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Title: Sustained-release matrices for dental application
United States Patent: 5,998,431
Inventors: Tseng; Mingchih M. (Hingham, MA); Philbrook; Carl
M. (Jamaica Plain, MA)
Assignee: Gillette Canada Inc. (Kirkland, CA)
Appl. No.: 061546
Filed: April 16, 1998
Abstract
A sustained-release matrix for dental application includes either an
anti-microbial agent or a colorant that is released from the matrix when
the matrix contacts water. The preferred matrices include a water-soluble
polymer and a water-insoluble support resin.
SUMMARY OF THE INVENTION
The invention features sustained-release matrices that are
particularly suited for use with toothbrushes. The matrices can include an
anti-microbial agent that is released over time when the matrices are
exposed to water. The matrices may also include a colorant and a water-leachable
substance that is released over time when the matrices are exposed to
water to cause the matrix to change color.
In one aspect the invention features an oral brush that includes a
sustained-release matrix made from a support resin, a water-soluble
substance (preferably a water-soluble polymer), and an anti-microbial
agent. When the matrix contacts water, the water-soluble substance
dissolves, causing the release of the anti-microbial agent.
An oral brush, as used herein, is any brush that includes a handle and a
head attached to a brush designed for insertion into the mouth. The brush
portion preferably is made from the common bristles found in toothbrushes,
but can also be designed for massaging the gums rather than the teeth. For
example, Kaminski et al., U.S. Ser. No. 07/724,129, which was filed on
Jul. 1, 1991, is assigned to the same assignee as the present application
and is hereby incorporated by reference, describes an interdental foam
brush in which the brush portion is made of a soft polyurethane foam.
A support resin, as used herein, is an essentially water-insoluble polymer
that provides structural integrity to the matrix as the other components
of the matrix--the water-soluble polymer and anti-microbial
agent--dissolve or leach out. A further description of what constitutes a
support resin is included in the Other Embodiments section. Preferably,
the polymer used as the support resin should have a low processing
temperature (less than 130oC.) so that it can be readily
combined with anti-microbial agents that are unstable at high temperature.
Also, the polymer should not become brittle as the other components
dissolve or leach out, so that the matrix does not break apart readily
when handled.
Preferred polymers for the support resin include polystyrene,
polyurethane, ethylene vinyl acetate, polyethylene, styrene/rubber, and
ethylene/propylene. The more preferred support resin is an ethylene vinyl
acetate polymer. Most preferably the ethylene vinyl acetate polymer
includes between 5% and 50% vinyl acetate, and has a softening point of
between 100oC. and 35oC., respectively.
A water-soluble substance, as used herein, is a substance that is
sufficiently soluble in water that it will dissolve out of the matrix
during contact with water to form channels in the matrix through which the
anti-microbial agent will leach into the water. A further description of
what constitutes a water-soluble substance is provided in the Other
Embodiments section.
The preferred water-soluble substances are polymers. The preferred
polymers are starches, polyvinyl alcohols, polyethylene oxides,
hydroxyalkyl starches, hydroxyethyl and hydroxypropyl celluloses, and
gelatins. The most preferred are polyethylene oxides, most preferably a
Polyox having a molecular weight of between 100,000 and 5,000,000.
An anti-microbial agent is a substance that kills bacteria. The preferred
anti-microbial agent for use in the matrix is chlorhexidine, most
preferably the digluconate salt thereof; the hydrochloride and diacetate
salts of chlorhexidine can also be used. Other anti-microbial agents that
can be included in the matrix include tetracycline (and other
antibiotics), and domiphen bromide.
Preferably, the matrix is a flat template having a thickness of up to 4 mm
and is attached to the head of the body at the base of the bristles. The
preferred templates have a surface area of at least 0.01 in2,
more preferably at least about 0.1 in2. Most preferably, the
template has the same surface area as the toothbrush head (minus the
bristles). In this position the template is exposed to water when the
brush is rinsed and to saliva when it is inserted into the mouth, and can
supply the anti-microbial agent to the bristles for self-sterilization and
to the mouth to kill bacteria. The matrix can also be attached to any
other part of the brush (e.g., the back of the brush head or at the
junction of the brush head and handle), provided that the part of the
brush it is attached to is sufficiently close to the head end that it
typically is inserted into the mouth during use.
In other preferred embodiments, the matrix includes two layers, joined
together. By "two layers", it is meant that one section of the
template has a different composition than a second section. The first
outer layer includes a support resin or a water-soluble polymer, and an
anti-microbial agent; the second inner layer includes the support resin.
Significantly, the first layer can include a large quantity of
anti-microbial agent because the layer includes less (or none) of the
support resin, yet the layer is stable because the co-extruded second
layer provides the necessary support. The second layer may also include,
optionally, some water-soluble polymer and/or anti-microbial agent.
The invention features, in another aspect, an oral brush that includes a
template including a water-soluble polymer and an anti-microbial agent.
The invention features, in another aspect, a matrix including ethylene
vinyl acetate, polyethylene oxide, and an anti-microbial agent such as
chlorhexidine. The matrix can be sized, shaped, and otherwise designed for
short or long term placement at some point in the mouth. The matrix can
also be designed as a template for inclusion on a toothbrush, or can be
used to coat dental floss, or other dental instrument(s).
The matrices of the invention provide a controlled release of an
anti-microbial agent into the mouth. When included on a toothbrush, the
matrix repeatedly supplies controlled dosages of the agent to kill
bacteria in the mouth and on the bristles of the brush. The matrices are
easy to manufacture, and their composition, shape and thickness can be
adjusted to provide the best properties for the intended use. For example,
the amount and type of polyethylene oxide in the preferred embodiment can
be modified so that the viscosity of the released polymer in solution is
less than the viscosity of the saliva in the mouth.
Another aspect of the invention features a wear-indicator oral brush that
includes a matrix containing a colorant (e.g., a dye) and a water-leachable
substance that is released from the matrix when the oral brush is used to
cause the matrix to change color after repeated (at least 5) typical uses.
The preferred matrix is a template that includes two co-extruded or
co-molded layers. The outer layer, which contacts water and saliva during
brushing, preferably includes the water-leachable substance, which can be,
for example, a water-soluble polymer like polyethylene oxide, or the
colorant itself, or a combination of the two. The second, inner, layer
preferably includes a support resin, and can also include a colorant (e.g,
TiO.sub.2) that provides the template with a different color, or shade of
color, than the colorant included in the outer layer. The first layer
preferably also includes a support resin, although less than the amount
included in the second layer, and also can include an anti-microbial
agent.
The oral brushes having a matrix including a colorant, i.e., pigment or
dye, provide a means to monitor the degree of wear of the brush. Where the
water-leachable substance includes the colorant, over time as the brush is
used the colorant is released, causing the matrix to change color. In
those embodiments in which the colorant is not water-leachable and thus is
not released from the matrix, typically the portion of the template
including a water-leachable substance dissolves away through repeated use
of the brush to expose the section of the matrix that includes the
colorant, providing an indication of wear. The amounts and types of
colorant in the matrix can be adjusted so that the color of the matrix
changes after the number of uses through which a typical brush should be
used. When the colored matrix also includes an anti-microbial agent, the
change of colorant can be designed to correspond with the depletion of the
agent in the matrix.
Claim 1 of 13 Claims
1. A color-changing matrix comprising two joined layers
being co-extruded or co-injection molded and comprising an outer layer
comprising a water-soluble polymer and a first colorant, and an inner
layer comprising a water-insoluble polymer and a second colorant different
from said first colorant.
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