ANTI-CARIES ORAL CARE COMPOSITIONS

Abstract: The present invention relates to oral care compositions, including tooth pastes (including gels and gels for subgingival application), mouth rinses, mouth sprays, chewing gums, and lozenges as more fully described hereinafter. These compositions comprise: (a) a safe and effective amount of a non-cariogenic carbohydrate; and (b) a polyalcohol; wherein said polyalcohol is used in a level sufficient to promote greater uptake of said non-cariogenic carbohydrate by plaque, thereby resulting in creating an environment that does not favor development of caries. This invention further relates to a method for preventing and treating conditions in the mouth that favor formation of caries by the use of compositions as disclosed above.

Description: ANTI-CARIES ORAL CARE COMPOSITIONS TECHNICAL FIELD The present invention relates to oral care compositions, including therapeutic rinses, tooth pastes and gels comprising a combination of a non-cariogenic carbohydrate and a polyalcohol This invention further relates to a method for treating or preventing conditions m the mouth that favor formation of tooth caries BACKGROUND ART Dental caries is a progressive condition in which loss of hydroxyapatite mineral reduces the structural integrity of the teeth Current understanding of dental canes suggests a bacterial etiology which is interdependent upon dietary factors, host defense mechanisms and time When each of these components are present, dental caries occur In part, the ability to control dental caries depends upon the effectiveness of oral hygiene treatments including dentifrice and mouth rmse It is widely acknowledged that caries prevention is dependent upon the compatibility of the components comprising the oral hygiene products For example, n is well established that caries are reduced by the addition of fluoride (e g sodium fluoride, stannous fluoride, etc ) to a highly compatible dentifrice system It is also acknowledged that dietary habits, in particular, consumption of carbohydrates such as sucrose can have profound impact on the incidence of dental caries Production of acids resulting from plaque's carbohydrate consumption contributes to caries lesion formation The addition of sweeteners such as sorbitol and, or xy tol to gums, candies and foods have been found to help reduce the incidence of dental canes via significant increases in plaque pH and measurable decreases in plaque S mutans levels, see U S Patent 5,804,165, Arnold, issued July 24, 1996, herein incorporated by reference The combination of a non-caπogemc sweetener and a suitable fluoride system could provide a potentially powerful approach to controlling dental canes While caries control has been observed m studies evaluating the benefits of long-term consumption of non- carogemc carbohydrates, bacterial effects have not been consistently shown for all xyhtol containing dentifrices Some polyalcohols such as glycerol or propylene glycol have been shown to increase antimicrobial activity of hydrophobic preservative compounds such as methyl and propyl p-hydroxybenzoate (parabens) U S Patent 5,800,803, Mirajkar et al , issued February 10, 1997, assigned to Colgate, discloses increased uptake of anti-microbials such as tπclosan m formulations containing propylene glycol It is believed that these polyalcohols increase activity via perterbation of the cellular membranes The degree of membrane perterbation may be related to the hydrophobicity of the polyalcohol Low molecular weight glycols such as propylene or butylene glycol have also been used as preservatives in both foods and pharmaceutical products The preservative properties are thought to be manifested through the reduction of water activity Polyalcohols have also been used as humectants in oral products including dentifrice SUMMARY OF THE INVENTION The present -invention relates to oral care compositions, including tooth pastes (including gels and gels for subgmgival application), mouth rinses, mouth sprays, chewing gums, and lozenges as more fully described hereinafter These compositions comprise (a) a safe and effective amount of a non-cariogenic carbohydrate, and (b) a polyalcohol, wherein said polyalcohol is used in a level sufficient to promote greater uptake of said non-cariogenic carbohydrate by plaque, thereby resulting in creating an environment that does not favor development of caries This mvention further relates to a method for preventing and treating conditions m the mouth that favor formation of caries by the use of compositions as disclosed above DETAILED DESCRIPTION OF THE INVENTION The present invention relates to compositions and methods of treating or preventmg the formation of caries The methods of treating and preventing caries includes applying compositions compπsmg a non- caπogenic carbohydrate and a polyalcohol wherein when used in the oral cavity promotes uptake of the non-caπogemc carbohydrate by plaque Production of acids resulting from plaque's carbohydrate consumption contributes to canes lesion formation Significant mcreases m plaque pH and measurable decreases m plaque S mutans levels have been observed in studies evaluating the benefits of long-term consumption of non-cariogenic carbohydrates such as xyhtol containing foods or gums However, such pH and bacterial effects have not been consistently shown for all non-cariogemc carbohydrate containing dentifrices perhaps as the result of relatively short brushing periods, insufficient non-caπogenic carbohydrate dose and/or inadequate non- cariogemc carbohydrate delivery Although the amount of non-cariogenic carbohydrate present in dentifrice could be established analytically, such analysis would not demonstrate that plaque bacteria could uptake the non-cariogemc carbohydrate The present invention encompasses a dentifrice composition which when applied to the teeth contams a non-cariogenic carbohydrate and a polyalcohol that enhances uptake of the non-cariogemc carbohydrates such that acid produced through plaque metabolism of sugars is temporarily disrupted When used as part of a regular oral hygiene program, this composition could result m fewer carious lesions on the teeth This result means that non-cariogenic carbohydrates can be more efficiently delivered to plaque bacteria resulting in higher cellular concentrations during relatively short brushing times compared to formulations which do not contain this combination The higher cellular concentrations of non- caπogenic carbohydrate in plaque bacteria means a longer periods of metabolic disruption Cumulatively longer periods of metabolic disruption could lead to fewer carious lesions A Non-Cartogenic Carbohydrates As discussed above, compositions of the present invention comprise non-cariogenic carbohydrates that can disrupt caries formation Said non-cariogenic carbohydrates are used in the composition of the present invention from about 1% to about 65%, preferably about 2 5% to about 20% and most preferably about 5% to about 10% by weight of the composition Non-caπogemc carbohydrates are known m the art See the following articles, all herein incorporated by reference Carlsson, J Potentials of the Oral Microflora to Utilize Sugar Substitutes as Energy Source, In, Proc ERGOB Conference, Geneva, Karger, Basil, (1978) pp 205-210, Makmen, K K Latest Dental Studies on Xyhtol and Mechanism of Action of Xyhtol in Caries Limitation. Progress in Sweeteners, Elsevier Science Publishers, Ltd , London, (1989) pp 331-362 , Makmen, K K and P Isokangas, Relationship Between Carbohydrate Sweeteners and Oral Diseases. Progress m Food and Nutrition Science 12 73-109, (1988), Trahan, L , Xyhtol a review of its action on mutans streptococci and dental plaque - its clinical significance. International Dental Journal 45 77-92, (1995), Birkhed, D et al , Microbiological Aspects of Some Caloric Sugar Substitutes, International Dental Journal, 35 9-17 (1985), Kawanabe J et al, Noncariogenicity of Erythritol as a Substrate, Caries Research, 26 358-362, (1992), Park, K K et al , Acidogenicity of High-intensity Sweeteners and Polyols. American Journal of Dentistry, 8.23- 26, (1995), Lrnke, H Sweeteners and Dental Health the Influence of Sugar Substitutes on Oral Microorganisms, Developments m Sweeteners, Elsevier Applied Science, (1987) The non-cariogenic carbohydrates are sugars selected from the group of monosacchaπdes and disacchaπdes corresponding to the following empirical formula CχHγOz wherem when a monosacchaπdes, x is from about 4 to about 6, y is from about 10 to about 14 and z is from about 4 to about 6 When a disacchaπdes, x is about 12, y is about 22 and z is about 11 The preferred sugars corresponding to the structure above are selected from the group consistmg of erythritol, xyhtol, arabitol, πbitol, xylose, mehbiose, pahtinose and mixtures thereof Most preferred is xyhtol Xyhtol is the pentahydπc alcohol corresponding to the empirical formula C 5 H 12 θ 5 and is a white crystalline powder having the molecular weight of about 152 15 and a meltmg point from about 61 °C to about 61 5°C Xyhtol' s solubility in water is about 64 2 g/lOOg and has a relative sweetness comparable to sucrose Xyhtol is available from a number of suppliers including Roquette of Lestrem, France as Xyhsorb 700™, Cultor Food Science of Thomson, Illinois as Xyhtol C™, and Towa Chemical Industry, a division of Mitsubishi International, Fuji, Japan B Polyalcohols The present invention additionally comprises a polyhydπc alcohol or polyalcohols Polyalcohols are used in the composition of the present invention from about 0 1% to about 50%, preferably about 1% to about 25% and most preferably about 5% to 10% by weight of the composition Preferred polyalcohols used in the present invention are selected from the group consistmg of glycerin, sorbitol, polysorbates, xyhtol, butylene glycols, polyethylene glycols, propylene glycol, triethanolamine, hexylene glycol and mixtures thereof The most preferred are polyalcohols selected from the group consisting of propylene glycol, butylene glycol, polyethylene glycol and mixtures thereof Most preferred is propylene glycol Propylene glycol is the aliphatic alcohol that corresponds to the empirical formula C 3 H 8 0 2 Propylene glycol is a clear, colorless liquid, substantially free of visible foreign material Said matenal is practically odorless and is used in a number of cosmetic and food products Suppliers mcludmg Dow of Plaquemine, LA , Huntsman Chemical, Port Neches, TX , Eastman Chemicals, South Charleston, WV , Olm Chemical, Brandenburg, KY , and Aero Chemicals, Bayport, TX C Pharmaceutically- Acceptable Excipients The present invention may take on the form of a oral care/health care products known in the art For example in one embodiment of the present invention, the non-cariogemc carbohydrate and polyol are contamed together m the dentifrice The dentifrice is used m the normal manner on the teeth An alternative embodiment is where the non-cariogemc carbohydrate and polyol are contained in two separate phases of the dentifrice package These phases would remain separate until combmed just prior to applying to the teeth with an -implement such as a tooth brush Another embodiment comprises a solution of polyol that is separate from the dentifrice containing the non-cariogemc carbohydrate After dispensing the dentifrice onto the brush, the polyol is dispensed onto the dentifrice and then mixed through the process of application to the teeth As a consequence of the present invention's adaptability to forms and packagmg, a number of pharmaceutically acceptable excipients may be used m addition to the non-cariogemc carbohydrate and polyol Many of these excipients are those routmely known for use in the art A fairly broad, but, non- complete list of these excipients is disclosed m US Patent 5,281,412, Lukacovic et al , issued January 25, 1994, assigned to P&G, herein incorporated by reference By "pharmaceutically-acceptable excipient" or "pharmaceutically-acceptable oral earner," as used herem, it is meant one or more compatible solid or liquid filler diluents or encapsulatmg substances which are suitable for topical, oral administration By "compatible," as used herem, it is meant that the components of the composition are capable of being comingled without interaction in a manner which would substantially reduce the composition's stability and/or efficacy for treating or preventing canes accordmg to the compositions and methods of the present invention The earners or excipients of the present invention can include the usual and conventional components of tooth pastes (mcludmg gels and gels for subgmgival application), mouth rinses, mouth sprays, chewing gums, and lozenges (mcludmg breath mints) as more fully described hereinafter The compositions of the present mvention can be dual phase compositions or smgle phase compositions Normally, each phase in these two phase compositions is m a separate container or in a smgle container with two chambers Prior to use of dual phase composition by the consumer, the two phases are combmed by co-extrusion of the two separate phases, preferably at a 1 1 volume to volume ratio, and the composition is preferably used immediately after preparation, I e withm about 5 minutes The two phases, however, can be combmed from about 1 minute to about 1 hour before use, or during the use of the composition Dual phase contamers are disclosed in US Pat Nos 5,052,590, Ratchff, issued Oct 1, 1991 and 4,330,531, Alhger, issued May 18, 1982 The choice of a carrier to be used is basically determined by the way the composition is to be introduced mto the oral cavity If a tooth paste (mcludmg tooth gels, etc.) is to be used, then a "tooth paste carrier" is chosen as disclosed m, e.g., U.S. Pat. No 3,988,433, to Benedict, the disclosure of which is mcorporated herein by reference (e.g , abrasive materials, sudsmg agents, bmders, humectants, flavormg and sweetening agents, etc ). If a mouth rinse is to be used, then a "mouth rinse carrier" is chosen, as disclosed m, e.g., U.S. Pat. No. 3,988,433 to Benedict (e.g., water, flavormg and sweetening agents, etc.). Similarly, if a mouth spray is to be used, then a "mouth spray carrier" is chosen or if a lozenge is to be used, then a "lozenge carrier" is chosen (e.g., a candy base), candy bases being disclosed in, e.g., U.S. Pat. No. 4,083,955, to Grabenstetter et al., which is mcorporated herem by reference; if a chewing gum is to be used, then a "chewing gum carrier" is chosen, as disclosed m, e g., U.S. Pat No. 4,083,955, to Grabenstetter et al , which is mcorporated herem by reference (e g., gum base, flavormg and sweetening agents) If a sachet is to be used, then a "sachet carrier" is chosen (e.g., sachet bag, flavormg and sweetemng agents). If a subgmgival gel is to be used (for delivery of actives into the peπodontal pockets or around the peπodontal pockets), then a "subgmgival gel carrier" is chosen as disclosed m, e.g. U.S. Pat Nos. 5,198,220, Damani, issued March 30, 1993, P&G, 5,242,910, Damam, issued Sept 7, 1993, P&G, all of which are incorporated herein by reference Carriers suitable for the preparation of compositions of the present invention are well known m the art. Their selection will depend on secondary considerations like taste, cost, and shelf stability, etc. Preferred compositions of the subject mvention are in the form of dentifrices, such as tooth astes, tooth gels and tooth powders. Components of such tooth paste and tooth gels generally mclude one or more of the following : a dental abrasive (from about 10% to about 50%), a surfactant (from about 0.5% to about 10%), a thickening agent (from about 0.1% to about 5%), a humectant (from about 10% to about 55%), a flavonng agent (from about 0.04% to about 2%), a sweetemng agent (from about 0.1% to about 3%), a colormg agent (from about 0.01% to about 0.5%) and water (from about 2% to about 45%) Such tooth paste or tooth gel may also mclude one or more of the following, an anticaπes agent (from about 0.05% to about 0.3% as fluonde ion), and an anti-calculus agent (from about 0.1% to about 13%). Tooth powders, of course, contain substantially all non-liquid components. Other preferred compositions of the present invention are non-abrasive gels, mcludmg subgmgival gels, which generally mclude a thickening agent (from about 0.1% to about 20%), a humectant (from about 0.1% to about 90%), a flavormg agent (from about 0.04% to about 2%), a sweetemng agent (from about 0 1% to about 3%), a colormg agent (from about 0 01% to about 0.5%), water (from about 2% to about 45%), and may comprise an anticaπes agent (from about 0.05% to about 0 3% as fluoride ion), and an anti- calculus agent (from about 0.1% to about 13%) Other preferred compositions of the subject mvention are mouth washes, mcludmg mouth sprays Components of such mouth washes and mouth sprays typically include one or more of the following: water (from about 45% to about 95%), ethanol (from about 0% to about 25%), a humectant (from about 0% to about 50%), a surfactant (from about 0 01% to about 7%), a flavonng agent (from about 0 04% to about 2%), a sweetemng agent (from about 0.1% to about 3%), and a colormg agent (from about 0.001% to about 0.5%>) Such mouthwashes and mouth sprays may also mclude one or more of the following: an anticaπes agent (from about 0.05% to about 0.3% as fluonde ion), and an anti-calculus agent (from about 0.1% to about 3%). Other preferred compositions of the subject mvention are dental solutions. Components of such dental solutions generally mclude one or more of the folio wing: water (from about 90% to about 99%), preservative (from about 0.01% to about 0.5%), thickenmg agent (from 0% to about 5%), flavonng agent (from about 0.04% to about 2%), sweetemng agent (from about 0.1% to about 3%), and surfactant (from 0% to about 5%) Chewing gum compositions typically include one or more of the following- a gum base (from about 50% to about 99%), a flavoring agent (from about 0.4% to about 2%) and a sweetemng agent (from about 0.01% to about 20%). The term "lozenge" as used herem mcludes. breath mints, troches, pastilles, microcapsules, and fast-dissolving solid forms mcludmg freeze dried forms (cakes, wafers, thin films, tablets) and fast- dissolving solid forms mcludmg compressed tablets. The term "fast-dissolvmg solid form" as used herem means that the solid dosage form dissolves in less than about 60 seconds, preferably less than about 15 seconds, more preferably less than about 5 seconds, after placmg the solid dosage form m the oral cavity. Fast-dissolving solid forms are disclosed m U.S. Patent 4,642,903; U.S. Patent 4,946,684; U.S. Patent 4,305,502; U.S. Patent 4,371,516; U.S. Patent 5,188,825; U.S. Patent 5,215,756; U.S. Patent 5,298,261; U.S. Patent 3,882, 228; U.S. Patent 4,687,662; U.S. Patent 4,642,903. All of these patents are mcorporated herem by reference in their entirety. Lozenges mclude discoid-shaped solids comprising a therapeutic agent in a flavored base. The base may be a hard sugar candy, glyceπnated gelatm or combination of sugar with sufficient mucilage to give it form These dosage forms are generally described m Remmgton: The Science and Practice of Pharmacy, 19 th Ed., Vol. II, Chapter 92, 1995. Lozenge compositions (compressed tablet type) typically mclude one or more fillers (compressible sugar), flavonng agents, and lubricants. Microcapsules of the type contemplated herem are disclosed m U.S. Pat. No. 5,370,864, Peterson et al., issued Dec. 6, 1994, which is herem incorporated by reference in its entirety. Types of carriers or oral care excipients which may be included m compositions of the present mvention, along with specific non-limiting examples, are: 1. Abrasives Dental abrasives useful in the topical, oral carriers of the compositions of the subject invention include many different materials. The matenal selected must be one which is compatible withm the composition of mterest and does not excessively abrade dentm. Suitable abrasives mclude, for example, silicas mcludmg gels and precipitates, insoluble sodium polymetaphosphate, hydrated alumina, calcium carbonate, dicalcium orthophosphate dihydrate, calcium pyrophosphate, tricalcium phosphate, calcium polymetaphosphate, and resinous abrasive materials such as particulate condensation products of urea and formaldehyde Another class of abrasives for use m the present compositions is the particulate thermo-setting polymerized resms as descπbed m U S Pat No 3,070,510 issued to Cooley & Grabenstetter on Dec 25, 1962 Suitable resms include, for example, melamines, phenohcs, ureas, melamine-ureas, melamine- formaldehydes, urea-formaldehyde, melaimne-urea-formaldehydes, cross-linked epoxides, and cross-linked polyesters Mixtures of abrasives may also be used Silica dental abrasives of various types are preferred because of their unique benefits of exceptional dental cleaning and polishmg performance without unduly abrading tooth enamel or dentme The silica abrasive polishmg materials herem, as well as other abrasives, generally have an average particle size rangmg between about 0 1 to about 30 microns, and preferably from about 5 to about 15 microns The abrasive can be precipitated silica or silica gels such as the silica xerogels descnbed m Pader et al , U S Patent 3,538,230, issued Mar 2, 1970, and DiGiulio, U S Patent 3,862,307, issued Jan 21, 1975, both mcorporated herem by reference Preferred are the silica xerogels marketed under the trade name "Syloid" by the W R Grace & Company, Davison Chemical Division Also preferred are the precipitated silica materials such as those marketed by the J M Huber Corporation under the trade name, Zeodent®, particularly the silica carrying the designation Zeodent 119® The types of silica dental abrasives useful m the tooth pastes of the present mvention are described m more detail in Wason, U S Patent 4,340,583, issued July 29, 1982 The abrasive m the tooth paste compositions described herem is generally present at a level of from about 6% to about 70% by weight of the composition Preferably, tooth pastes contam from about 10% to about 50% of abrasive, by weight of the composition A particularly preferred precipitated silica is the silica disclosed in US Pat Nos 5,603,920, issued on Feb 18, 1997, 5,589,160, issued Dec 31, 1996, 5,658,553, issued Aug 19, 1997, 5,651,958, issued July 29, 1997, all of which are assigned to the Procter & Gamble Co All of these patents are mcorporated herem by reference m their entirety Mixtures of abrasives can be used All of the above patents regarding dental abrasives are incorporated herem by reference The total amount of abrasive m dentifrice compositions of the subject mvention preferably range from about 6%> to about 70% by weight, tooth pastes preferably contam from about 10% to about 50% of abrasives, by weight of the composition Solution, mouth spray, mouthwash and non-abrasive gel compositions of the subject invention typically contain no abrasive 2 Sudsing Agents (Surfactants) Suitable sudsing agents are those which are reasonably stable and form foam throughout a wide pH range Sudsmg agents mclude noniomc, anionic, amphotenc, catiomc, zwittenomc, synthetic detergents, and mixtures thereof Many suitable nomomc and amphotenc surfactants are disclosed by U S Pat Nos 3,988,433 to Benedict, U S Patent 4,051,234, issued September 27, 1977, and many suitable nomomc surfactants are disclosed by Agπcola et al , U S Patent 3,959,458, issued May 25, 1976, both incorporated herem in their entirety by reference a ) Nomomc and amphotenc surfactants Nomomc surfactants which can be used in the compositions of the present invention can be broadly defined as compounds produced by the condensation of alkylene oxide groups (hydrophilic m nature) with an organic hydrophobic compound which may be aliphatic or alkyl-aromatic in nature Examples of suitable nomomc surfactants mclude poloxamers (sold under trade name Pluronic), polyoxyethylene sorbitan esters (sold under trade name "Tween"), fatty alcohol ethoxylates, polyethylene oxide condensates of alkyl phenols, products denved from the condensation of ethylene oxide with the reaction product of propylene oxide and ethylene diamine, ethylene oxide condensates of aliphatic alcohols, long chain tertiary amine oxides, long chain tertiary phosphme oxides, long cham dialkyl sulfoxides, and mixtures of such materials The amphotenc surfactants useful in the present mvention can be broadly described as derivatives of aliphatic secondary and tertiary amines m which the aliphatic radical can be a straight cham or branched and wherem one of the aliphatic substituents contams from about 8 to about 18 carbon atoms and one contains an amomc water-solubilizmg group, e g , carboxylate, sulfonate, sulfate, phosphate, or phosphonate Other suitable amphotenc surfactants are betames, specifically cocamidopropyl betame Mixtures of amphotenc surfactants can also be employed The present composition can typically comprise a nomomc, amphotenc, or combmation of nomomc and amphotenc surfactant each at a level of from about 0 025%> to about 5%, preferably from about 0 05% to about 4%, and most preferably from about 0 1% to about 3% b ) Amomc surfactants A omc surfactants useful herem include the water-soluble salts of alkyl sulfates havmg from 8 to 20 carbon atoms m the alkyl radical (e g , sodium alkyl sulfate) and the water-soluble salts of sulfonated monoglyceπdes of fatty acids having from 8 to 20 carbon atoms Sodium lauryl sulfate and sodium coconut monoglyceπde sulfonates are examples of amomc surfactants of this type Other suitable amomc surfactants are sarcosmates, such as sodium lauroyl sarcosmate, taurates, sodium lauryl sulfoacetate, sodium lauroyl isethionate, sodium laureth carboxylate, and sodium dodecyl benzenesulfonate Mixtures of amomc surfactants can also be employed The present composition typically comprises an amomc surfactant at a level of from about 0 025% to about 9%, preferably from about 0 05% to about 7%, and most preferably from about 0 1% to about 5% 3 Fluoride Ions The present invention may also incorporate free fluoride ions Preferred free fluonde ions can be provided by sodium fluonde, stannous fluonde, indium fluoride, and sodium monofluorophosphate Sodium fluoride is the most preferred free fluonde ion Norns et al , U S Patent 2,946,725, issued July 26, 1960, and Widder et al , U S Patent 3,678,154 issued July 18, 1972, disclose such salts as well as others These patents are incorporated herein by reference m their entirety The present composition may contain from about 50 ppm to about 3500 ppm, and preferably from about 500 ppm to about 3000 ppm of free fluoride ions 4 Thickenmg Agents In preparing tooth paste or gels, it is necessary to add some thickenmg material to provide a desirable consistency of the composition Preferred thickenmg agents are carboxyvinyl polymers, carrageenan, hydroxyethyl cellulose, lapomte and water soluble salts of cellulose ethers such as sodium carboxymethylcellulose and sodium carboxymethyl hydroxyethyl cellulose Natural gums such as gum karaya, xanthan gum, gum arable, and gum tragacanth can also be used Colloidal magnesium aluminum silicate or finely divided silica can be used as part of the thickening agent to further improve texture A preferred class of thickenmg or gelling agents mcludes a class of homopolymers of acrylic acid crosslinked with an alkyl ether of pentaerythπtol or an alkyl ether of sucrose, or carbomers Carbomers are commercially available from B F Goodrich as the Carbopol® series Particularly preferred carbopols mclude Carbopol 934, 940, 941, 956, and mixtures thereof Copolymers of lactide and glycohde monomers, the copolymer having the molecular weight in the range of from about 1,000 to about 120,000 (number average), are useful for delivery of actives into the penodontal pockets or around the peπodontal pockets as a "subgmgival gel carrier " These polymers are described m U S Pat Nos 5,198,220, Damam, issued March 30, 1993, P&G, 5,242,910, Damam, issued Sept 7, 1993, P&G, and 4,443,430, Mattel, issued April 17, 1984, all of which are incorporated herein by reference Thickening agents in an amount from about 0 1% to about 15%, preferably from about 2% to about 10%), more preferably from about 4% to about 8%, by weight of the total tooth paste or gel composition, can be used Higher concentrations can be used for chewing gums, lozenges (mcludmg breath mints), sachets, non-abrasive gels and subgmgival gels 5 Humectants As discussed above, the polyalcohols of the present invention may also act as a humectant Humectants serve to keep tooth paste compositions from hardening upon exposure to air, to give compositions a moist feel to the mouth, and, for particular humectants, to impart desirable sweetness of flavor to tooth paste compositions Suitable humectants include glycerin, sorbitol, butylene glycol, polyethylene glycol, and especially sorbitol and glycerin 6 Flavonng and Sweetemng Agents Flavormg agents can also be added to the compositions Suitable flavormg agents include oil of wrntergreen, oil of peppermint, oil of spearmint, clove bud oil, menthol, anethole, methyl sahcylate, eucalyptol, cassia, 1-menthyl acetate, sage, eugenol, parsley oil, oxanone, alpha-iπsone, marjoram, lemon, orange, propenyl guaethol, cinnamon, vanillin, thymol, hnalool, cinnamaldehyde glycerol acetal known as CGA, and mixtures thereof Flavoring agents are generally used in the compositions at levels of from about 0 001%o to about 5%, by weight of the composition As m the case of the humectants, sweetenmg agents that can be used in the present mvention may include the non-cariogenic carbohydrates disclosed above Sweeteners useful in compositions of the present invention include sucrose, glucose, saccharin, dextrose, levulose, lactose, manmtol, sorbitol, fructose, maltose, xyhtol, saccharin salts, thaumatm, aspartame, D-tryptophan, dihydrochalcones, acesulfame and cyclamate salts, especially sodium cyclamate and sodium sacchann, and mixtures thereof A composition preferably contams from about 0 1% to about 10% of these agents, preferably from about 0 1%) to about 1%, by weight of the composition In addition to flavonng and sweetemng agents, coolants, salivating agents, warming agents, and numbing agents can be used as optional ingredients m compositions of the present mvention These agents are present m the compositions at a level of from about 0 001% to about 10%, preferably from about 0 1% to about 1%), by weight of the composition The coolant can be any of a wide vanety of materials Included among such matenals are carboxamides, menthol, ketals, diols, and mixtures thereof Preferred coolants m the present compositions are the paramenthan carboxyarmde agents such as N-ethyl-p-menthan-3-carboxamιde, known commercially as "WS-3", N,2,3-tnmethyl-2-ιsopropylbutanamιde, known as "WS-23," and mixtures thereof Additional preferred coolants are selected from the group consistmg of menthol, 3-l-menthoxypropane-l,2-dιol known as TK-10 manufactured by Takasago, menthone glycerol acetal known as MGA manufactured by Haarmann and Reimer, and menthyl lactate known as Frescolat® manufactured by Haarmann and Reimer The terms menthol and menthyl as used herem mclude dextro- and levorotatory isomers of these compounds and racemic mixtures thereof TK-10 is described m U S Pat No 4,459,425, Amano et al , issued 7/10/84 WS-3 and other agents are described in U S Pat No 4,136,163, Watson, et al , issued Jan 23, 1979, the disclosure of both are herein mcorporated by reference m then- entirety Preferred salivating agents of the present invention include Jambu® manufactured by Takasago Prefened warming agents mclude capsicum and nicotinate esters, such as benzyl mcotmate Preferred numbing agents include benzocaine, hdocaine, clove bud oil, and ethanol 7 Anti-calculus Agent The present mvention also includes an anti-calculus agent, preferably a pyrophosphate ion source which is from a pyrophosphate salt The pyrophosphate salts useful m the present compositions mclude the dialkah metal pyrophosphate salts, tetraalkah metal pyrophosphate salts, and mixtures thereof Disodium dihydrogen pyrophosphate (Na2H2P2θ 7 ), tetrasodium pyrophosphate (Na4P2θ 7 ), and tetrapotassium pyrophosphate (K4P2O7) m their unhydrated as well as hydrated forms are the preferred species In compositions of the present mvention, the pyrophosphate salt may be present in one of three ways predominately dissolved, predominately undissolved, or a mixture of dissolved and undissolved pyrophosphate Compositions comprising predominately dissolved pyrophosphate refer to compositions where at least one pyrophosphate ion source is m an amount sufficient to provide at least about 1 0% free pyrophosphate ions The amount of free pyrophosphate ions may be from about 1% to about 15%, preferably from about 1 5% to about 10%, and most preferably from about 2% to about 6% Free pyrophosphate ions may be present m a variety of protonated states dependmg on a the pH of the composition Compositions comprising predominately undissolved pyrophosphate refer to compositions contaimng no more than about 20% of the total pyrophosphate salt dissolved in the composition, preferably less than about 10%> of the total pyrophosphate dissolved in the composition Tetrasodium pyrophosphate salt is the preferred pyrophosphate salt m these compositions. Tetrasodium pyrophosphate may be the anhydrous salt form or the decahydrate form, or any other species stable in solid form m the dentifrice compositions The salt is m its solid particle form, which may be its crystalline and/or amorphous state, with the particle size of the salt preferably bemg small enough to be aesthetically acceptable and readily soluble durmg use The amount of pyrophosphate salt useful m making these compositions is any tartar control effective amount, and is generally from about 1.5% to about 15%, preferably from about 2% to about 10%, and most preferably from about 3% to about 8%, by weight of the dentifrice composition Compositions may also comprise a mixture of dissolved and undissolved pyrophosphate salts Any of the above mentioned pyrophosphate salts may be used The pyrophosphate salts are described in more detail m Kirk & Oth-mer, Encyclopedia of Chemical Technology, Third Edition, Volume 17, Wiley-Interscience Publishers (1982), mcorporated herein by reference in its entirety, mcludmg all references mcorporated into Kirk & Othmer. Optional agents to be used in place of or in combmation with the pyrophosphate salt mclude such known matenals as synthetic amomc polymers, mcludmg polyacrylates and copolymers of maleic anhydride or acid and methyl vinyl ether (e.g., Gantrez), as described, for example, m U.S. Patent 4,627,977, to Gaffar et al., the disclosure of which is mcorporated herem by reference m its entirety; as well as, e.g , polyammo propoane sulfomc acid (AMPS), zmc citrate tnhydrate, polyphosphates (e g., tnpolyphosphate, hexametaphosphate), diphosphonates (e.g., EHDP, AHP), polypeptides (such as polyaspartic and polyglutamic acids), and mixtures thereof 9. Alkali Metal Bicarbonate Salt The present invention may also include an alkali metal bicarbonate salt Alkali metal bicarbonate salts are soluble m water and unless stabilized, tend to release carbon dioxide m an aqueous system Sodium bicarbonate, also known as baking soda, is the preferred alkali metal bicarbonate salt. The present composition may contam from about 0.5% to about 30%, preferably from about 0.5% to about 15%, and most preferably from about 0.5% to about 5%> of an alkali metal bicarbonate salt 10 Miscellaneous Carriers Water employed in the preparation of commercially suitable oral compositions should preferably be of low ion content and free of organic impurities Water generally comprises from about 5% to about 70%, and preferably from about 20% to about 50%, by weight of the composition herem These amounts of water mclude the free water which is added plus that which is introduced with other materials, such as with sorbitol Titanium dioxide may also be added to the present composition Titanium dioxide is a white powder which adds opacity to the compositions Titanium dioxide generally comprises from about 0.25% to about 5% by weight of the dentifrice compositions Antimicrobial anti-plaque agents can also by optionally present in oral compositions. Such agents may include, but are not limited to, triclosan, 5-chloro-2-(2,4-dιchlorophenoxy)-phenol, as described m The Merck Index, 11th ed (1989), pp. 1529 (entry no 9573) m U.S. Patent No. 3,506,720, and in European Patent Application No. 0,251,591 of Beecham Group, PLC, published January 7, 1988; chlorhexidme (Merck Index, no. 2090), alexidme (Merck Index, no. 222; hexetidme (Merck Index, no. 4624); sanguinarme (Merck Index, no. 8320); benzalkomum chloride (Merck Index, no. 1066); salicylanihde (Merck Index, no. 8299); domiphen bromide (Merck Index, no. 3411); cetylpyridinium chloride (CPC) (Merck Index, no. 2024; tetradecylpyridinium chloride (TPC); N-tetradecyl-4- ethylpyπdimum chloride (TDEPC), octenidine, delmopinol, octapmol, and other pipendmo derivatives; mem preparations; zinc/stannous ion agents; antibiotics such as augmentm, amoxicilhn, tetracycline, doxycyclme, minocycline, and metronidazole; and analogs and salts of the above antimicrobial antiplaque agents. If present, the antimicrobial antiplaque agents generally comprise from about 0.1% to about 5% by weight of the compositions of the present mvention. Anti-mflammatory agents may also be present in the oral compositions of the present mvention. Such agents may mclude, but are not limited to, non-steroidal anti-mflammatory agents such as aspirin, ketorolac, flurbiprofen, ibuprofen, naproxen, mdomethacm, aspirin, ketoprofen, piroxicam and meclofenamic acid, and mixtures thereof. If present, the anti-mflammatory agents generally compnse from about 0.001% to about 5% by weight of the compositions of the present invention. Ketorolac is descnbed m U.S. Patent 5,626,838, issued May 6, 1997. Both of these references are mcorporated herein by reference m their entirety. Other optional agents mclude synthetic amomc polymeric polycarboxylates bemg employed in the form of their free acids or partially or preferably fully neutralized water soluble alkali metal (e.g. potassium and preferably sodium) or ammonium salts and are disclosed in U.S. Pat. No. 4,152,420 to Gaffar, U.S Pat. No. 3,956,480 to Dichter et al., U.S. Pat. No. 4,138,477 to Gaffar, U.S. Pat. No. 4,183,914 to Gaffar et al., and U.S. Pat. No. 4,906,456 to Gaffar et al. Preferred are 1.4 to 4: 1 copolymers of maleic anhydride or acid with another polymeπzable ethylemcally unsaturated monomer, preferably methyl v yl ether (methoxyethylene) havmg a molecular weight (M.W ) of about 30,000 to about 1,000,000. These copolymers are available for example as Gantrez (AN 139 (M.W. 500,000), AN. 119 (M.W. 250,000) and preferably S-97 Pharmaceutical Grade (M.W. 70,000), of GAF Corporation The present mvention can also optionally comprise selective H-2 antagomsts mcludmg compounds disclosed m U.S Patent 5,294,433, Smger et al, issued March 15, 1994, which is herein mcorporated by reference m its entirety. D Composition Use A safe and effective amount of the compositions of the present mvention may be topically applied to the mucosal tissue of the oral cavity, to the gmgival tissue of the oral cavity, and/or to the surface of the teeth, for the treatment or prevention of the above mentioned diseases or conditions of the oral cavity, m several conventional ways For example, the gmgival or mucosal tissue may be rmsed with a solution (e.g , mouth rmse, mouth spray), a dentifrice (e g , tooth paste, tooth gel or tooth powder), and the gingival/mucosal tissue or teeth are bathed in the liquid and/or lather generated by brushing the teeth Other non-hmitmg examples mclude applying a non-abrasive gel or paste directly to the gingival/mucosal tissue or to the teeth with or without an oral care appliance described below, a chewing gum, or by chewmg or suckmg on a lozenge Preferred methods of applymg the composition to the gingival/mucosal tissue and/or the teeth are via rmsing with a mouth rmse solution and via brushing with a dentifrice Other methods of topically applymg the composition to the gingival/mucosal tissue and the surfaces of the teeth are apparent to those skilled m the art For the method of preventmg and treating diseases or conditions of the oral cavity of the present invention, the composition is preferably applied to the gingival/mucosal tissue and/or the teeth (for example, by rmsmg with a mouth rmse, directly applymg a non-abrasive gel with or without a device, applymg a dentifrice or a tooth gel with a toothbrush, suckmg or chewmg a lozenge preferably for at least about 10 seconds, preferably from about 20 seconds to about 10 minutes, more preferably from about 30 seconds to about 60 seconds) The method often involves expectoration of most of the composition following such contact The frequency of such contact is preferably from about once per week to about four times per day, more preferably from about thrice per week to about three times per day, even more preferably from about once per day to about twice per day The period of such treatment typically ranges from about one day to a lifetime For particular oral care diseases or conditions the duration of treatment depends on the seventy of the oral disease or condition bemg treated, the particular delivery form utilized, and the patient's response to treatment If delivery to the peπodontal pockets is desirable, such as with the treatment of penodontal disease, a mouth rmse can be delivered to the penodontal pocket usmg a syringe or water injection device These devices are known to one skilled in the art Devices of this type mclude "Water Pik" by Teledyne Corporation After irrigating, the subject can swish the rmse m the mouth to also cover the dorsal tongue and other gmgival and mucosal surfaces In addition a tooth paste, non-abrasive gel, toothgel, etc can be brushed onto the tongue surface and other gmgival and mucosal tissues of the oral cavity The following non-limiting examples further describe preferred embodiments withm the scope of the present mvention Many variations of these examples are possible without departing from the scope of the mvention All percentages used herem are by weight of the composition unless otherwise indicated EXAMPLES Example I A dentifrice composition of the present invention contams the following components as descnbed below: Total 100.00 Method of Manufacture The jacket temperature of a mixing tank is set to about 150°F to about 160°F. Add humectants and water to the mixing tank and agitate. Upon the temperature reachmg approximately 120°F, add the non-cariogemc carbohydrate (xyhtol), fluoride, sweetening agents, colonng agents, titamum dioxide, and buffering agents. After mixing, add thickening agents to the abrasives Upon becommg homogeneous, add the resulting mixture to the mixing tank with high agitation Add the surfactant to the mixing tank and continue to mix until homogeneous. Cool the tank to about 120°F, addmg the flavonng agents and tetrasodium pyrophosphates. Continue mixing for approximately 20 minutes. Example II A dentifrice composition of the present invention contains the following components as described below: Total 100.00 Method of Manufacture The method for making the above example is the method of manufacture of Example I. Example HI A dentifrice composition of the present invention contains the following components as described below: Total 100.00 Method of Manufacture The method for making the above example is the method of manufacture of Example I. Example IV A dentifrice composition of the present invention contains the following components as described below: Total 100.00 Method of Manufacture The method for making the above example is the method of manufacture of Example I. Example V A dentifrice composition of the present mvention contams the following components as described below Total 100.00 Method of Manufacture The method for makmg the above example is the method of manufacture of Example I. Example VI A dentifrice composition of the present invention contains the following components as described below: Total 100.00 Method of Manufacture The method for making the above example is the method of manufacture of Example I. Example VII A dentifrice composition of the present invention contains the following components as described below: Total 100.00 Method of Manufacture The method for making the above example is the method of manufacture of Example I. Example VIII A non-abrasive gel composition of the present mvention contains the following components as described below Total 100.00 Method of Manufacture The jacket temperature of a mixing tank is set to about 150°F to about 160°F Add glycerin, polyethylene glycol and propylene glycol to the mixing tank and agitate Upon the temperature reachmg approximately 120°F, add the xyhtol, and fluoride. Mix for 30 minutes to form a homogeneous solution Cool the tank to about 120°F, addmg the flavoring agents and continue mixing for approximately 20 minutes When permitted to cool, a gel product is formed. Example IX A mouth rmse composition of the present mvention contains the following components as described below Total 100.00 Method of Manufacture Mix glycerin, polyethylene glycol and surfactants in the mixing tank at 160°C for 30 mmutes Add water and mix for an additional 30 mmutes Upon reachmg a temperature of about 120°F, add the xyhtol, fluoride, flavor and saccharm. Mix for 30 mmutes to form a homogeneous solution Cool the tank to about 120°F, addmg the flavoring agents and contmue mixing for approximately 20 minutes Cool the tank to 40°C and add NaOH to adjust pH to 6.8 - 7.2. Example X A mouth rinse composition of the present invention contains the following components as described below Total 100.00 Method of Manufacture The method for making the above example is the method of manufacture of Example IX. Example XI A mouth rmse composition of the present invention contains the folio wmg components as described below. Total 100.00 Method of Manufacture The method for makmg the above example is the method of manufacture of Example IX. Example XII A mouth rinse composition of the present invention contains the following components as described below Total 100.00 Method of Manufacture The method for making the above example is the method of manufacture of Example IX Example XIII A liquid spray composition of the present invention contains the following components as described below Total 100.00 1. Pro-Sweet Liquid K Method of Manufacture Mix cetylpyndmium chloride, flavors and colorant to the polyethylene glycol and propylene carbonate and mix for 1 hour or until homogenous. Add the water, xyhtol, sweetener. Mix for 30 m utes to form a homogeneous solution and filter through a US #100 mesh sieve Fill mto manually operated atomization pump and bottle An example is manufactured by Calmar-Albert GmbH, the Mistette Mark II fitted with a 16 mm high viscosity head assembly which delivers 0 2 ml/actuation Example XIV A liquid center lozenge composition of the present invention contams the followmg components as described below. Total 100.00 Method of Manufacture Mix the cetylpyridimum chloride, flavors and colorant with the polyethylene glycol and propylene glycol Continue mixing for 1 hour at about 30°C or until homogenous Add water and xyhtol and mix for 30 mmutes Once homogeneous, filter through a US #100 mesh sieve Make individual filled lozenges containing about 1.0 ml of liquid per lozenge by a commonly used method such as extrusion Example XV A gum composition of the present mvention contains the followmg components as described below Total 100.00 Method of Manufacture Fully melt the gum base (at approximately 90°C) in a jacketed mixer with sigma blades Cool the gum base to about 70°C and add propylene glycol Mix until homogeneous Cool this mixture to about 50°C Add xyhtol and mix until homogeneous Cool mixture to about 35°C and add the remaining ingredients Remove mixture from kettle, roll to form a sheet of umform thickness and score mto gum sticks weighmg about 2 5 g each.

Claims: WE CLAIM 1 An oral care composition comprising (a) a safe and effective amount of a non-cariogemc carbohydrate, and (b) a polyalcohol, wherein said polyalcohol is used m a level sufficient to promote greater uptake of said non- cariogemc carbohydrate by plaque 2 The oral care composition of claim 1 comprising from about 1% to about 65% by weight of the composition a non-cariogemc carbohydrate wherein the non-cariogemc carbohydrate is a sugar selected from the group of monosacchandes and disacchandes corresponding to the empirical formula CχHγOz, wherein when a monosacchandes, x is from about 4 to about 6, y is from about 10 to about 14 and z is from about 4 to about 6, and when a disacchande, x is about 12, y is about 22 and z is about 11 3 The oral care composition of claim 2 wherein the sugar is selected from the group consistmg of erythritol, xyhtol, arabitol, πbitol, xylose, mehbiose, pahtinose and mixtures thereof 4 The oral care composition of claim 3 wherein the sugar is from about 2 5% to about 20% by weight of the composition 5 The oral care composition of claim 4 wherein the sugar is from about 5% to about 10% by weight of the composition 6 The oral care composition of claim 5 wherein the sugar is xyhtol 7 The oral care composition of claim 1 wherem the polyalcohols comprises from about from about 0 1% to about 50%) by weight of the composition 8 The oral care composition of claim 7 wherein the polyalcohol is selected from the group consistmg of glycerm, sorbitol, polysorbates, xyhtol, butylene glycols, polyethylene glycols, propylene glycol, tπethanolamine, hexylene glycol and mixtures thereof 9 The oral care composition of claim 8 wherein the polyalcohols comprises from about from about 1% to about 25% by weight of the composition 10. The oral care composition of claim 9 wherein the polyalcohols comprises from about 5% to about 10%) by weight of the composition. 11. The oral care composition of claim 10 wherein the polyalcohols is propylene glycol. 12. A method for treating and preventing caries by using on a routine basis an oral care composition comprising a safe and effective amount of a non-cariogenic carbohydrate and a polyalcohol. 13. The method accordmg to claim 12 wherein the improved uptake of a non-cariogenic carbohydrate by plaque is facilitated by the inclusion of a sufficient amount of a polyalcohol.

Inventors: DRAKE PHILLIP ASA, LEUSCH MARK STEVEN, MCSWIGGIN COLLEEN MARY, DRAKE, PHILLIP, ASA, LEUSCH, MARK, STEVEN, MCSWIGGIN, COLLEEN, MARY
Applicants: PROCTER & GAMBLE, THE PROCTER & GAMBLE COMPANY
Application year: 2000
Main classification: A61K7
IPC codes: A61K8, A61Q11