VISIBLE LIGHT CURABLE DENTAL COMPOSITIONS

Abstract: Visible light curable dental restorations are provided having improved colour stability. According to a preferred embodiment, such materials are formulated from a major proportion of inorganic fillers and a minor proportion of a resin component comprising a binder resin, a diluent, and a two-component photosensitizing system comprising an alpha diketone and an amine reducing agent. American Dental Association colour stability standards are met by these compositions.

Description: DESCRIPTION Background of the Invention This invention provides composite dental restorative compositions which are curable by the action of visible light. Morse particularly, formulations are disclosed which maintain good colour stability and other beneficial physical properties while having the ease of workability and safety attendant to light curable materials. Dental restoratives should exhibit certain obligatory physical and chemical characteristics in order to be suitable for use in filling, repairing or replacing teeth. These restorative materials should possess properties that closely match natural teeth with respect to structural properties such as cohesive strength index, coefficient of thermal expansion and wearability. Also, aesthetic considerations such as colour stability, refractive index, plaque repellancy, polishability and opacity are important factors in determining whether a material is suitable for use as a dental restorative. In the past, numerous organic composition have been tried in various mixtures and proportions in order to find satisfactory materials for use as dental composites or restoratives. These compositions have usually included some type of resin, which may be preblended or mixed by the practitioner in the office, together with other materials such as pigments, catalysts, handling agents and opacifiers0 For restorative use, it is generally necessary to employ materials which are "filled", that is, to which have been added amounts of inorganic, or in some cases, organic particulate material. Composite or restorative materials should be distinguished from most film forming dental compositions. Such film forming materials provide resins containing minor or no substantial amounts of filler materials. They are frequently used as sealants, glazes, bonding agents, or adhesives and may be used to coat a prepared tooth cavity prior to filling, thereby sealing off the tooth material against cracks and leaks adjacent to the filling. Such unfilled compositions have different viscosity requirements from dental composite materials because low viscosities are needed in the sealant materials in order to have proper flow characteristics . By contrast, dental composite and restorative materials must have good forming characteristics so that they can be shaped to fit a cavity area or molded into place in order to repair chipped or damaged teeth. Furthermore, such restorative compositions must preferably be filled with inorganic materials in order to achieve satisfactory hardness and durability. It will be appreciated by those skilled in the art that the use of photo activated materials is to be preferred over the more traditional thermochemical catalyst or redox activated systems because of the increased work time allowed by the use of photoinitiated polymerization. In a catalyst or redox system, work time is determined by the reaction time once the catalyst is added to the resin component. In a photocured system, the practioner may take whatever time is necessary for forming or molding the dental restoration into position and then effect extremely rapid curing by exposing the photocurable material to the appropriate wavelength of electromagnetic radiation. Some prior art dental materials have utilized photoinitiators that are sensitive to ultraviolet light radiation. There are, however, certain technical limitations which are present in ultra violet-activated dental composite or restorative systems. For example, tooth structure attenuates ultra-violet radiation sufficiently so that it is not practical to cure ultraviolet-activated dental composites where direct access to the dental composite by the ultraviolet source is interferred with by intervening portions of tooth structure. Such is the case in classical undercuts used for mechanical retention of dental restorations. Ultraviolet-cured systems also cannot accomplish good depths of cure; stepwise restoration is frequently required. It has been found that visible light having wavelengths from about 4000 angstroms to about 5000 angstroms is attenuated to a lesser degree by tooth structure than is ultraviolet radiation. Accordingly, it has been proposed to employ such visible light as the source of activating energy in dental compositions. Many previous attempts to develop restorative formulations using visible light curing systems have resulted in failure; such previous compositions have failed to exhibit one or more of the servicability characteristics necessary for dental restoratives. A principal shortcoming is a lack of colour stability and concomitant lack of aesthetic acceptability of the resulting products. Such a lack of colour stability is a major shortcoming. The American Dental Association, the International Standards Organization, and others have developed detailed requirements for colour stability in direct filling resins. See, for example, A.D.A. Specification No. 27; J.A.D.A. vol. 94, June 1977, pp. 1191-1194. Accordingly, it is a principal object of this invention to provide compositions which are useful as dental restoratives. It is another object to provide such dental materials which exhibit improved colour stability. Another object of this invention is to provide a one-component photo curable dental restorative system which is photo curable using visible light. A further object is to provide dental compositions which exhibit a rapid cure time but which exhibit good workability prior to curing. Yet another object is to provide photo curable dental restoratives which are curable without use of ultraviolet radiation. A still further object is to provide dental compositions which are affective with lesser amounts of photoinitiators. Still other objects will become apparent from the following description of the invention. Description of the Prior Art. It is to be understood that the term "bisphenol A" is commonly used in the art to indicate the chemical compound, 2,2-bis(4-hydroxyphenyl) propane. It is also to be understood that the term "bis-GMB" is commonly used to indicate the chemical compound 2,2-bis 4-(2-hydroxy-3-metha- cryloxypropoxy) phenylz propane, otherwise referred to as "diglycidyl methacrylate of bisphenol At?. U.S. Patent No. 3,825,518 to Foster et al teaches dental filling materials which comprise a mixture of inorganic filler and the reaction product of an organic diisocyanate with a hydroxyalkyl acrylate or methacrylate to give a filled urethane diacrylate. A peroxide catalyst and a polymerization activator are employed. U.S. Patent No. 3,254,411 to Shelley teaches the use of a polyurethane liner to form a coating in the area of tooth to be filled. This liner acts as a sealant to prevent seepage of food particles and bacteria behind the filling that is to be placed in the tooth. U.S. Patent No. 3,488,269 to Allen et al teaches the use of visible light induced dye-redox initiated polymerization of vinyl monomers such as methacrylates. The improved iniators used here are characterized as having labile hydrogen. U.S. Patent No. 3,864,133 to Disamatsu et al discloses photopolymerizable compositions which comprise a compound containing an ethylenically unsaturated double bond and urethane linkage and containing a secondary amino radical, a tertiary amino radical or a urea linkage. These materials are harden able in the optional presence of air without the addition of wax. The materials formed are used in coating applications such as in wood sealers. U.S. Patent No. 3,759,809 to Carlick et al describes radiation curable compositions that have at least one isocyanate-modified polyfunctional ester with a hydroxyl value of about 15 to 70 used in conjunction with a photoinitiator. Reduced toxicity of these compounds is also noted. The primary use of these compounds is in lithographic inks. U.S. Patent No. 3,954,584 to Miyata et al teaches that certain photopolymerizable vinylurethane monomers are useful in the preparation of printing plates and reliefs. Actinic light having wavelengths of from 2000 to 5000 angstroms may be used depending on the species of the photosensitizers used. Photopolymerizable vinylurethane monomers are used in conjunction with a photo copolymerizable ethylenically unsaturated liquid monomer, and a photosensitizer, with the vinylurethane monomer. U.S. Patent No. 4,065,587 to Ting utilizes W curable poly(ether-urethane) polyacrylates for the formation of wet-look polymers. U.S. Patent 3,968,181 to Uzelmeier teaches modified photocurable acrylate resins including bis-GA. A UV sensitizer such as a benzoin ether may be employed. These materials are useful as coatings and adhesives. U.S. Patent 4,153,776 to Friedlander et al discloses amide-modified urethane acrylate radiation curable compounds which are useful in film applications. U.S. Patent 4,071,424 to Dart et al teaches a photopolymerizable composition comprising at least one ethylenically unsaturated material and a photo sensitive catalyst. Preferred photosensitizing systems employ alpha diketones with an amine reducing agent capable of being excited by radiation in the visible as well as in the tV region or both. U.S. Patent 4,089,762 to Frodsham teaches the use of a photopolymerizable composition comprising a polymerizable ethylenically unsaturated material, a photo sensitizer of the structure which is preferably a diketone and a N-alkyl or Ncycloalkyl morpholine. U.S.- Patent 4,089,763 to Dart petal teaches a method of repairing teeth using a composition which is curable by irradiation with visible light. These compositions include isocyanate modified bisphenol A derivatives in conjunction with a visible light sensitizing system. U.S. Patent 3,709,866 to Waller, assigned to the assignee of this invention, discloses the hexamethylene diisocyanate adduct of bis-GMA in a UV photocurable system. Benzoin methyl ether is employed as a UV activator. This disclosure is in part reflected in the commercial products MWA-FI, NUVA-FIL P.A., NUVA-SEAL, NUVA-SEAL P.a. which are registered trademarks for products of the L.D.Caulk Co. Summary of the Invention It has been discovered that visible light polymerizable dental restorative compositions may be formulated having good physical characteristics together with improved colour stability. Such dental compositions may comprise unitary or onecomponent blends of binder resins, diluent monomers, fillers and photo activating or photosensitizing systems which are sensitive to visible light. Such compositions may optionally be modified through the addition of restorative modificants such as pigments, stabilizers, opacifiers, etc. These materials are freely workable under ambient conditions until they are exposed to visible light. At such time a rapid cure is effected to yield strong, durable, polishable dental restoratives with improved colour stability. Detailed Description of the Invention The compositions of this invention comprise visible light polymerizable blends comprising binder resins, diluent monomers, fillers, and a visible light photosensitizing system. Such blends may, optionally include pigments, opacifiers, handling agents and other modificants as will be appreciated by those skilled in the art. Binder resins suitable for use in the practice of one or more of the embodiments of this invention include a wide variety of ethylenically unsaturated polymerizable compositions. Preferably, such resins are selected from the class of acrylated polyesters. Thus, the bis-glycidylmethacrylate adduct of bisphenol A (bis-GMA) and its acrylic counterparts are preferred. Alternatively, the adducts of 2,2,3-trimethylhexane diisocyanate with hydroxyethyl methacrylate, hydroxypropyl methacrylate and other hydroxyalkyl acrylic species are also preferred. Those skilled in the art will appreciate that other acrylated polyesters may also be suitable. Such acrylated polyesters may also be reacted with isocyanates to form urethanes useful as binder resins. Thus, bis-GMA may be reacted with a diisocyanate (or other isocyanate) such as hexamethylene diisocyanate, phenylene diisocyanate or a wide variety of other aliphatic and aromatic diisocyanates to provide useful binder resins. The adducts of bis-GMA with hexamethylene diisocyanate has been found to be the best binder resin presently known for use in this invention. The diluent monomer is added to the compositions of this invention in amounts sufficient to result in polymerizable formulations usually having viscosities between about 5,000 and about 70,000 centipoises, and preferablypetween about 40,000 and about 60,000 centipoises. Other viscosities may be employed for certain embodiments, however, Such viscosity control will be understood by those skived in the art to result in moldable, workable, thixotropic materials suitable for a wide range of dental restorative uses. Diluent monomers may be any of a wide range of polymerizable monomers capable of sustaining a photo-chemically initiated polymerization. More preferably, such diluents may be the di-, tri- and higher acrylic species such as ethylene glycol dimethacrylate, diethylene glycol dimethacrylate, triethylene glycol dimethacrylate, etc., trimethylol propane trimethacrylate, analogous acrylates, and similar species. While the components of the polymerized blend may be added in any order, it has been found useful and convenient to mix the binder resin and diluent together, to add the photosensitizing system components, and then to blend in the filler together with pigments and other-modifying agents. In practice, the binder resin and d ent-are mixed together in a proportion such-that the final polymerisable composition will have-the desired viscosity. While the relative amounts of binder resin and diluent will vary depending upon their identity and the type, size and amount of filler to be used, ratios of binder resin to diluent of from tout 12:1 to about 1:2 and more preferably, of from about 6:1 to about'l:l are generally employed. The photosensitizing system employed in the formulation of dental materials according to the practice of this invention comprises two components, an alpha diketone photosensitive species (also known as an alpha, beta diketone) and an amine reducing agent. While any alpha diketone which is capable of initiating polymerization in the polymerizable systems of this invention may be employed, camphoroquinone, b enzil, biadetyl, 9,10-phenanthrene-quinone, and naphthoquinone have been found to be preferred. Most preferred is camphoroquinone. The alpha diketone is combined with an amine reducing agent; the two taken together form the visible light sensitizing system useful for the practice of this invention. Numerous amines have been found tobe useful as reducing agents for the alpha diketones used herein. Thus, amines such as tributylamine, tripropylamine are useful. Still more useful are substituted amines such as N-alkyl dialkanolamines and trialkanolamine, N-methyl diethanolamine is most preferred. Those skilled in the art will appreciate that numerous other alpha diketones and amine reducing agents may be employed without deviating from the spirit of this invention. The improved colour stability of the dental restoratives according to this invention is believed to be at least in pars'a result of the careful control of the amounts of alpha diketone sensitizers employed therein. Accordingly, the amount of alpha diketones photosensitizer is controlled to comprise from about 0.05% to about 0.50% by weight based upon the total weight of the binder resin, diluent monomer and photosensitizing system. It is even more preferred to employ from about 0.10% to about 0.3/0 of alpha diketone. The amount of amine reducing agent is less critical. It is useful to employ from about 0.2% to about 1.0% of amine with from about 0.3% to about 0.6% being preferred based on the total weight of binder, diluent and photosensitizing system. For the formulation of-the visible light polymerizable compositions of this invention, the binder resin, diluent and visible light photosensitizing system are blended together with fillers and, optionally but preferably, pigments and modificants. Those skilled in the art will appreciate that the amount of filler loading which may be accomplished with a given resinous system will depend upon several variables including the identity of the resins and fillers and the particle sizes of the fillers. It must be appreciated that, for a given resin formulation, judicious choice of filler type and filler particle size must be made. The filler used must be such that the transmittance of visible light by the restorative compositions is sufficient for polymerization to take place. Those skilled in the art will be able to select fillers and to determine filler particle sizes based upon this requirement. Among those fillers which are especially suited for use in the practice of this invention are inorganic glasses. Preferred among these are barium aluminium silicate, lithium aluminium silicate, strontium, lanthanum, tantalum, etc. glasses, and related materials. Silica, especially in submicron sizes, quartz, and other fillers may also be employed in some formulations. Such fillers are preferably silanated prior to use in the restoratives of this invention. Silanation is well known to those skilled in the art and any silanating compound known to them may be used for this purpose. Fillers are selected having particle sizes which are, in general, less than about 50 microns. It is known that smaller sized filler particles result in highly polisEble dental materials, but that the concomitant increase in surface area diminishes the overall filler loading possible with a given resin. Such lower loadings may be manifested by lesser degrees of strength, hardness, and durability in the resulting polymerized structures. It is possible to employ submicron sized fillers in some cases, however, The ratio of resin to filler employed for the practice of this invention must take account of the filler size as suggested above. In general, weight ratios of from about 10:90 to about 50:50 may be used? with from about 15:85 to about 30:70 being preferred. Pigments, opacifiers, brightening agents, handling agents and other modificants may be included in the compositions of this invention without departing from its spirit, The methods of use of the visible light curable compositions of this invention follow, to an extent, those currently practiced by those skilled in the art. Thus, the surface to be repaired is cleansed of dacayed material and acid etched to promote bonding. At this point, a bonding agent may be employed by coating it upon the surface to be repaired. A material according to this invention is then molded into place in the conventional fashion. At this point, visible light is directed onto the restorative material by any suitable source. One such source is described in the application of Gonser "Visible Light Apparatus for Curing Photo-Curable Compositions", assigned to the Assignee of this invention and accorded Serial No. 182,643, filed 29th August, 1980. This exposure may take place directly or through one or more surfaces of tooth material due to the significant transmittance of tooth material to visible light. Following exposure, the restorative material undergoes polymerization. During this process, and afterward, the materials of this invention exhibit colour stability in accordance with A.D.A. Specification 27. The following non-limiting examples further illustrate certain preferred embodiments of this invention. Example 1 VISIBLE LIGHT CURABLE COMPOSITION A resinous blend was formed from 13.57 g of the hexamethylene diisocyanate adduct of bis-GMA, 6.79 g of triethylene glycol dimethacrylate, 0,03 g of camphoroquinone and 0.1 g of N-methyl diethanolamine. To this resinous component blend were added fillers and pigments comprising 78.02 g Raysorb T3000, a radiopaque silanated barium glass filler offered by the Kimble Company, 0.6 g of silanated alumina, 0.002 g yellow iron oxide, 0.005 g red iron oxide, 0.134 g of a dispersion of carbon black or barium glass and 0.75 g of Tullanox 300 which is asubmicron silica available from the Tulco Co. The resulting filled blend is useful as a composite or restorative and is curable by exposure to visible light. This dental composition is suitable for a wide range of dental restorative uses and passes A.D.A. Specification Number 27 for colour stability. Example 2 POLYMERIZED DENTAL RESTORATIVE The composition of Example 1 was exposed to visible radiation having wavelengths generally between about 4000 Angstroms and about 5000 2 Angstroms at an intensity of about 450 mw/cm2. Exposure times of about 10 seconds resulted in depths of cure of about 2.5 mm. Longer exposures effected deeper and more complete cures. Exposures of about 30 seconds are sufficient for most restorative uses and exposure either through the composite or through tooth material is effective in consummating polymerization. Teeth may be cleaned, etched and filled in the conventional way with the composition of Example 1. Irradiation of such preparations in various restorative configurations yields well formed, colour stable, strong, and durable restored structures.

Claims: CLAIMS 1. A dental restorative composition curable by irradiation with visible light comprising a major proportion of an inorganic filler, and a minor proportion of a resin component comprising a binder resin, a diluent monomer, and a photosensitizing system comprising an alpha diketone, and an amine reducing agent, said photosensitizing system being present in an amount sufficient to cause substantial polymerization of said composition upon irradiation with visible light, said composition being capable of passing American Dental Association Specification Number 27 for colour stability. 2. The composition of Claim 1 wherein said binder resin is selected from the group consisting of acrylated polyesters, acrylated polyesters reacted with isocyanates, and hydroxyalkyl acrylic species reacted with isocyanates, said alpha diketone is selected from the group consisting of camphoroquinone, benzil, biacetyl, 9,10-phenanthrenequinone, and naphthoquinone, said amine is either N-alkyl dialkanolamine or trialkanolamine, and said fillers are selected from the group consisting of inorganic glasses and silica. 3. The composition of Claims 1 or 2 wherein said alpha diketone is present in an amount of from about 0.5% to about 0.30% based upon the total weight of said binder resin, diluent and photo sensitizing system. 4. A process of restoring teeth comprising applying to a prepared tooth a dental restorative composition curable by irradiation with visible light comprising a major proportion of an inorganic filler, and a minor proportion of a resin component comprising a binder resin, a diluent monomer, and a photosensitizing system comprising an alpha diketone, and an amine reducing agent, said photosensitizing system being present in an amount sufficient to cause substantial polymerization of said composition upon irradiation with visible light, said composition being capable of passing American Dental Association Specification Number 27 for colour stability, and exposing said composition to visible light to effect substantial polymeriza tion thereof. 5. The process of Claim 4 wherein said binder resin is selected from the group consisting of acrylated polyesters, acrylated polyesters reacted with isocyanates, and hydroxyalkyl acrylic species reacted with isocyanates, said alpha diketone is selected from the group consisting of camphorquinone, benzil, biacetyl, 9, 10-phenanthrene quinone, and naphthoquinone, said amine is either N-alkyl dialkanolamine or trialkanolamine, and said fillers are selected from the group consisting of inorganic glasses and silica. 6. The process of Claims 4 ot 5 wherein said alpha dike tone is present in an amount of from about 0.05% to about 0.30% based upon the total weight of said binder resin, diluent, and photosensitizing system. 7. The process of Claims 4 or 5 wherein said light is composed predominately of wavelengths between about 4000 angstroms and about 5000 angstroms.

Inventors: KOBLITZ, FRANCIS F., SMITH, ROY L.
Applicants: DENTSPLY INTERNATIONAL INC.
Application year: 1981
Main classification: A61K6
IPC codes: A61K6