hence accelerate the process of dentin loss through dentin erosion.
  • New products and methods have been studied to increase calcium and phosphate supersaturation in saliva and / or biofilm to help prevent tooth erosion.
  • DOM degrading enzymes such as matrix metalloproteinases (MMPs), cathepsins and collagenases.
  • MMPs matrix metalloproteinases
  • cathepsins cathepsins
  • collagenases There are also studies of ingredients that contribute to the regularization of collagen biosynthesis, such as silanols. Collagen is extremely important in DOM and consequently for dentin.
  • PI200724469 This document describes an antiseptic composition containing poly-biguanide with acidic radicals such as carboxylic or phosphoric, caries reducing, bad breath and other oral diseases. It also shows the antimicrobial action of poly-biguanide and uses concentrations high levels of this ingredient ranging from 1 to 20% and fluorides ranging from 1 to 10%. It does not cite the effect of the composition on preventing dentin erosion caused by acids.
  • PI0614927 This document describes an antimicrobial composition comprising at least one component of group a (antimicrobial), one of group b (second antimicrobial) and optionally of group c (antisthetic or fluoropolymer).
  • group a antimicrobial
  • group b second antimicrobial
  • group c antisthetic or fluoropolymer
  • PI0702507 This document describes an antiseptic varnish with cavity reducing poly-biguanide and other oral diseases.
  • the varnish composition employs acrylates, plasticizers and poly-biguanide at concentrations of 3 to 80% of the formulation, which hardens upon application to the tooth surface, a very different feature of the present invention to be described below. Furthermore, the document does not cite the use of poly-biguanide in preventing dentin erosion caused by acid etching.
  • US2008 / 0247972 This document describes a mouthwash to reduce or prevent halitosis, facilitate removal of the tongue coating, and to decrease the concentration and formation of volatile sulphate compounds. It includes PHMB as one of the bactericides on a large list of antibacterial agents that could be used in this mouthwash. The document does not cite the use of PHMB in preventing dentin erosion caused by acid etching.
  • Demineralized organic matrix may be affected by enzymes available in the oral cavity, such as matrix metalloproteinases (MMPs) that mediate the hydrolysis of virtually all extracellular matrix molecules, including collagen.
  • MMPs matrix metalloproteinases
  • MMP-8 was found to be the most common collagenase in human dentin
  • MMP-2 and MMP-9 were also found in this tissue.
  • cysteine cathepsins Other proteases suggest implication in this process such as cysteine cathepsins. Cysteine cathepsins are derived from tooth pulp by dentin fluid and may cleave the C-terminal telopeptide of type I collagen, possibly exposing the collagenase cleavage site following exposure to acids. Acid pH activates cysteine cathepsins, which in turn activate MMPs resulting in DOM degradation.
  • the present invention provides a preparation with PHMB, silanol and fluoride ions, with excellent action to reduce dentin erosion, not explained in prior art studies.
  • PHMB presents excellent dentin erosion reducing action, being used alone and in preparation with silanol and fluoride ions.
  • the present invention aims to present an ingredient preparation that reduces dentin erosion containing PHMB and / or silanol and / or fluoride ionizable compounds.
  • fluoride ionizable compounds can be used in preparations such as: sodium fluoride, tin fluoride, sodium monofluorophosphate, fluorinated amine, titanium tetrafluoride, 2-bis (hydroxyethyl) -aminopropyl-N-hydroxyethyloctadecyl dihydrofluoride, ⁇ , ⁇ , ⁇ -Tris (2-hydroxyethyl) -N-octadecyl-1,3, diaminopropane dihydrofluoride, ammonium monofluorophosphate, calcium monofluorophosphate, potassium monofluorophosphate, potassium fluoride, aluminum fluoride, magnesium fluoride, calcium fluoride , hexadecylammonium fluoride, 3- (N-hexadecyl-N-2-hydroxyethylammonium) propylbis (2-hydroxyethyl) ammonium dihydrofluoride, N, N,
  • Silanols are organic derivatives of silicone and when synthesized in the presence of different radicals confer stability and specificity to the compounds. Other compounds in the group of silanols may have similar action on collagen biosynthesis, such as: methylsilanol manuronate, silanetriol arginate, ascorbyl methylsilanol pectinate, siloxanetriol alginate, silanediol salicylate, dimethylsilanol hyaluronate, methylsilanol hydroxyproline aspartate, methylsilylate dihydrate, methylsulfonate , dimethyl oxobenzene dioxasilane, methyl silanol carboxymethyl theophylline alginate, methylsilanol acetyl tyrosine, acetylmethionyl elastinate, copper acetyl tyrosinate methylsilanol, copper PCA methylsilanol
  • PHMB is a broad spectrum polymeric biguanide of antimicrobial action against Gram-positive and Gram-negative bacteria and has been used for many years as an antiseptic agent in medicine, the food industry and various materials to prevent bacterial growth. It is also used to treat fungus and to treat infectious keratitis. Many documents describe the action of chlorhexidine (CHX) and polymeric biguanides (such as PHMB) as oral antimicrobial and against caries. Other nomenclatures are used for PHMB as: polyhexamethylene biguanide hydrochloride, polyaminopropyl biguanide, polyhexanide, among others.
  • CHX chlorhexidine
  • PHMB polymeric biguanides
  • Other nomenclatures are used for PHMB as: polyhexamethylene biguanide hydrochloride, polyaminopropyl biguanide, polyhexanide, among others.
  • n an integer between 2 and 40.
  • the PHMB polymer under study has an integer number of monomers between 2 and 40 and particularly between 8 and 15.
  • the preparation (PHMB, silanol and fluoride) showed much lower dentin loss results than the ingredients evaluated separately. With just one daily application of this preparation a reduction in dentin erosion is effectively observed.
  • Sample preparation Sixty samples of bovine teeth were cut and had tooth enamel removed in the pre-preparation. Two coats of nail enamel were applied to part of the outer surface of dentin as a means of maintaining an initial total dentin thickness reference for subsequent determination of dentin loss by thickness difference.
  • Demineralization - Demineralization challenges were performed day by day with all samples for 6 days for 5 minutes using 0.87M citric acid solution (pH 2.5 and 30 ml per sample).
  • step "b” Enzymatic Challenge - After step "b", Each sample group was rinsed with deionized water and then subjected to bacterial collagenase (Clostridium hystoliticum, 100pg / ml, Sigma-Aldrich, USA) for 10 minutes in buffer containing 1 ml 50 mM TES buffer (TESCA) pH 7.4. This step simulates the activation of MMPs in the oral cavity.
  • bacterial collagenase Clostridium hystoliticum, 100pg / ml, Sigma-Aldrich, USA
  • the PHMB + silanol + fluoride group had the best inhibitory effect on dentin erosion, the dentin loss was 94.4 ⁇ 3.9 pm after 6 days.
  • the dentin loss reducing action of the combination of the 3 active compounds cannot be denied, since the PHMB and Fluoride Groups alone showed significantly higher dentin losses (129.9 ⁇ 41, 2 pm and 157.4 ⁇ 6, 1 pm, respectively).
  • the isolated fluoride group did not offer dentin erosion protection, the isolated PHMB group had intermediate dentin loss and the PHMB + silanol + fluoride combination group superseded the dentin erosion inhibitory effect of all groups, it appears that there is a synergistic combination between PHMB, silanol and fluoride ions.
  • compositions of gels, toothpastes and mouthwash containing the preparation with the active ingredients PHMB + silanol + fluorides were developed in order to prevent acid erosion of dentin.
  • the compositions disclosed therein comprise at least one further ingredient selected below as carriers, sweeteners, preservatives, colorant, pH regulators, surfactants, abrasives, thickener, wetting, flavoring, opacifier, antimicrobial and anti-caries agent.
  • PHMB concentration in oral care compositions for the purpose of preventing dentin erosion may range from 0.01% to 0.3% and preferably from 0.02% to 0.1%.
  • the concentration of silanol in oral care compositions for the purpose of preventing dentin erosion may range from 0.0001% to 0.1% and preferably from 0.0001% to 0.01%.
  • the concentration of fluoride ions in oral care compositions for the purpose of preventing dentin erosion may range from 0.001% to 5.0% and preferably from 0.006% to 0.15%.
  • the preparation with PHMB, silanol and fluorides contains a silanol: PHMB ratio between 1: 100 and 1: 700, particularly 1: 155.
  • the preparation with PHMB, silanol and fluorides contains a silanol: fluoride ratio of 1: 40 to 1: 333, particularly 1: 50.
  • the preparation with PHMB, silanol and fluorides contains silanol: fluoride: PHMB ratios of about 1: 50: 155.
  • compositions of the present invention to exemplify the use of the preparation of PHMB + silanol + fluorides without, however, restricting use to such specific examples.
  • Phase A Weigh to 1/3 of total water and solubilize the ingredients: dyes, sodium saccharin, sodium benzoate, sorbitol, sodium cocoamphodiacetate. Homogenized to full solubilization of ingredients, the solution is clear and transparent.
  • Phase B Weigh 1/3 of the total water and solubilize the actives: sodium fluoride, silanediol manuronate and polyaminopropyl biguanide. Homogeneous. Add Phase B to Phase A. Homogeneous.
  • Phase C Weigh 1/3 of total water and solubilize monobasic sodium phosphate and phosphatodisodium. Mix until fully solubilized.
  • the ingredient PHMB 20% of the above composition is water (80%) and PHMB (20%). This solution is added to the formulation in a percentage of 0.350%, which implies a final concentration of 0.07% PHMB in the buccal solution.
  • the methylsilanol manuronate solution of the above composition is composed of: monomethylsilanetriol 0.3%; manuronic acid 0.6%; enough preservers and enough water to complete 100%. This solution is added to the formula in an amount of 0. 150%, which implies a final concentration of 0.00045% monomethylsilanetriol in the buccal solution.
  • Sodium fluoride solution is added to the above composition in an amount of 0.05%, which implies a final concentration of 0.0226% fluoride ions.
  • the manufacturing process consists of the preparation of 3 phases which are later added as follows:
  • Phase A Weigh 1/3 of total water and solubilize sodium saccharin and titanium dioxide. Add the sorbitol. Homogeneous.
  • Phase B Weigh 2/3 of total water and solubilize sodium fluoride, silanediol salicylate and polyaminopropyl biguanide. Homogenize and mix Phase B into Phase A. Homogenize.
  • Step C Weigh the glycerin, add polyethylene glycol 400 and disperse the carboxymethylcellulose and xanthan gum. Mix until completely lump free. Stir Phase C into Phase A + Phase B. Homogenize until complete incorporation and lump-free.

Abstract

The present invention describes a preparation that reduces dentinal erosion caused by acids for mouth care compositions. The active ingredient PHMB, up until now known for its antimicrobial activity, has a new function.

Description

PREPARAÇÃO ORAL PARA REDUÇÃO DA EROSÃO DENTINÁRIA, COMPOSIÇÃO ORAL PARA REDUÇÃO DA EROSÃO DENTINÁRIA E USO ORAL PREPARATION FOR REDUCING DENTAL EROSION, ORAL COMPOSITION FOR REDUCING DENTAL EROSION AND USE
DA PREPARAÇÃO PREPARATION
Campo da Invenção  Field of the Invention
A presente invenção pertence ao campo das necessidades humanas, especificamente ao campo da higiene pessoal e se refere uma preparação com PHMB (polihexametileno biguanida) + silanol + íons fluoretos. Tal preparação e suas composições são utilizadas para a prevenção da erosão dentinária causada por ácidos.  The present invention belongs to the field of human needs, specifically to the field of personal hygiene and relates to a preparation with PHMB (polyhexamethylene biguanide) + silanol + fluoride ions. Such preparation and compositions thereof are used for the prevention of dentin erosion caused by acids.
Histórico da Invenção Invention History
A erosão dentária causada por ácidos intrínsecos ou extrínsecos é uma lesão progressiva e irreversível de tecido dental duro, esmalte, dentina e/ou cemento decorrente de um processo químico que não envolve ação bacteriana. Ao contrário da cárie dentária, a erosão ocorre em locais sem biofilme bacteriano, uma vez que este protege a estrutura dental do processo erosivo. A erosão dentária pode ser causada por ácidos de origem extrínseca, como alimentos ou bebidas ácidas e medicamentos, ou intrínseca, como líquidos ou gases estomacais provocando a perda de tecido mineralizado e podendo estimular a hipersensibilidade dentinária.  Dental erosion caused by intrinsic or extrinsic acids is a progressive and irreversible lesion of hard dental tissue, enamel, dentin and / or cementum resulting from a chemical process that does not involve bacterial action. Unlike dental caries, erosion occurs in places without bacterial biofilm as it protects the dental structure from the erosive process. Dental erosion can be caused by extrinsic acids such as acidic foods or beverages and medicines, or intrinsic acids such as stomach fluids or gases causing the loss of mineralized tissue and may stimulate dentin hypersensitivity.
Como a erosão dentária é um processo químico entre um ácido e o elemento dentário, alguns fatores químicos influenciam diretamente o potencial erosivo dos ácidos. O principal fator que influencia a desmineralização por erosão é o pH da solução ou alimento. Outro fator é a presença de íons na solução, pois estes determinam a força com a qual a dissolução do mineral do dente ocorre. O gradiente de dissolução dos íons depende do grau de saturação do esmalte em relação ao meio oral. Se uma determinada solução tem um pH mais baixo, ou uma menor concentração de cálcio e fosfato, será subsaturada em relação ao dente. Esta solução tem a capacidade de reagir com o esmalte e causar a desmineralização do dente.  Because dental erosion is a chemical process between an acid and the dental element, some chemical factors directly influence the erosive potential of acids. The main factor influencing erosion demineralization is the pH of the solution or food. Another factor is the presence of ions in the solution, as they determine the strength with which the dissolution of the tooth mineral occurs. The dissolution gradient of the ions depends on the degree of saturation of the enamel in relation to the oral medium. If a particular solution has a lower pH, or a lower concentration of calcium and phosphate, it will be unsaturated relative to the tooth. This solution has the ability to react with enamel and cause tooth demineralization.
A Lesão da erosão dentária ocorre por processos químicos não cariosos, de longa duração e frequentes, sem o envolvimento bacteriano. A exposição do dente a pH inferior ao crítico para o esmalte (5,5) pode dissolver os cristais de hidroxiapatita, dependendo das concentrações de íons cálcio e fosfato na saliva e da disponibilidade de flúor para atuar no processo de remineralização. Tooth erosion injury occurs through long-lasting, frequent, non-carious chemical processes without bacterial involvement. Exposure of the tooth to lower than critical enamel pH (5.5) may dissolve hydroxyapatite crystals, depending on calcium and ions concentrations. phosphate in saliva and the availability of fluoride to act in the remineralization process.
A erosão dentária proveniente de ataque ácido pode acometer severamente as camadas de materiais dos dentes como o esmalte e a dentina, levando a exposição da polpa dos dentes. A erosão dentinária, ocorre quando a dentina é acometida, após a perda do esmalte ou do cemento do dente. Nesse documento, tratamos a erosão dentinária como parte da erosão dentária total.  Dental erosion from acid etching can severely affect the layers of tooth materials such as enamel and dentin, leading to the exposure of tooth pulp. Dentin erosion occurs when dentin is affected after loss of tooth enamel or cementum. In this paper, we treat dentine erosion as part of total tooth erosion.
A erosão dentária de origem intrínseca pode ser subdividida segundo o grau de severidade:  Dental erosion of intrinsic origin can be subdivided according to the degree of severity:
a) Superficial (classe I) - acomete apenas a superfície do esmalte; a) Superficial (class I) - affects only the enamel surface;
b) Localizada (classe II) - atinge menos de 1/3 de dentina e b) Localized (class II) - reaches less than 1/3 dentin and
c) Extensa (classe III) - destruição de mais de 1/3 da dentina. c) Extensive (class III) - destruction of more than 1/3 of dentin.
Os sinais e sintomas mais observados na erosão dentária são a sensibilidade dentinária, desgaste do esmalte apresentando um aspecto liso e brilhante, ausência de pigmentações e o comprometimento estético. Em casos mais severos pode haver formação de diastemas, alteração da dimensão vertical de oclusão, dor muscular provocada pela instabilidade oclusal e disfunção da articulação temporomandibular.  The most observed signs and symptoms in dental erosion are dentin sensitivity, enamel wear with a smooth and shiny appearance, absence of pigmentation and aesthetic compromise. In more severe cases there may be diastema formation, alteration of the occlusal vertical dimension, muscle pain caused by occlusal instability and temporomandibular joint dysfunction.
Quando o esmalte é perdido ou a raiz está exposta devido à retração da gengiva, a erosão dentária pode alcançar a dentina. A perda de tecido da dentina por erosão não é um processo superficial simples. Os minerais da dentina peritubular são inicialmente perdidos, e os túbulos são alargados.  When the enamel is lost or the root is exposed due to gum retraction, tooth erosion can reach the dentin. The loss of dentin tissue by erosion is not a simple superficial process. Peritubular dentin minerals are initially lost, and the tubules are enlarged.
Em sequência, uma camada superficial da matriz orgânica desmineralizada (DOM) é detectável. A DOM é capaz de impedir a difusão iónica para dentro e para fora da área desmineralizada, modulando a progressão da perda mineral. No entanto, a DOM pode ser afetada por enzimas ou por degradação química, no caso ácido, e daí ter uma aceleração no processo de perda da dentina por erosão dentinária.  In sequence, a surface layer of the demineralized organic matrix (DOM) is detectable. The DOM is capable of preventing ionic diffusion into and out of the demineralized area by modulating the progression of mineral loss. However, the DOM may be affected by enzymes or chemical degradation, in the acid case, and hence accelerate the process of dentin loss through dentin erosion.
O tratamento da erosão dentária The treatment of dental erosion
No estado da técnica encontra-se que a prevenção da erosão dentária deve ser feita através da diminuição da frequência e da severidade do ataque ácido. Muitos autores recomendam o uso do flúor como agente remineralizador para prevenir a erosão dentária. O tratamento adequado depende da severidade das lesões, podendo ser realizadas, aplicações tópicas de flúor semanais, o uso de vernizes fluoretados, de agentes dessensibilizantes e quando a perda de estrutura dentária é grande passa a ser necessário o tratamento restaurador. In the prior art it is found that the prevention of dental erosion should be done by decreasing the frequency and severity of acid etching. Many authors recommend the use of fluoride as an agent remineralizer to prevent tooth erosion. Appropriate treatment depends on the severity of the lesions, and weekly fluoride topical applications, fluoride varnishes, desensitizing agents can be performed and when the loss of tooth structure is large, restorative treatment becomes necessary.
A ação do flúor e outros ativos sobre a erosão dentinária  Fluoride and other actives on dentin erosion
Uma solução ácida que é ingerida e entra em contato com os dentes, dissolve prontamente o fluoreto de cálcio e remove traços do tratamento tópico com flúor, tornando assim improvável e limitada a ação deste agente na prevenção da erosão. Diversos autores relatam a formação de uma camada de CaF2 na superfície do esmalte após a aplicação tópica de flúor. A camada de fluoreto de cálcio fornece minerais adicionais para serem dissolvidos durante o ataque ácido e, assim, os ácidos primeiramente terão que desmineralizar essa camada, para posteriormente desmineralizar o esmalte dentário subjacente. Dessa forma, a desmineralização do esmalte é retardada, porém não é completamente prevenida. An acidic solution that is ingested and comes into contact with the teeth, readily dissolves calcium fluoride and removes traces of topical fluorine treatment, thus making it unlikely and limited to prevent erosion. Several authors report the formation of a CaF 2 layer on the enamel surface after topical application of fluoride. The calcium fluoride layer provides additional minerals to be dissolved during the acid etching, so the acids will first have to demineralize this layer to subsequently demineralize the underlying tooth enamel. Thus, enamel demineralization is delayed, but not completely prevented.
Novos produtos e métodos têm sido estudados para aumentar a supersaturação de cálcio e fosfato na saliva e/ou no biofilme o que ajuda na prevenção da erosão dentária.  New products and methods have been studied to increase calcium and phosphate supersaturation in saliva and / or biofilm to help prevent tooth erosion.
Outros ingredientes ativos, como as biguanidas e o chá verde, tem sido estudados pela ação inibidora de enzimas degradadoras da DOM, como exemplo as metaloproteinases da matriz (MMPs), as catepsinas e as colagenases. Também há estudos de ingredientes que contribuem para a regularização da biossíntese de colágeno, como os silanóis. O colágeno é extremamente importante na DOM e consequentemente para a dentina.  Other active ingredients, such as biguanides and green tea, have been studied by the inhibitory action of DOM degrading enzymes, such as matrix metalloproteinases (MMPs), cathepsins and collagenases. There are also studies of ingredients that contribute to the regularization of collagen biosynthesis, such as silanols. Collagen is extremely important in DOM and consequently for dentin.
Pela capacidade de regular a biossíntese de colágeno do silanol geramos a hipótese de que ele poderia atuar de forma complementar na recuperação da matriz orgânica desmineralizada (DOM) em combinação aos inibidores enzimáticos e os compostos fluoretados.  Due to its ability to regulate silanol collagen biosynthesis, we hypothesized that it could complement the recovery of the demineralized organic matrix (DOM) in combination with enzymatic inhibitors and fluorinated compounds.
PI200724469: Esse documento descreve uma composição antisséptica que contém a poli-biguanida com radicais ácidos, como o carboxílico ou fosfórico, redutora de cárie, mau hálito e outras doenças bucais. Mostra também a ação antimicrobiana da poli-biguanida e utiliza concentrações elevadas desse ingrediente variando de 1 a 20% e de fluoretos variando entre 1 e 10%. Não cita efeito da composição sobre a prevenção da erosão dentinária causada por ácidos. PI200724469: This document describes an antiseptic composition containing poly-biguanide with acidic radicals such as carboxylic or phosphoric, caries reducing, bad breath and other oral diseases. It also shows the antimicrobial action of poly-biguanide and uses concentrations high levels of this ingredient ranging from 1 to 20% and fluorides ranging from 1 to 10%. It does not cite the effect of the composition on preventing dentin erosion caused by acids.
PI0614927: Esse documento descreve uma composição antimicrobiana compreendendo pelo menos um componente do grupo a (antimicrobiano), um do grupo b (segundo antimicrobiano) e opcionalmente do grupo c (antiestético ou fluorpolímero). O PHMB é citado como antimicrobiano utilizado em concentração que vai de 0, 1 a 99,9% do peso total da composição, valores diferentes dos apresentados na presente invenção. Não cita efeito da composição sobre a prevenção da erosão dentinária causada pela exposição à ácidos.  PI0614927: This document describes an antimicrobial composition comprising at least one component of group a (antimicrobial), one of group b (second antimicrobial) and optionally of group c (antisthetic or fluoropolymer). PHMB is cited as an antimicrobial used at a concentration ranging from 0.1 to 99.9% of the total weight of the composition, different from those of the present invention. It does not cite the effect of the composition on preventing dentin erosion caused by acid exposure.
PI0702507: Esse documento descreve um verniz antisséptico com poli-biguanida redutor de cáries e outras doenças bucais. A composição do verniz emprega acrilatos, plastificantes e a poli-biguanida em concentrações de 3 a 80% da formulação, a qual endurece após aplicação na superfície do dente, característica muito diferente da presente invenção a ser descrita a seguir. Além disso, o documento não cita a utilização da poli-biguanida na prevenção da erosão dentinária causada por ataque ácido.  PI0702507: This document describes an antiseptic varnish with cavity reducing poly-biguanide and other oral diseases. The varnish composition employs acrylates, plasticizers and poly-biguanide at concentrations of 3 to 80% of the formulation, which hardens upon application to the tooth surface, a very different feature of the present invention to be described below. Furthermore, the document does not cite the use of poly-biguanide in preventing dentin erosion caused by acid etching.
US2008/0247972: Esse documento descreve um enxaguatório bucal para reduzir ou evitar halitose, facilitar a remoção da saburra lingual, e diminuir a concentração e formação de compostos sulforados voláteis. Inclui o PHMB como um dos bactericidas de uma grande lista de agentes antibacterianos que poderiam ser utilizados nesse enxaguatório. O documento não cita a utilização do PHMB na prevenção da erosão dentinária causada por ataque ácido.  US2008 / 0247972: This document describes a mouthwash to reduce or prevent halitosis, facilitate removal of the tongue coating, and to decrease the concentration and formation of volatile sulphate compounds. It includes PHMB as one of the bactericides on a large list of antibacterial agents that could be used in this mouthwash. The document does not cite the use of PHMB in preventing dentin erosion caused by acid etching.
A matriz orgânica desmineralizada (DOM) pode ser afetada pelas enzimas disponíveis na cavidade bucal, como exemplo as metaloproteinases da matriz (MMPs) que medeiam a hidrólise de praticamente todas as moléculas de matrizes extracelulares, incluindo o colágeno. A MMP-8 foi descoberta como a colagenase mais comum na dentina humana, as MMP-2 e MMP-9 também foram encontradas nesse tecido. No entanto, a degradação da DOM in vivo não depende somente da ação das MMPs. Outras proteases sugerem implicação nesse processo como as catepsinas de cisteína. As catepsinas de cisteína são derivadas da polpa do dente pelo fluido da dentina e podem clivar o telopeptídeo do terminal C do colágeno tipo I, possivelmente expondo o sítio de clivagem da colagenase, depois da exposição aos ácidos. O pH ácido ativa as catepsinas de cisteínas, que por sua vez ativam as MMPs resultando na degradação da DOM. Demineralized organic matrix (DOM) may be affected by enzymes available in the oral cavity, such as matrix metalloproteinases (MMPs) that mediate the hydrolysis of virtually all extracellular matrix molecules, including collagen. MMP-8 was found to be the most common collagenase in human dentin, MMP-2 and MMP-9 were also found in this tissue. However, in vivo DOM degradation does not depend solely on the action of MMPs. Other proteases suggest implication in this process such as cysteine cathepsins. Cysteine cathepsins are derived from tooth pulp by dentin fluid and may cleave the C-terminal telopeptide of type I collagen, possibly exposing the collagenase cleavage site following exposure to acids. Acid pH activates cysteine cathepsins, which in turn activate MMPs resulting in DOM degradation.
A presente invenção apresenta uma preparação com o PHMB, silanol e íons fluoretos, com ação excelente para redução da erosão dentinária, não explicitada em estudos anteriores no estado da técnica. O PHMB apresenta excelente ação redutora da erosão dentinária tanto sendo utilizado de forma isolada como na preparação com silanol e íons fluoreto.  The present invention provides a preparation with PHMB, silanol and fluoride ions, with excellent action to reduce dentin erosion, not explained in prior art studies. PHMB presents excellent dentin erosion reducing action, being used alone and in preparation with silanol and fluoride ions.
Descrição detalhada da Invenção Detailed Description of the Invention
A presente invenção tem como objetivo apresentar uma preparação de ingredientes que reduza a erosão dentinária contendo PHMB e/ou silanol e/ou compostos ionizáveis em fluoreto.  The present invention aims to present an ingredient preparation that reduces dentin erosion containing PHMB and / or silanol and / or fluoride ionizable compounds.
Considerando a capacidade do PHMB ou seus derivados de agir como inibidor das enzimas que degradam a DOM, o silanol como auxiliar na biossíntese de colágeno e a proteção dos íons fluoretos que formam uma camada de CaF2 nos dentes, criamos a hipótese de que os três ingredientes combinados poderiam agir por diferentes vias e de forma complementar, prevenindo a erosão dentinária. Desta forma, testamos separadamente e em conjunto tais ingredientes. Considering the ability of PHMB or its derivatives to act as an inhibitor of DOM-degrading enzymes, silanol as an aid in collagen biosynthesis and the protection of fluoride ions that form a CaF 2 layer in teeth, we hypothesized that the three Combined ingredients could act in different ways and complement each other, preventing dentin erosion. In this way, we test these ingredients separately and together.
Vários compostos ionizáveis em fluoreto podem ser usados em preparações como: fluoreto de sódio, fluoreto de estanho, monofluorfosfato de sódio, amina fluoretada, tetrafluoreto de titânio, 2-bis(hidroxietil)-aminopropyl-N- hidroxiethyloctadecila diidrofluoreto, Ν,Ν,Ν-Tris (2-hidroxietil)-N-octadecil- 1 ,3,diaminopropano diidrofluoreto, monofluorfosfato de amónio, monofluorfosfato de cálcio, monofluorfosfato de potássio, fluoreto de potássio, fluoreto de amónio, fluoreto de alumínio, fluoreto de magnésio, fluoreto de cálcio, fluoreto de hexadecilamônio, diidrofluoreto de 3-(N-hexadecil-N-2- hidroxietilamônio) propilbis (2-hidroxietil) amónio, dihidrofluoreto N,N,N-tris (polioxietileno)-N-hexadecil propilenodiamina, hidrofluoridrato de nicometanol, fluoreto de octadicenil amónio, fluorsilicato de sódio, fluorsilicato de amónio, fluorsilicato de magnésio, hidrofluoridrado de cetilamina, fluoridrado de oleilamina e difluoreto de hexildecilamina. Various fluoride ionizable compounds can be used in preparations such as: sodium fluoride, tin fluoride, sodium monofluorophosphate, fluorinated amine, titanium tetrafluoride, 2-bis (hydroxyethyl) -aminopropyl-N-hydroxyethyloctadecyl dihydrofluoride, Ν, Ν, Ν -Tris (2-hydroxyethyl) -N-octadecyl-1,3, diaminopropane dihydrofluoride, ammonium monofluorophosphate, calcium monofluorophosphate, potassium monofluorophosphate, potassium fluoride, aluminum fluoride, magnesium fluoride, calcium fluoride , hexadecylammonium fluoride, 3- (N-hexadecyl-N-2-hydroxyethylammonium) propylbis (2-hydroxyethyl) ammonium dihydrofluoride, N, N, N-tris (polyoxyethylene) -N-hexadecyl propylenediamine hydrofluoride, nicomethanol hydrofluoride, octadicenyl ammonium, sodium fluororsilicate, ammonium fluororsilicate, magnesium fluororsilicate, cetylamine hydrofluoride, oleylamine and hexyldecylamine difluoride.
Os silanóis são derivados orgânicos do silicone e quando sintetizados na presença de diferentes radicais conferem estabilidade e especificidade aos compostos. Outros compostos no grupo dos silanóis podem ter ação semelhante na biossíntese de colágeno, como: metilsilanol manuronato, silanetriol arginato, ascorbil metilsilanol pectinato, siloxanetriol alginato, silanodiol salicilato, dimetilsilanol hialuronato, metilsilanol hidroxiprolina aspartato, metilsilanol sódium lactato, silanetriol lisinato, dioleil tocoferil metilsilanol, dimetil oxobenzeno dioxasilano, metil silanol carboxymetil teofilina alginato, metilsilanol acetiltirosina, acetilmetionil elastinato, cobre acetiltirosinato metilsilanol, cobre PCA metilsilanol, dimeticonol/metilsilanol/crosspolímero silicato, lactoil metilsilanol elastinato, metilsilanol acetilmetionato, metilsilanol ascorbato, metilsilanol elastinato, metilsilanol glicirrhizinato, metilsilanol hidroxiprolina, metilsilanol PCA, metilsilanol PEG-7 gliceril cocoato, metilsilanol spirulinato, metilsilanol tri-PEG-8 gliceril cocoato, metilsilanol/silicato crosspolímero, polisilicone-21 , sódio hialuronato dimetilsilanol, sódio manuronato metilsilanol, sódio PCA metilsilanol, colágeno hidrolisado PG-propil metilsilanediol, hidrolisado de queratina PG-propil metilsilanediol, hidrolisado de queratina PG-propil metilsilanediol, hidrolisado proteico PG-propil metilsilanediol, hidrolisado proteína de soja PG-propil metilsilanediol, sódio hialuronato dimetilsilanol e silanodiol sorbitil.  Silanols are organic derivatives of silicone and when synthesized in the presence of different radicals confer stability and specificity to the compounds. Other compounds in the group of silanols may have similar action on collagen biosynthesis, such as: methylsilanol manuronate, silanetriol arginate, ascorbyl methylsilanol pectinate, siloxanetriol alginate, silanediol salicylate, dimethylsilanol hyaluronate, methylsilanol hydroxyproline aspartate, methylsilylate dihydrate, methylsulfonate , dimethyl oxobenzene dioxasilane, methyl silanol carboxymethyl theophylline alginate, methylsilanol acetyl tyrosine, acetylmethionyl elastinate, copper acetyl tyrosinate methylsilanol, copper PCA methylsilanol, dimethiconol / methylsilanol / crosspolymer methylstannyl methanolyl methanolyl methanolyl methanolyl methanolyl methanolyl methanolyl methanolyl methanolyl methanolyl methanolyl methanolyl methanolyl methanolyl methanolyl methanolate , methylsilanol PCA, methylsilanol PEG-7 glyceryl cocoate, methylsilanol spirulinate, methylsilanol tri-PEG-8 glyceryl cocoate, methylsilanol / crosspolymer silicate, polysilicone-21, sodium hyaluronate dime methylsilanol, sodium manuronate methylsilanol, sodium PCA methylsilanol, hydrolyzed collagen PG-propyl methylsilanediol, keratin hydrolyzate PG-propyl methylsilanediol, keratin hydrolyzate PG-propyl methylsilanediol, protein hydrolyzate PG-propyl methylsilan dimethylsilanol hyaluronate and sorbityl silanediol.
O PHMB é uma biguanida polimérica de amplo espectro de ação antimicrobiana contra bactérias Gram-positivas e Gram-negativas e tem sido usado por muitos anos como um agente antisséptico na medicina, na indústria alimentícia e em diversos materiais para prevenir o crescimento bacteriano. Também é utilizado no tratamento contra fungos e no tratamento da queratitis infectiva. Muitos documentos descrevem a ação da clorexidina (CHX) e das Biguanidas poliméricas (como o PHMB) como antimicrobiana oral e contra cárie. Outras nomenclaturas são utilizadas para o PHMB como: cloridrato de poli hexametileno biguanida, biguanida de poliaminopropila, poliexanida, dentre outros. As preparações comerciais são misturas de biguanidas poliméricas contendo de 2 a 40 monômeros de estrutura primária do tipo [- (CH2)6.NH.C(=NH).NH.C(=NH).NH-]n, apresentada na fórmula I, com tamanho médio de n=12 e massa molecular entre 400 e 800 Daltons. Esta estrutura possui várias combinações no grupo terminal que pode apresentar amidas (- NH2), guanidas [-H.C(=NH).NH2] ou cianoguanidas [-NH.C(=NH).NH.CN]. PHMB is a broad spectrum polymeric biguanide of antimicrobial action against Gram-positive and Gram-negative bacteria and has been used for many years as an antiseptic agent in medicine, the food industry and various materials to prevent bacterial growth. It is also used to treat fungus and to treat infectious keratitis. Many documents describe the action of chlorhexidine (CHX) and polymeric biguanides (such as PHMB) as oral antimicrobial and against caries. Other nomenclatures are used for PHMB as: polyhexamethylene biguanide hydrochloride, polyaminopropyl biguanide, polyhexanide, among others. Commercial preparations are mixtures of polymeric biguanides containing from 2 to 40 monomers of primary structure of the type [- (CH 2 ) 6.NH.C (= NH) .NH.C (= NH) .NH-] n , shown in formula I, with an average size of n = 12 and molecular weight between 400 and 800 Daltons. This structure has several terminal group combinations which may have amides (-NH 2 ), guanides [-HC (= NH) .NH 2 ] or cyanoguanides [-NH.C (= NH) .NH.CN].
Fórmula I  Formula I
Figure imgf000008_0001
n sendo um número inteiro entre 2 e 40.
Figure imgf000008_0001
n being an integer between 2 and 40.
O polímero PHMB em estudo possui um número de monômeros inteiro entre 2 e 40 e particularmente entre 8 e 15.  The PHMB polymer under study has an integer number of monomers between 2 and 40 and particularly between 8 and 15.
Em pesquisa realizada, a preparação (PHMB, silanol e fluoreto) demonstrou resultados de perdas de dentina bem menores que os ingredientes avaliados separadamente. Com apenas uma aplicação diária dessa preparação observa-se efetivamente uma redução da erosão dentinária.  In research, the preparation (PHMB, silanol and fluoride) showed much lower dentin loss results than the ingredients evaluated separately. With just one daily application of this preparation a reduction in dentin erosion is effectively observed.
A pesquisa realizada foi comparativa com a metodologia descrita a seguir:  The research was compared with the methodology described below:
Preparação das amostras: Sessenta amostras de dentes bovinos foram cortadas e tiveram o esmalte dentário removido no pré-preparo. Duas demãos de esmalte de unha foram aplicadas em parte da superfície externa da dentina como forma de manter uma referência de espessura de dentina total inicial para a posterior determinação da perda de dentina, por diferença de espessura.  Sample preparation: Sixty samples of bovine teeth were cut and had tooth enamel removed in the pre-preparation. Two coats of nail enamel were applied to part of the outer surface of dentin as a means of maintaining an initial total dentin thickness reference for subsequent determination of dentin loss by thickness difference.
Tratamento diário das amostras  Daily treatment of samples
Todas as amostras foram submetidas aos ciclos de desmineralização e remineralização, num período de 6 dias. Cada dia, as amostras passaram pelas seguintes etapas:  All samples were subjected to demineralization and remineralization cycles within 6 days. Each day, the samples went through the following steps:
a) Desmineralização - Os desafios de desmineralização foram realizados dia a dia, com todas as amostras, durante os 6 dias por 5 minutos, usando 0,87M de solução de ácido cítrico (pH 2,5 e 30 ml por amostra). a) Demineralization - Demineralization challenges were performed day by day with all samples for 6 days for 5 minutes using 0.87M citric acid solution (pH 2.5 and 30 ml per sample).
b) Proteção - Depois da desmineralização, cada grupo de amostras foi tratada com uma das soluções abaixo por 1 minuto (30m l/amostra), com: • Grupo Água destilada (grupo controle) b) Protection - After demineralization, each sample group was treated with one of the solutions below for 1 minute (30m l / sample) with: • Distilled water group (control group)
Grupo CHX (0, 12%)  CHX group (0, 12%)
Grupo PHMB (0,07%)  PHMB group (0.07%)
• Grupo PHMB + silanol + fluoreto (0,07% PHMB + 0,00045% silanol + 0,0226% íons fluoretos)  • PHMB + silanol + fluoride group (0.07% PHMB + 0.00045% silanol + 0.0226% fluoride ions)
• Grupo Solução de fluoreto (0,0226% íons fluoretos)  • Fluoride Solution Group (0.0226% fluoride ions)
c) Desafio Enzimático - Depois da etapa "b", Cada grupo de amostra foi enxaguado com água deionizada e então submetida por 10 minutos à ação de uma colagenase bacteriana (Clostridium hystoliticum, 100pg/ml, Sigma-Aldrich, EUA) em tampão contendo 1 ml de 50 mM TES buffer (TESCA) pH 7,4. Essa etapa simula a ativação das MMPs na cavidade bucal. c) Enzymatic Challenge - After step "b", Each sample group was rinsed with deionized water and then subjected to bacterial collagenase (Clostridium hystoliticum, 100pg / ml, Sigma-Aldrich, USA) for 10 minutes in buffer containing 1 ml 50 mM TES buffer (TESCA) pH 7.4. This step simulates the activation of MMPs in the oral cavity.
d) Medição da perda de dentina - As medidas foram realizadas por perfilometria de contato (MarSurf GD 25, Mahr, Gõttingen, Germany). 5 medidas foram realizadas numa distância de 250 pm entre elas e o valor médio obtido. O esmalte de unhas foi retirado com um bisturi e solução de acetona (1 : 1 em água), cuidadosamente. As diferenças de altura entre a superfície de referência e as áreas erodidas foram quantificadas em mícrons. e) Armazenamento - Entre os ciclos de desmineralização e remineralização, as amostras foram imersas em saliva artificial (1 ,5 mmol 1 de CaC , KH2P04 2,4 mmol 1, Na2HP04, 17 mmol 1 de KCI, 2 mmol 1 NaSCN, 9,9 mmol 1 de NaCI, 3 mmol Γ1 de NH4CI, 3 mmol Γ1 de uréia, e 0,2 mmol Γ1 de glicose, pH 6,8 - 30 ml / amostra). d) Measurement of dentin loss - Measurements were performed by contact profilometry (MarSurf GD 25, Mahr, Gottingen, Germany). 5 measurements were made at a distance of 250 pm between them and the average value obtained. Nail polish was carefully removed with a scalpel and acetone solution (1: 1 in water). Height differences between the reference surface and eroded areas were quantified in microns. e) Storage - Between the demineralization and remineralization cycles, the samples were immersed in artificial saliva (1.5 mmol 1 CaC, KH 2 P0 4 2.4 mmol 1 , Na 2 HP0 4 , 17 mmol 1 KCI, 2 mmol 1 NaSCN, 9.9 mmol 1 NaCl, 3 mmol Γ 1 NH 4 CI, 3 mmol Γ 1 urea, and 0.2 mmol Γ 1 glucose, pH 6.8 - 30 ml / sample).
Para a análise estatística dos dados foi utilizado o software GraphPad Prism (GraphPad Software, San Diego, USA). Os dados foram checados em normalidade e homogeneidade usando os testes de Kolmogorov- Smirnov e Bartlett, respectivamente. Desde que esses critérios fossem satisfeitos, então os dados foram analisados utilizando 2-way ANOVA de medidas repetidas seguida do teste post hoc de Bonferroni considerando tratamentos e períodos como fatores (p < 0,05).  Statistical analysis was performed using GraphPad Prism software (GraphPad Software, San Diego, USA). Data were checked for normality and homogeneity using the Kolmogorov-Smirnov and Bartlett tests, respectively. Provided these criteria were met, then the data were analyzed using 2-way repeated measures ANOVA followed by Bonferroni post hoc test considering treatments and periods as factors (p <0.05).
Abaixo veja os dados da perda média (pm, média ± desvio padrão) de dentina final, nos diferentes grupos de estudo, no sexto dia de estudo:  Below are data on the average loss (pm, mean ± standard deviation) of final dentin in the different study groups on the sixth study day:
• Grupo Água destilada (grupo controle negativo) 168,2 ± 6,2 pm • Grupo fluoretos (0,0226% fluoretos) 157,4 ± 6, 1 μηι• Distilled Water Group (negative control group) 168.2 ± 6.2 pm • Fluoride group (0.0226% fluoride) 157.4 ± 6, 1 μηι
Grupo CHX (0, 12% ) 135,3 ± 33,5 pmCHX group (0.12%) 135.3 ± 33.5 pm
Grupo PHMB (0,07%) 129,9 ± 41 ,2 pmPHMB group (0.07%) 129.9 ± 41.2 pm
• Grupo PHMB + silanol + fluoretos 94,4 ± 3,9 rn Resultados • PHMB + silanol + fluoride group 94.4 ± 3.9 rn Results
A perda por erosão dentinária progrediu significativamente para todos os grupos durante os seis dias. A mais alta perda de dentina foi verificada nas amostras controle, tratadas com água destilada. A menor perda de dentina foi verificada no Grupo de amostras tratadas com a preparação PHMB + silanol + fluoretos. O Grupo PHMB e o Grupo CHX levaram a valores intermediários de perda de dentina que foram significativamente inferiores aos encontrados para o controle (água). O Grupo fluoreto isolado não diferiu significativamente do controle negativo (água).  Loss by dentin erosion progressed significantly for all groups over the six days. The highest dentin loss was observed in control samples treated with distilled water. The lowest dentin loss was observed in the group treated with the preparation PHMB + silanol + fluorides. The PHMB Group and the CHX Group led to intermediate dentin loss values that were significantly lower than those found for the control (water). The isolated fluoride group did not differ significantly from the negative control (water).
O Grupo PHMB + silanol + fluoreto teve o melhor efeito inibidor da erosão dentinária, a perda de dentina observada foi de 94,4 ± 3,9 pm, após 6 dias. Não se pode negar a ação redutora da perda de dentina da combinação dos 3 ativos, já que os Grupos PHMB e Fluoreto isolados apresentaram perdas de dentina significativamente maiores (129,9 ± 41 ,2 pm e 157,4 ± 6, 1 pm, respectivamente).  The PHMB + silanol + fluoride group had the best inhibitory effect on dentin erosion, the dentin loss was 94.4 ± 3.9 pm after 6 days. The dentin loss reducing action of the combination of the 3 active compounds cannot be denied, since the PHMB and Fluoride Groups alone showed significantly higher dentin losses (129.9 ± 41, 2 pm and 157.4 ± 6, 1 pm, respectively).
Sabendo que o Grupo fluoreto isolado não ofereceu proteção à erosão dentinária, o Grupo PHMB isolado teve perda intermediária de dentina e o Grupo da combinação PHMB + silanol + fluoreto suplantou o efeito inibidor da erosão dentinária de todos os grupos, constata-se que há uma combinação sinérgica entre o PHMB, o silanol e os íons fluoretos.  Knowing that the isolated fluoride group did not offer dentin erosion protection, the isolated PHMB group had intermediate dentin loss and the PHMB + silanol + fluoride combination group superseded the dentin erosion inhibitory effect of all groups, it appears that there is a synergistic combination between PHMB, silanol and fluoride ions.
Algumas composições de géis, cremes dentais e enxaguatório bucal contendo a preparação com os ingredientes ativos PHMB + silanol + fluoretos foram desenvolvidas com o objetivo de prevenir a erosão dentinária provocada pela ação de ácidos. As composições apresentadas nesse documento compreendem pelo menos mais um ingrediente a seguir selecionado como veículos, edulcorantes, conservadores, corante, reguladores de pH, tensoativos, abrasivos, espessante, umectante, aromatizante, opacificante, antimicrobiano e agente anti-cárie.  Some compositions of gels, toothpastes and mouthwash containing the preparation with the active ingredients PHMB + silanol + fluorides were developed in order to prevent acid erosion of dentin. The compositions disclosed therein comprise at least one further ingredient selected below as carriers, sweeteners, preservatives, colorant, pH regulators, surfactants, abrasives, thickener, wetting, flavoring, opacifier, antimicrobial and anti-caries agent.
A concentração do PHMB em composições para cuidados bucais com o objetivo de prevenir a erosão dentinária pode variar de 0,01 % a 0,3% e preferencialmente de 0,02% a 0, 1 %. PHMB concentration in oral care compositions for the purpose of preventing dentin erosion may range from 0.01% to 0.3% and preferably from 0.02% to 0.1%.
A concentração do silanol em composições para cuidados bucais com o objetivo de prevenir a erosão dentinária pode variar de 0,0001 % a 0, 1 % e preferencialmente de 0,0001 % a 0,01 %.  The concentration of silanol in oral care compositions for the purpose of preventing dentin erosion may range from 0.0001% to 0.1% and preferably from 0.0001% to 0.01%.
A concentração de íons fluoretos em composições para cuidados bucais com o objetivo de prevenir a erosão dentinária pode variar de 0,001 % a 5,0% e preferencialmente de 0,006% a 0, 15%.  The concentration of fluoride ions in oral care compositions for the purpose of preventing dentin erosion may range from 0.001% to 5.0% and preferably from 0.006% to 0.15%.
A preparação com PHMB, silanol e fluoretos contém uma proporção de silanol: PHMB entre 1 : 100 e 1 :700, particularmente de 1 :155.  The preparation with PHMB, silanol and fluorides contains a silanol: PHMB ratio between 1: 100 and 1: 700, particularly 1: 155.
A preparação com PHMB, silanol e fluoretos contém uma proporção de silanol:fluoreto entre 1 :40 a 1 :333, particularmente de 1 :50.  The preparation with PHMB, silanol and fluorides contains a silanol: fluoride ratio of 1: 40 to 1: 333, particularly 1: 50.
A preparação com PHMB, silanol e fluoretos contém proporções de silanol:fluoreto:PHMB de cerca de 1 :50: 155.  The preparation with PHMB, silanol and fluorides contains silanol: fluoride: PHMB ratios of about 1: 50: 155.
Abaixo algumas composições da presente invenção para exemplificar o uso da preparação de PHMB + silanol + fluoretos sem, no entanto, restringir o uso a esses exemplos específicos.  Below are some compositions of the present invention to exemplify the use of the preparation of PHMB + silanol + fluorides without, however, restricting use to such specific examples.
Exemplo 1 : Composição de Solução Bucal Example 1: Oral Solution Composition
Matéria prima Quantidade (%)  Raw Material Quantity (%)
Água 82,460 Water 82,460
Sorbitol 70% 15,000  Sorbitol 70% 15,000
Sacarina sódica 0,050  Sodium saccharin 0.050
Benzoato de sódio 0,300  Sodium Benzoate 0.300
Fosfato de sódio 0,090  Sodium Phosphate 0.090
Fosfato dissódico 0,050 Disodium phosphate 0.050
Cocoanfodiacetate de sódio 1 ,500  Sodium Cocoanphodiacetate 1,500
Preparação:  Preparation:
Fluoreto de sódio 0,050  0.050 Sodium Fluoride
PHMB 20% 0,350  PHMB 20% 0.350
Manuronato de Metilsilanol 0, 150 Methylsilanol manuronate 0.15
Total 100,000  Total 100,000
O processo de fabricação consiste na preparação de 3 fases que posteriormente são adicionadas, como a seguir: Fase A = Pese a 1/3 da água total e solubilize os ingredientes: corantes, sacarina sódica, benzoato de sódio, sorbitol, cocoanfodiacetato de sódio. Homogeneíze até total solubilização dos ingredientes, a solução fica límpida e transparente. The manufacturing process consists of the preparation of 3 phases which are later added as follows: Phase A = Weigh to 1/3 of total water and solubilize the ingredients: dyes, sodium saccharin, sodium benzoate, sorbitol, sodium cocoamphodiacetate. Homogenized to full solubilization of ingredients, the solution is clear and transparent.
Fase B = Pese 1/3 da água total e solubilize os ativos: fluoreto de sódio, manuronato de silanodiol e biguanida de poliaminopropila. Homogeneíze. Adicione a Fase B na Fase A. Homogeneíze. Phase B = Weigh 1/3 of the total water and solubilize the actives: sodium fluoride, silanediol manuronate and polyaminopropyl biguanide. Homogeneous. Add Phase B to Phase A. Homogeneous.
Fase C = Pese 1/3 da água total e solubilize o fosfato de sódio monobásico e o fosfatodissódico. Misture até total solubilização.  Phase C = Weigh 1/3 of total water and solubilize monobasic sodium phosphate and phosphatodisodium. Mix until fully solubilized.
Adicione esta mistura Fase C na Fase A + Fase B. Misture até total homogeneização. Add this Phase C mixture to Phase A + Phase B. Mix until fully homogenized.
O ingrediente PHMB 20% da composição acima é formado de água (80%) e PHMB (20%). Essa solução é adicionada na formulação em percentual de 0,350%, o que implica em concentração final de 0,07% de PHMB na solução bucal.  The ingredient PHMB 20% of the above composition is water (80%) and PHMB (20%). This solution is added to the formulation in a percentage of 0.350%, which implies a final concentration of 0.07% PHMB in the buccal solution.
A solução de manuronato de metilsilanol da composição acima é composta de: monometilsilanetriol 0,3%; ácido manurônico 0,6%; preservadores em quantidade suficiente e água em quantidade suficiente para completar 100%. Essa solução é adicionada na fórmula em quantidade de 0, 150%, o que implica em concentração final de 0,00045% de monometilsilanetriol na solução bucal.  The methylsilanol manuronate solution of the above composition is composed of: monomethylsilanetriol 0.3%; manuronic acid 0.6%; enough preservers and enough water to complete 100%. This solution is added to the formula in an amount of 0. 150%, which implies a final concentration of 0.00045% monomethylsilanetriol in the buccal solution.
A solução de fluoreto de sódio é adicionada na composição acima em quantidade de 0,05%, o que implica em concentração final de 0,0226% de íons fluoretos.  Sodium fluoride solution is added to the above composition in an amount of 0.05%, which implies a final concentration of 0.0226% fluoride ions.
Exemplo 2: Composição de Gel dental Example 2: Composition of Dental Gel
Matéria prima Quantidade (%)  Raw Material Quantity (%)
Sorbitol 70% 58,000 Sorbitol 70% 58,000
Água 16,011 Water 16.011
Sílica hidratada (espessante) 8,000  Hydrated Silica (Thickener) 8,000
Sílica hidratada (abrasivo) 6,000 Hydrated Silica (abrasive) 6,000
Cocoamidopropilbetaína 5,000 Cocoamidopropyl betaine 5,000
Glicerina 3,000 Glycerin 3,000
Polietilenoglicol 400 1 ,000 Aroma 0,800 Polyethylene glycol 400 1,000 Aroma 0.800
Dióxido de titânio 0,500  Titanium dioxide 0.500
Carboximetilcelulose 0,450  Carboxymethylcellulose 0.450
Goma xantana 0,400  Xanthan Gum 0.400
Sacarina sódica 0,300 Sodium saccharin 0.300
Preparação: Preparation:
Fluoreto de sódio 0,319  Sodium Fluoride 0.319
Salicilato de silanodiol 0, 150  Silanediol Salicylate 0, 150
Biguanida de poliaminopropila 0,070  Polyamopropopropyl biguanide 0.070
Total 100,000 Total 100,000
O processo de fabricação consiste na preparação de 3 fases que posteriormente são adicionadas, como a seguir:  The manufacturing process consists of the preparation of 3 phases which are later added as follows:
Fase A = Pese 1/3 da água total e solubilize a sacarina sódica e o dióxido de titânio. Adicione o sorbitol. Homogeneíze.  Phase A = Weigh 1/3 of total water and solubilize sodium saccharin and titanium dioxide. Add the sorbitol. Homogeneous.
Fase B = Pese 2/3 da água total e solubilize o fluoreto de sódio, o salicilato de silanodiol e a biguanida de poliaminopropila. Homogeneíze e misture a Fase B na Fase A. Homogeneíze. Phase B = Weigh 2/3 of total water and solubilize sodium fluoride, silanediol salicylate and polyaminopropyl biguanide. Homogenize and mix Phase B into Phase A. Homogenize.
Fase C = Pese a glicerina, adicione o polietilenoglicol 400 e disperse o carboximetilcelulose e a goma xantana. Misture até total isenção de grumos. Adicione sob agitação a Fase C na Fase A + Fase B. Homogeneíze até total incorporação e isenção de grumos.  Step C = Weigh the glycerin, add polyethylene glycol 400 and disperse the carboxymethylcellulose and xanthan gum. Mix until completely lump free. Stir Phase C into Phase A + Phase B. Homogenize until complete incorporation and lump-free.
Adicione em seguida as sílicas e homogeneíze até total incorporação e isenção de grumos. Adicione o Aroma e em seguida o cocoamidopropibetaina. Homogeneíze.  Then add the silicas and homogenize until completely incorporated and free of lumps. Add the Aroma and then cocoamidopropibetaine. Homogeneous.

Claims

REIVINDICAÇÕES
1 . Preparação oral para redução da erosão dentinária, caracterizada por compreender PHMB conforme a fórmula I ou seus derivados. 1 . Oral preparation for reducing dentin erosion, comprising PHMB according to formula I or its derivatives.
Fórmula I  Formula I
NH NHNH NH
H H H n sendo um número inteiro entre 2 e 40, particularmente entre 8 e 15. H H H n being an integer between 2 and 40, particularly between 8 and 15.
2. Preparação oral para redução da erosão dentinária, de acordo com a reivindicação 1 , caracterizada por compreender adicionalmente um ou mais silanóis e/ou um ou mais compostos ionizáveis em fluoreto.  Oral preparation for reducing dentin erosion according to claim 1, characterized in that it further comprises one or more silanols and / or one or more fluoride ionizable compounds.
3. Composição oral para redução da erosão dentinária caracterizada por conter preparação oral de acordo com uma das reivindicações 1 ou 2.  Oral composition for reducing dentin erosion comprising oral preparation according to one of claims 1 or 2.
4. Composição oral para redução da erosão dentinária, de acordo com a reivindicação 3, caracterizado por compreender o PHMB em percentual do total da composição entre 0,01 % a 0,3%, preferencialmente entre 0,02% a 0, 1 %.  Oral composition for reducing dentin erosion according to claim 3, comprising PHMB as a percentage of the total composition from 0.01% to 0.3%, preferably from 0.02% to 0.1%. .
5. Composição oral para redução da erosão dentinária, de acordo com a reivindicação 2, caracterizado por compreender uma proporção de silanol:PHMB entre 1 : 100 e 1 :700, particularmente 1 : 155 e o silanol em percentual do total da composição variando entre 0,0001 % a 0, 1 %, preferencialmente de 0,0001 % a 0,01 %.  Oral composition for reducing dentin erosion according to claim 2, comprising a ratio of silanol: PHMB between 1: 100 and 1: 700, particularly 1: 155 and silanol as a percentage of the total composition ranging from 0.0001% to 0.1%, preferably 0.0001% to 0.01%.
6. Composição oral para redução da erosão dentinária, de acordo com a reivindicação 3, caracterizado por compreender uma proporção de silanol:fluoreto entre 1 :40 a 1 :333, particularmente 1 :50 e os compostos ionizáveis em fluoreto em percentual do total da composição variando entre 0,001 % e 5,0% preferencialmente entre 0,006% e 0, 15%.  Oral composition for reducing dentin erosion according to Claim 3, characterized in that it comprises a ratio of silanol: fluoride from 1: 40 to 1: 333, particularly 1: 50 and the fluoride ionizable compounds as a percentage of the total. composition ranging from 0.001% to 5.0% preferably from 0.006% to 0.15%.
7. Composição oral para redução da erosão dentinária, de acordo com a reivindicação 3, caracterizado por compreender proporções silanol:fluoreto:PHMB de cerca de 1 :50: 155. Oral composition for reducing dentin erosion according to claim 3, characterized in that it comprises silanol: fluoride: PHMB ratios of about 1: 50: 155.
8. Preparação oral para redução da erosão dentinária, de acordo com a reivindicação 2, caracterizada por o silanol ser um ou mais dentre metilsilanol manuronato, silanetriol arginato, ascorbil metilsilanol pectinato, siloxanetriol alginato, silanodiol salicilato, dimetilsilanol hialuronato, metilsilanol hidroxiprolina aspartato, metilsilanol sódium lactato, silanetriol lisinato, dioleil tocoferil metilsilanol, dimetil oxobenzeno dioxasilano, metil silanol carboxymetil teofilina alginato, metilsilanol acetiltirosina, acetilmetionil elastinato, cobre acetiltirosinato metilsilanol, cobre PCA metilsilanol, dimeticonol/metilsilanol/crosspolímero silicato, lactoil metilsilanol elastinato, metilsilanol acetilmetionato, metilsilanol ascorbato, metilsilanol elastinato, metilsilanol glicirrhizinato, metilsilanol hidroxiprolina, metilsilanol PCA, metilsilanol PEG-7 gliceril cocoato, metilsilanol spirulinato, metilsilanol tri-PEG-8 gliceril cocoato, metilsilanol/silicato crosspolímero, polisilicone-21 , sódio hialuronato dimetilsilanol, sódio manuronato Metilsilanol, sódio PCA Metilsilanol, colágeno hidrolisado PG-propil metilsilanediol, hidrolisado de queratina PG-propil metilsilanediol, hidrolisado de queratina PG-propil metilsilanediol, hidrolisado proteico PG-propil metilsilanediol, hidrolisado proteína de soja PG-propil metilsilanediol, sódio hialuronato dimetilsilanol e silanodiol sorbitil. Oral preparation for reducing dentin erosion according to claim 2, characterized in that silanol is one or more of methylsilanol manuronate, silanetriol arginate, ascorbyl methylsilanol pectinate, siloxanetriol alginate, silanediol salicylate, dimethylsilanol hyaluronate, methylsilanol hydroxyproline aspartate, sodium lactate, silanetriol lysinate, dioleyl tocopheryl methylsilanol, dimethyl oxobenzene dioxasilane, methyl silanol carboxymethyl theophylline alginate, methylsilanol acetyl tyrosine, acetylmethionyl elastinate, copper acetyl tyrosinate methylsulanolate, dimethiconyl methanolylate methanolylate methanolylate, dimethyl oxide methylsulfonate , methylsilanol elastinate, methylsilanol glycyrrhizinate, methylsilanol hydroxyproline, methylsilanol PCA, methylsilanol PEG-7 glyceryl cocoate, methylsilanol spirulinate, methylsilanol tri-PEG-8 glyceryl cocoate, methylsilanol / silicate crosspolymer, polysilicone-21, sodium hyaluronate dimethylsilanol, sodium manuronate Methylsilanol, sodium PCA Methylsilanol, PG-propyl methylsilanediol hydrolyzed collagen, keratin hydrolyzate PG-propyl methylsilanediol, keratin hydrolyzate PG-protein propyl hydrolysed hydrolyzate PG-propyl methylsilanediol, sodium hyaluronate dimethylsilanol and sorbityl silanediol.
9. Preparação oral para redução da erosão dentinária, de acordo com a reivindicação 2, caracterizada pelo fato dos compostos ionizáveis em fluoreto serem um ou mais dentre fluoreto de sódio, fluoreto de estanho, monofluorfosfato de sódio, amina fluoretada, tetrafluoreto de titânio, 2- bis(hidroxietil)-aminopropyl-N-hidroxiethyloctadecila,diidrofluoreto,N,N,N-Tris (2- hidroxietil)-N-octadecil-1 ,3,diaminopropano,diidrofluoreto, monofluorfosfato de amónio, monofluorfosfato de cálcio, monofluorfosfato de potássio, fluoreto de potássio, fluoreto de Amónio, fluoreto de alumínio, fluoreto de magnésio, fluoreto de cálcio, fluoreto de hexadecilamônio, diidrofluoreto de 3-(N- hexadecil-N-2-hidroxietilamônio) propilbis (2-hidroxietil) amónio, dihidrofluoreto Ν,Ν,Ν-tris (polioxietileno)-N-hexadecil propilenodiamina, hidrofluoridrato de nicometanol, fluoreto de octadicenil amónio, fluorsilicato de sódio, fluorsilicato de amónio, fluorsilicato de magnésio, hidrofluoridrado de cetilamina, fluoridrado de oleilamina e difluoreto de hexildecilamina. Oral preparation for reducing dentin erosion according to claim 2, characterized in that the fluoride ionizable compounds are one or more of sodium fluoride, tin fluoride, sodium monofluorophosphate, fluorinated amine, titanium tetrafluoride, 2 - bis (hydroxyethyl) aminopropyl-N-hydroxyethyloctadecyl dihydrofluoride, N, N, N-Tris (2-hydroxyethyl) -N-octadecyl-1,3, diaminopropane, dihydrofluoride, ammonium monofluorphosphate, calcium monofluorophosphate , potassium fluoride, Ammonium fluoride, aluminum fluoride, magnesium fluoride, calcium fluoride, hexadecylammonium fluoride, 3- (N-hexadecyl-N-2-hydroxyethylammonium) propylbis (2-hydroxyethyl) ammonium dihydrofluoride Ν , Ν, Ν-tris (polyoxyethylene) -N-hexadecyl propylenediamine, nicomethanol hydrofluoride, octadicenyl ammonium fluoride, sodium fluororsilicate, ammonium fluororsilicate, magnesium fluororsilicate, hydrofluorid cetylamine hydrochloride, oleylamine hydrochloride and hexyldecylamine difluoride.
10. Composição oral para redução da erosão dentinária caracterizado por conter uma preparação de acordo com qualquer das reivindicações 3 a 7 e pelo menos mais um ingrediente selecionado dentre veículo, edulcorante, conservante, regulador de pH, tensoativo, corante, abrasivo, espessante, umectante, aromatizante, opacificante, antimicrobiano e agente anti-cárie. Oral composition for reducing dentin erosion comprising a preparation according to any one of claims 3 to 7 and at least one further ingredient selected from carrier, sweetener, preservative, pH regulator, surfactant, dye, abrasive, thickener, humectant. , flavoring, opacifying, antimicrobial and anti-caries agent.
1 1 . Composição oral para redução da erosão dentinária, de acordo com a reivindicação 10, caracterizado por o antimicrobiano ser clorexidina.  1 1. Oral composition for reducing dentin erosion according to claim 10, characterized in that the antimicrobial is chlorhexidine.
12. Uso da preparação de uma qualquer das reivindicações 1 ou 2 caracterizado por ser na preparação de géis dentais, cremes dentais, enxaguatório bucais, fios dentais, fitas dentais, vernizes ou produtos profissionais de odontologia.  Use of the preparation of any one of claims 1 or 2, characterized in that it is for the preparation of dental gels, toothpastes, mouthwashes, dental flosses, dental tapes, varnishes or professional dental products.
13. Uso da preparação de uma qualquer das reivindicações 1 ou 2 caracterizada por ser na preparação de composição útil no tratamento da redução ou prevenção de erosão dentinária.  Use of the preparation of any one of claims 1 or 2 characterized in that it is in the preparation of a composition useful in the treatment of reduction or prevention of dentin erosion.
PCT/BR2014/050003 2014-10-28 2014-10-28 Oral preparation for reducing dentinal erosion, oral composition for reducing dentinal erosion and use of the preparation WO2016065443A1 (en)

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PCT/BR2014/050003 WO2016065443A1 (en) 2014-10-28 2014-10-28 Oral preparation for reducing dentinal erosion, oral composition for reducing dentinal erosion and use of the preparation
BR112015030093A BR112015030093A2 (en) 2014-10-28 2014-10-28 oral preparation for dentin erosion reduction, oral composition and use of the preparation
ARP140104914A AR098962A1 (en) 2014-10-28 2014-12-29 ORAL PREPARATION FOR REDUCTION OF DENTINAL EROSION, ORAL COMPOSITION FOR REDUCTION OF DENTINAL EROSION AND USE OF PREPARATION

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US10786448B2 (en) 2018-01-18 2020-09-29 Christian Arnold Chewing gum composition comprising polyhexanide
US20220143073A1 (en) * 2020-11-12 2022-05-12 Ariel Lenharo Oral compositions for post-dental implants
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US11419889B2 (en) * 2020-11-12 2022-08-23 Ariel Lenharo Oral compositions for post-dental implants

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