Compositions and methods for dental mineralization
The present invention relates to compositions for mineralizing a dental surface, in particular tooth enamel. Methods of mineralizing hypomineralized lesions (including subsurface lesions) in the tooth enamel caused by dental caries, dental corrosion and fluorosis are also provided. In particular, the invention relates to a method of mineralizing a dental surface or subsurface comprising contacting the dental surface or subsurface with a compound that is capable of increasing or maintaining the pH of a solution and a mineralizing agent.
1. A method of reducing white spot lesions on tooth enamel or subsurface in a patient in need thereof, comprising
(i) contacting a white spot lesion with a first composition comprising one or more mineralizing agents selected from stabilized amorphous calcium phosphate (ACP) and stabilized amorphous calcium fluoride phosphate (ACFP), and
(ii) subsequently to (i) and within 1 to 60 minutes of (i), contacting the white spot lesion with a second composition comprising a base, thereby reducing the white spot lesion.
2. The method of claim 1 , wherein the stabilized ACP and/or stabilized ACFP are contacted with the white spot lesion for a period of time selected from about 1 minute to 2 hours, about 5 minutes to 60 minutes, and about 10 minutes.
3. The method of claim 1 , wherein the second composition is contacted with the white spot lesion for a period of time selected from about 1 to 60 minutes, about 1 to 30 minutes, and about 20 minutes.
4. The method of claim 1 , wherein the stabilized ACP and/or stabilized ACFP is repeatedly applied to the white spot lesion.
5. The method of claim 4 , wherein the stabilized ACP and/or stabilized ACFP is repeatedly applied to the white spot lesion over a period of 1 day to several months.
6. A method according to claim 1 , wherein the stabilized ACP and/or stabilized ACFP is in a form selected from a toothpaste, toothpowder, liquid dentifrice, mouthwash, mouthrinse, mouth spray, varnish, dental cement, troche, chewing gum, lozenge, dental paste, gingival massage cream, gargle tablet, dairy product, and other foodstuffs.
7. A method according to claim 1 , wherein the second composition is capable of maintaining the pH of a solution between 7 to 9.
8. A method according to claim 1 , wherein the second composition is capable of maintaining the pH of a solution at about 7.5.
9. A method according to claim 1 , wherein the second composition is provided in an amount effective to raise the pH of intra-lesion fluid of a dental lesion from 6 to 7.5.
10. A method according to claim 1 , wherein the base is selected from sodium bicarbonate, sodium hypochlorite, and urea.
11. A method according to claim 7 , wherein the second composition is in a form selected from a mouthrinse comprising sodium bicarbonate and a mouthwash comprising sodium bicarbonate.
12. A method according to claim 1 , wherein the contacting of step (ii) is effected 1 to 30 minutes after the contacting of step (i).
13. A method according to claim 1 , wherein the contacting of step (ii) is effected 1 to 5 minutes after the contacting of step (i).
14. A method according to claim 1 , wherein the stabilized ACP is casein phosphopeptide stabilized amorphous calcium phosphate (CP-ACP).
15. A method according to claim 1 , wherein the stabilized ACFP is casein phosphopeptide stabilized amorphous calcium fluoride phosphate (CP-ACFP).
16. A method according to claim 1 , wherein the stabilized ACP is casein phosphopeptide stabilized amorphous calcium phosphate (CP-ACP) and the stabilized ACFP is casein phosphopeptide stabilized amorphous calcium fluoride phosphate (CP-ACFP).
17. A method according to claim 1 , wherein the base is sodium hydroxide.