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CN115957237A - A tooth mineralization antibacterial bifunctional gel, preparation method and application - Google Patents

A tooth mineralization antibacterial bifunctional gel, preparation method and application Download PDF

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CN115957237A
CN115957237A CN202211550530.4A CN202211550530A CN115957237A CN 115957237 A CN115957237 A CN 115957237A CN 202211550530 A CN202211550530 A CN 202211550530A CN 115957237 A CN115957237 A CN 115957237A
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gel
mineralization
phosphate
tooth
calcium
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傅柏平
张志欣
王喆
崔子寒
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Zhejiang University ZJU
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Abstract

The invention discloses a tooth mineralization and antibacterial dual-function gel, a preparation method and application thereof, wherein the preparation method comprises the following steps: dissolving a stabilizer, a calcium salt and a metal ion salt additive in a solvent to obtain a mixed solution, then adding a gelling agent, and swelling uniformly to prepare gel i; dissolving phosphate and fluoride in a solvent to obtain a mixed solution, adjusting the pH value of the solution to 8-12, adding a gelling agent, and swelling uniformly to prepare gel ii. And stirring and mixing the gel i and the gel ii according to the proportion to prepare the hybrid amorphous calcium phosphate gel. The tooth mineralization gel prepared by the invention contains the mineralization component of the hybrid amorphous calcium phosphate, can provide a stable calcium and phosphorus source, induces the mineralization of teeth, and can be doped with metal ion salts and fluoride additives to adjust the hybrid degree of the mineralization component of the amorphous calcium phosphate, thereby endowing the tooth mineralization gel with dual functions of mineralization and antibiosis, and can be used for preventing and treating oral diseases such as tooth leukoplakia, early caries, dentin sensitivity and the like.

Description

一种牙齿矿化抗菌双功能凝胶、制备方法及应用A tooth mineralization antibacterial bifunctional gel, preparation method and application

技术领域technical field

本发明属于生物医用材料制备技术领域,涉及一种牙齿矿化抗菌双功能凝胶、制备方法及应用。The invention belongs to the technical field of preparation of biomedical materials, and relates to a tooth mineralization and antibacterial dual-function gel, a preparation method and an application.

背景技术Background technique

龋病是危害人类健康的常见病和多发病,通常始于牙釉质表面及其下方的脱矿。白斑是临床上最常见的早期牙釉质脱矿,表现为牙釉质表面的白色斑块,不仅影响美观,而且妨碍牙体健康,不及时防治,易造成进一步的牙体组织脱矿从而导致严重龋病。目前临床上针对釉质白斑的防治材料,主要包括含氟产品,如:含氟牙膏、漱口液、凝胶、清漆等;含钙磷成分产品,如:护牙素、生物活性玻璃等;牙科修复材料,如:渗透树脂、全瓷修复体等。但上述材料的临床效果仍存在争议,主要涉及生物安全性、再矿化效果、树脂耐久性、牙体组织损害等问题,目前临床上还没有可使白斑有效逆转的口腔材料,这也成为一个亟待解决的难题。Caries is a common and frequently-occurring disease that endangers human health, and usually begins with the demineralization of the enamel surface and its underlying surface. Leukoplakia is the most common early demineralization of tooth enamel in clinic. It is manifested as white plaque on the surface of tooth enamel, which not only affects the appearance, but also hinders the health of the tooth. If it is not prevented in time, it will easily cause further demineralization of tooth tissue and lead to severe caries. sick. At present, the clinical prevention and treatment materials for enamel leukoplakia mainly include fluoride-containing products, such as: fluoride-containing toothpaste, mouthwash, gel, varnish, etc.; Repair materials, such as: infiltration resin, all-ceramic restorations, etc. However, the clinical effects of the above materials are still controversial, mainly related to biological safety, remineralization effect, resin durability, tooth tissue damage and other issues. At present, there is no oral material that can effectively reverse leukoplakia in clinical practice, which has become a problem. Problems that need to be solved urgently.

随着现代微创牙科理念的提出,生物矿化技术已成为龋病防治的趋势。特别是,迫切需要能够释放大量生物活性Ca2+和PO4 3-离子的无定形磷酸钙(amorphous calciumphosphate,ACP)用于硬组织再矿化。ACP被广泛认为是羟基磷灰石(hydroxyapatite,HAP)形成中重要的前驱体,在牙齿的生物矿化中具有重要作用。一直以来,基于ACP的仿生矿化系统得到了广泛发展,衍生出了漱口水、牙膏、护牙素和粘接剂等口腔防龋材料。但是ACP的热力学不稳定性限制了其作为液态矿化源的应用和保存;而作为固态矿化源,水合层结构的损失及在固态载体中的扩散受限会影响其发挥良好的矿化活性。此外在口腔微生物长期定植下,目前开发的基于ACP的再矿化系统缺乏抑制细菌粘附和生物膜形成的能力。With the concept of modern minimally invasive dentistry, biomineralization technology has become the trend of caries prevention and treatment. In particular, there is an urgent need for amorphous calcium phosphate (ACP) capable of releasing large amounts of bioactive Ca 2+ and PO 4 3- ions for hard tissue remineralization. ACP is widely recognized as an important precursor in the formation of hydroxyapatite (HAP) and plays an important role in the biomineralization of teeth. For a long time, the biomimetic mineralization system based on ACP has been widely developed, and oral caries-preventing materials such as mouthwash, toothpaste, tooth mousse and adhesives have been derived. However, the thermodynamic instability of ACP limits its application and preservation as a liquid mineralization source; as a solid mineralization source, the loss of hydration layer structure and the limited diffusion in solid carriers will affect its good mineralization activity. . Furthermore, the currently developed ACP-based remineralization systems lack the ability to inhibit bacterial adhesion and biofilm formation under long-term colonization of oral microorganisms.

牙体硬组织的主要无机成分是非化学计量比的羟基磷灰石,阳离子如Na+、Mg2+、Zn2+、Sr2+等可取代Ca2+的结合位点,F-可取代OH-或者CO3 2-的结合位点。通过将功能性金属元素掺入羟基磷灰石,可以实现羟基磷灰石的功能化改造,从而增强牙齿的抗菌或抗酸等性能。因此借助ACP的矿化活性,掺入各种元素,如Ag、Mg、Zn、F等的ACP材料由于具有抗菌、矿化、增强牙齿抗酸性等特征而成为理想的牙科矿化材料,具有广阔的应用前景。The main inorganic component of dental hard tissue is non-stoichiometric hydroxyapatite, cations such as Na + , Mg 2+ , Zn 2+ , Sr 2+ can replace the binding site of Ca 2+ , and F - can replace OH - or the binding site for CO 3 2- . By incorporating functional metal elements into hydroxyapatite, the functional transformation of hydroxyapatite can be realized, thereby enhancing the antibacterial or anti-acid properties of teeth. Therefore, with the help of the mineralization activity of ACP, the ACP material mixed with various elements, such as Ag, Mg, Zn, F, etc., has become an ideal dental mineralization material due to its characteristics of antibacterial, mineralization, and enhanced tooth acid resistance. application prospects.

发明内容Contents of the invention

基于此,本发明提供了一种牙齿矿化抗菌双功能凝胶、制备方法及应用,矿化所得牙齿矿化抗菌双功能凝胶的主要活性成分为杂合无定形磷酸钙,杂合无定形磷酸钙粒径为30-40nm,外形为规则的球形颗粒,并掺杂不同金属离子和氟离子,具有抗菌、促矿化等性能。制备方法简单易行,制备成本低廉,便于大规模生产和临床推广使用。Based on this, the present invention provides a tooth mineralization antibacterial bifunctional gel, preparation method and application, the main active ingredient of the tooth mineralization antibacterial bifunctional gel obtained from mineralization is hybrid amorphous calcium phosphate, hybrid amorphous calcium phosphate The particle size of calcium phosphate is 30-40nm, the shape is regular spherical particles, and it is doped with different metal ions and fluoride ions, which has the properties of antibacterial and mineralization promotion. The preparation method is simple and easy, the preparation cost is low, and it is convenient for large-scale production and clinical popularization and use.

本发明的技术方案如下:Technical scheme of the present invention is as follows:

本发明首先提供了一种牙齿矿化抗菌双功能凝胶的制备方法,其包括下述步骤:The present invention at first provides a kind of preparation method of tooth mineralization antibacterial bifunctional gel, and it comprises the following steps:

1)将稳定剂、钙盐和至少一种金属离子盐添加剂溶于溶剂中得到混合液,然后加入凝胶剂,溶胀均匀,得到凝胶i;1) Dissolving the stabilizer, calcium salt and at least one metal ion salt additive in a solvent to obtain a mixed solution, and then adding a gelling agent to swell evenly to obtain a gel i;

2)将磷酸盐和氟化物溶于溶剂中得到混合液,调整溶液的pH至8~12,然后加入凝胶剂,溶胀均匀,得到凝胶ii;2) dissolving phosphate and fluoride in a solvent to obtain a mixed solution, adjusting the pH of the solution to 8-12, and then adding a gelling agent to swell evenly to obtain gel ii;

3)将步骤1)得到的凝胶i与步骤2)得到的凝胶ii按比例混合均匀,得到牙齿矿化抗菌双功能凝胶。3) Mix the gel i obtained in step 1) with the gel ii obtained in step 2) in proportion to obtain a tooth mineralization and antibacterial dual-function gel.

进一步的,所述步骤1)中,各组分以重量份计为:稳定剂10~100份、钙盐50~500份、金属离子盐添加剂50~250份、凝胶剂50~200份、溶剂50~2000份。Further, in the step 1), each component is calculated in parts by weight: 10-100 parts of stabilizer, 50-500 parts of calcium salt, 50-250 parts of metal ion salt additive, 50-200 parts of gelling agent, 50-2000 parts of solvent.

进一步的,所述步骤2)中,各组分以重量份计为:磷酸盐50~500份、氟化物10~50份、凝胶剂50~200份、溶剂50~2000份。Further, in the step 2), each component is calculated in parts by weight: 50-500 parts of phosphate, 10-50 parts of fluoride, 50-200 parts of gelling agent, and 50-2000 parts of solvent.

进一步的,步骤3)中所述的按比例混合为,通过凝胶剂i和凝胶ii配比的选择,使得牙齿矿化抗菌双功能凝胶中,钙和金属离子盐添加剂中的金属离子的摩尔比为1~10:1;钙和金属离子盐添加剂中的金属离子之和与磷的摩尔比为1.3~2.1:1。Further, the proportional mixing described in step 3) is, through the selection of the ratio of gel agent i and gel ii, the metal ions in the calcium and metal ion salt additives in the tooth mineralization antibacterial bifunctional gel The molar ratio of calcium and metal ions in the salt additive is 1 to 10:1; the molar ratio of the sum of calcium and metal ions to phosphorus is 1.3 to 2.1:1.

本发明还提供了所述方法制备得到的牙齿矿化抗菌双功能凝胶,所述牙齿矿化抗菌双功能凝胶的活性成分是杂合无定形磷酸钙,杂合无定形磷酸钙的粒径为30-40nm,外形为球形颗粒,掺杂有金属离子盐添加剂中的金属离子和氟离子。The present invention also provides the tooth mineralization antibacterial dual-function gel prepared by the method, the active ingredient of the tooth mineralization antibacterial dual-function gel is hybrid amorphous calcium phosphate, and the particle size of the hybrid amorphous calcium phosphate is The diameter is 30-40nm, the shape is spherical particles, doped with metal ions and fluorine ions in metal ion salt additives.

本发明以凝胶剂为载体并借助聚天冬氨酸等稳定剂来螯合游离钙离子、掺杂金属离子、磷酸盐离子和氟离子,从而获得杂合无定形磷酸钙凝胶。这种矿化方法简单易行,使用前双组份凝胶可分开储存,使用时杂合ACP可即刻合成,不同金属离子杂合程度可控,Ca/P及Ca/F比可调,杂合ACP稳定性可控,产物尺寸形貌可控。In the invention, the gel is used as a carrier and polyaspartic acid and other stabilizers are used to chelate free calcium ions, dope metal ions, phosphate ions and fluoride ions, thereby obtaining hybrid amorphous calcium phosphate gel. This mineralization method is simple and easy to implement. The two-component gel can be stored separately before use. When in use, hybrid ACP can be synthesized immediately. The degree of heterozygosity of different metal ions is controllable. The stability of combined ACP is controllable, and the size and shape of the product are controllable.

本发明还提供了一种所述杂合无定形磷酸钙凝胶套装在制备牙齿仿生矿化的药物中的应用。优选的,所述牙齿仿生矿化的药物为牙齿白斑防治药物、早期龋病治疗药物或牙齿脱敏治疗药物。The present invention also provides an application of the hybrid amorphous calcium phosphate gel set in the preparation of medicaments for biomimetic mineralization of teeth. Preferably, the drug for tooth biomimetic mineralization is a drug for preventing and treating white spots of teeth, a drug for treating early caries or a drug for treating tooth desensitization.

与现有技术相比本发明具有以下优势:Compared with the prior art, the present invention has the following advantages:

(1)本发明制剂的主要活性成分是杂合无定形磷酸钙,由于采用钙和磷分开双组份模式,可在使用时即刻混合新鲜制备杂合无定形磷酸钙,避开了无定形磷酸钙在水介质中过早向结晶磷灰石转变的问题,保证了产物具有良好的矿化活性。(1) The main active ingredient of the preparation of the present invention is heterozygous amorphous calcium phosphate. Since calcium and phosphorus are used to separate the two-component mode, it can be mixed and freshly prepared in use to avoid amorphous phosphate The problem of premature conversion of calcium to crystalline apatite in aqueous media ensures that the product has good mineralizing activity.

(2)本发明制剂含有的无定形磷酸钙材料的相稳定性和杂合程度可控,赋予其良好的矿化和抗菌性能。(2) The phase stability and degree of heterozygosity of the amorphous calcium phosphate material contained in the preparation of the present invention are controllable, endowing it with good mineralization and antibacterial properties.

(3)本发明提供的牙齿矿化抗菌双功能凝胶的制备方法简单易行,不需大型仪器设备,生产效率高、成本低,适于大规模生产,可用于牙齿白斑、早期龋病、牙本质敏感等口腔疾病的防治,具有巨大的市场前景。(3) The preparation method of tooth mineralization antibacterial bifunctional gel provided by the present invention is simple and easy, does not need large-scale equipment, has high production efficiency and low cost, is suitable for large-scale production, and can be used for dental leukoplakia, early caries, The prevention and treatment of oral diseases such as dentin sensitivity has a huge market prospect.

附图说明Description of drawings

图1凝胶制剂的FTIR+XRD+SEM图;FTIR+XRD+SEM figure of Fig. 1 gel preparation;

图2凝胶制剂相稳定性的FTIR图;The FTIR figure of Fig. 2 gel formulation phase stability;

图3抑制牙釉质白斑形成的数字摄影+Micro-CT图;其中,a)数字摄影图像显示本发明制剂处理组在4周pH循环过程中牙釉质样本表面颜色改变最小。b)Micro-CT图显示经过4周的pH循环,本发明制剂处理组的牙釉质矿物质损失及脱矿深度最小。Figure 3 digital photography+Micro-CT image of inhibiting the formation of enamel leukoplakia; wherein, a) digital photography image shows that the preparation treatment group of the present invention has the least change in surface color of the enamel sample during the 4-week pH cycle. b) Micro-CT images show that after 4 weeks of pH cycling, the enamel mineral loss and demineralization depth of the preparation treatment group of the present invention are the smallest.

图4治疗早期牙釉质龋的SEM图。Figure 4 SEM images of treated early enamel caries.

具体实施方式Detailed ways

下面通过实施案例对本发明作进一步说明,为本发明的优选例。凡在本发明的原则之内所做的任何修改和变化,均在本发明的保护范围之内。The present invention will be further described through examples of implementation below, which are preferred examples of the present invention. All modifications and changes made within the principles of the present invention are within the protection scope of the present invention.

本发明提供的牙齿矿化抗菌双功能凝胶,一般可按如下步骤进行制备:The tooth mineralization and antibacterial dual-functional gel provided by the present invention can generally be prepared according to the following steps:

1)将稳定剂、钙盐和至少一种金属离子盐添加剂溶于溶剂中得到混合液,然后加入凝胶剂,溶胀均匀,得到凝胶i;步骤1)中,各组分以重量份计为:稳定剂10~100份、钙盐50~500份、金属离子盐添加剂50~250份、凝胶剂50~200份、溶剂50~2000份。1) Dissolving the stabilizer, calcium salt and at least one metal ion salt additive in a solvent to obtain a mixed solution, and then adding a gel agent to swell evenly to obtain a gel i; in step 1), each component is calculated in parts by weight It is: 10-100 parts of stabilizer, 50-500 parts of calcium salt, 50-250 parts of metal ion salt additive, 50-200 parts of gelling agent, and 50-2000 parts of solvent.

2)将磷酸盐和氟化物溶于溶剂中得到混合液,调整溶液的pH至8~12,然后加入凝胶剂,溶胀均匀,得到凝胶ii;步骤2)中各组分以重量份计为:磷酸盐50~500份、氟化物10~50份、凝胶剂50~200份、溶剂50~2000份。2) Dissolving phosphate and fluoride in a solvent to obtain a mixed solution, adjusting the pH of the solution to 8-12, and then adding a gelling agent to swell evenly to obtain a gel ii; the components in step 2) are measured in parts by weight It is: 50-500 parts of phosphate, 10-50 parts of fluoride, 50-200 parts of gelling agent, and 50-2000 parts of solvent.

3)将步骤1)得到的凝胶i与步骤2)得到的凝胶ii按比例混合均匀,得到牙齿矿化抗菌双功能凝胶;步骤3)中所述的按比例混合为,通过凝胶剂i和凝胶ii配比的选择,使得牙齿矿化抗菌双功能凝胶中,钙和金属离子盐添加剂中的金属离子的摩尔比为1~10:1;钙和金属离子盐添加剂中的金属离子之和与磷的摩尔比为1.3~2.1:1。3) Mix the gel i obtained in step 1) with the gel ii obtained in step 2) in proportion to obtain a tooth mineralization antibacterial dual-function gel; The selection of the ratio of agent i and gel ii makes the molar ratio of calcium and metal ion in the metal ion salt additive in the tooth mineralization antibacterial bifunctional gel be 1 to 10:1; The molar ratio of the sum of metal ions to phosphorus is 1.3-2.1:1.

其中,作为本发明的优选实施方案,所述稳定剂为聚葡萄糖酸、聚天冬氨酸、聚丙烯酸、聚马来酸、聚谷氨酸、聚乙烯基膦酸、羧甲基壳聚糖、乙二胺四乙酸、三聚磷酸钠、六偏磷酸钠、焦磷酸钠的任意一种或多种的组合;Wherein, as a preferred embodiment of the present invention, the stabilizer is polygluconic acid, polyaspartic acid, polyacrylic acid, polymaleic acid, polyglutamic acid, polyvinylphosphonic acid, carboxymethyl chitosan , ethylenediaminetetraacetic acid, sodium tripolyphosphate, sodium hexametaphosphate, sodium pyrophosphate, any one or a combination of more;

作为本发明的优选实施方案,所述钙盐为可溶性钙盐,选自氯化钙和/或其水合物、乙酸钙和/或其水合物、乳酸钙和/或其水合物、柠檬酸钙和/或其水合物、碳酸氢钙、磷酸二氢钙中的任意一种或多种的组合。As a preferred embodiment of the present invention, the calcium salt is a soluble calcium salt selected from calcium chloride and/or its hydrate, calcium acetate and/or its hydrate, calcium lactate and/or its hydrate, calcium citrate And/or its hydrate, calcium bicarbonate, calcium dihydrogen phosphate any one or combination of more.

作为本发明的优选实施方案,所述金属离子盐添加剂选自可溶性银、锌、锶、镁、铜、镓、锰、铈、锆、钛的硝酸盐、硫酸盐或氯化物中的任意一种或多种的组合。As a preferred embodiment of the present invention, the metal ion salt additive is selected from any one of soluble silver, zinc, strontium, magnesium, copper, gallium, manganese, cerium, zirconium, titanium nitrate, sulfate or chloride or a combination of several.

作为本发明的优选实施方案,所述步骤1)和步骤2)中,所述凝胶剂为甲基纤维素、羧甲基纤维素、羟丙基甲基纤维素、丙烯酰胺类聚合物、丙烯酸类聚合物、乙烯醇类聚合物、聚乙烯吡咯烷酮、聚乙二醇、羧甲基壳聚糖、木质素、海藻酸钠、琼脂、淀粉、胶原、透明质酸和多肽类化合物中的任意一种或多种的组合;As a preferred embodiment of the present invention, in the step 1) and step 2), the gelling agent is methyl cellulose, carboxymethyl cellulose, hydroxypropyl methyl cellulose, acrylamide polymer, Any of acrylic polymers, vinyl alcohol polymers, polyvinylpyrrolidone, polyethylene glycol, carboxymethyl chitosan, lignin, sodium alginate, agar, starch, collagen, hyaluronic acid and polypeptide compounds one or more combinations;

作为本发明的优选实施方案,所述溶剂为去离子水、任意比的甘油去离子水溶液、任意比的乙醇去离子水溶液。As a preferred embodiment of the present invention, the solvent is deionized water, glycerin deionized water in any ratio, and ethanol deionized water in any ratio.

作为本发明的优选实施方案,所述磷酸盐为可溶性磷酸盐,选自磷酸二氢钠、磷酸二氢钾、磷酸二氢铵、磷酸氢二钠、磷酸氢二钾、磷酸氢二铵、磷酸钠、磷酸钾、磷酸铵中的任意一种或多种的组合;所述氟化物为氟化亚锡、氟化钠、氟化钾、氟化银、单氟磷酸钾、氟硅酸钠中的任意一种或多种的组合。As a preferred embodiment of the present invention, the phosphate is a soluble phosphate, selected from sodium dihydrogen phosphate, potassium dihydrogen phosphate, ammonium dihydrogen phosphate, disodium hydrogen phosphate, dipotassium hydrogen phosphate, diammonium hydrogen phosphate, phosphoric acid Any one or combination of sodium, potassium phosphate, ammonium phosphate; the fluoride is stannous fluoride, sodium fluoride, potassium fluoride, silver fluoride, potassium monofluorophosphate, sodium fluorosilicate any one or a combination of more.

本发明提供的牙齿矿化抗菌双功能凝胶可以直接采用上述方法进行制备,制备得到的牙齿矿化抗菌双功能凝胶可稳定存在4小时而不发生相变,作为一种可选的实施方式,所述牙齿矿化抗菌双功能凝胶在制备之前优先制备凝胶i和凝胶ii;凝胶i和凝胶ii分开存放,在需要制备牙齿矿化抗菌双功能凝胶时,再将两者混合。即使用时,将得到的凝胶i与得到的凝胶ii按比例混合均匀,得到杂合无定形磷酸钙凝胶;控制混合比例使杂合无定形磷酸钙凝胶中,钙和金属阳离子的摩尔比为1~10:1;钙和金属阳离子之和与磷的摩尔比为:1.3~2.1:1。The tooth mineralization antibacterial bifunctional gel provided by the present invention can be directly prepared by the above method, and the prepared tooth mineralization antibacterial bifunctional gel can exist stably for 4 hours without phase change, as an optional embodiment , the tooth mineralization antibacterial dual-function gel is prepared prior to preparation of gel i and gel ii; gel i and gel ii are stored separately, and when it is necessary to prepare tooth mineralization antibacterial or mixed. That is, when using, the obtained gel i and the obtained gel ii are mixed uniformly in proportion to obtain a hybrid amorphous calcium phosphate gel; the mixing ratio is controlled to make the moles of calcium and metal cations in the hybrid amorphous calcium phosphate gel The ratio is 1-10:1; the molar ratio of the sum of calcium and metal cations to phosphorus is 1.3-2.1:1.

以质量份计,所述的凝胶i包含:稳定剂10~100份、钙盐50~500份、金属离子盐添加剂50~250份、凝胶剂50~200份、溶剂50~2000份;凝胶i制备方法为:将稳定剂、钙盐和金属离子盐添加剂溶于溶剂中得到混合液,然后加入凝胶剂,溶胀均匀,得到凝胶i;所述的凝胶ii包含:磷酸盐50~500份、氟化物10~50份、凝胶剂50~200份、溶剂50~2000份,凝胶ii制备方法为:将磷酸盐和氟化物溶于溶剂中得到混合液,调整溶液的pH至8~12,然后加入凝胶剂,溶胀均匀,得到凝胶ii。In parts by mass, the gel i includes: 10-100 parts of a stabilizer, 50-500 parts of a calcium salt, 50-250 parts of a metal ion salt additive, 50-200 parts of a gelling agent, and 50-2000 parts of a solvent; The preparation method of gel i is as follows: dissolving stabilizer, calcium salt and metal ion salt additives in a solvent to obtain a mixed solution, and then adding a gel agent to swell evenly to obtain gel i; the gel ii includes: phosphate 50-500 parts, 10-50 parts of fluoride, 50-200 parts of gel, 50-2000 parts of solvent, the preparation method of gel ii is: dissolve phosphate and fluoride in the solvent to obtain a mixed solution, and adjust the concentration of the solution pH to 8-12, then add a gelling agent to swell evenly to obtain gel ii.

实施案例1Implementation Case 1

本实施例的凝胶制备过程如下:The gel preparation process of the present embodiment is as follows:

(1)以去离子水为溶剂,制备含0.8mol/L氯化钙、0.2mol/L氯化锌、36g/L聚天冬氨酸的混合溶液,按照每1mL混合溶液加入0.1g羟丙基甲基纤维素,充分溶胀后形成凝胶i;(1) Using deionized water as a solvent, prepare a mixed solution containing 0.8mol/L calcium chloride, 0.2mol/L zinc chloride, and 36g/L polyaspartic acid, and add 0.1g hydroxypropane per 1mL of the mixed solution Base methyl cellulose, form gel i after fully swelling;

(2)以去离子水为溶剂,制备含0.48mol/L磷酸氢二钠、4g/L氟化钠的混合溶液,并用氢氧化钠调节溶液pH为8~12,按照每1mL混合溶液加入0.1g羟丙基甲基纤维素,充分溶胀后形成凝胶ii;(2) Using deionized water as a solvent, prepare a mixed solution containing 0.48mol/L disodium hydrogen phosphate and 4g/L sodium fluoride, and adjust the pH of the solution to 8-12 with sodium hydroxide, and add 0.1 g hydroxypropyl methylcellulose, fully swollen to form a gel ii;

(3)将凝胶i和凝胶ii等体积搅拌混合,获得含杂合无定形磷酸钙的牙齿矿化抗菌双重功能凝胶。(3) Stir and mix gel i and gel ii in equal volumes to obtain a tooth mineralization and antibacterial dual-function gel containing hybrid amorphous calcium phosphate.

本案例实施的凝胶i和凝胶ii可以分开保存,使用前混合,可确保杂合无定形磷酸钙的相稳定性和矿化活性。The gel i and gel ii implemented in this case can be stored separately and mixed before use to ensure the phase stability and mineralization activity of the hybrid amorphous calcium phosphate.

实施案例2Implementation Case 2

本实施例的凝胶制备过程如下:The gel preparation process of the present embodiment is as follows:

(1)以去离子水为溶剂,制备含1.2mol/L氯化钙、0.3mol/L氯化锶、42g/L聚丙烯酸的混合溶液,按照每1mL混合溶液加入0.1g羧甲基壳聚糖,充分溶胀后形成凝胶i;(1) Using deionized water as a solvent, prepare a mixed solution containing 1.2mol/L calcium chloride, 0.3mol/L strontium chloride, and 42g/L polyacrylic acid, and add 0.1g carboxymethyl chitosan to every 1mL mixed solution Sugar, fully swollen to form a gel i;

(2)以去离子水为溶剂,制备含1mol/L磷酸氢二钾、5g/L氟化钠的混合溶液,并用氢氧化钾调节溶液pH为8~12,按照每1mL混合溶液加入0.1g羧甲基壳聚糖,充分溶胀后形成凝胶ii;(2) Using deionized water as a solvent, prepare a mixed solution containing 1mol/L dipotassium hydrogen phosphate and 5g/L sodium fluoride, and adjust the pH of the solution to 8-12 with potassium hydroxide, and add 0.1g per 1mL of the mixed solution Carboxymethyl chitosan, fully swollen to form a gel ii;

(3)将凝胶i和凝胶ii等体积搅拌混合,获得含杂合无定形磷酸钙的牙齿矿化抗菌双重功能凝胶。(3) Stir and mix gel i and gel ii in equal volumes to obtain a tooth mineralization and antibacterial dual-function gel containing hybrid amorphous calcium phosphate.

本案例实施的凝胶i和凝胶ii可以分开保存,使用前混合,可确保杂合无定形磷酸钙的相稳定性和矿化活性。The gel i and gel ii implemented in this case can be stored separately and mixed before use to ensure the phase stability and mineralization activity of the hybrid amorphous calcium phosphate.

实施案例3Implementation Case 3

本实施例的凝胶制备过程如下:The gel preparation process of the present embodiment is as follows:

(1)以去离子水为溶剂,制备含2mol/L氯化钙、0.1mol/L氯化铈、58g/L聚丙烯酸的混合溶液,按照每1mL混合溶液加入0.1g羟丙基甲基纤维素,充分溶胀后形成凝胶i;(1) Using deionized water as a solvent, prepare a mixed solution containing 2mol/L calcium chloride, 0.1mol/L cerium chloride, and 58g/L polyacrylic acid, and add 0.1g hydroxypropyl methylcellulose to every 1mL mixed solution Element, form gel i after fully swelling;

(2)以去离子水为溶剂,制备含1.2mol/L磷酸氢二钠、5g/L氟化钠的混合溶液,并用氢氧化钠调节溶液pH为8~12,按照每1mL混合溶液加入0.1g羧甲基壳聚糖,充分溶胀后形成凝胶ii;(2) Using deionized water as a solvent, prepare a mixed solution containing 1.2mol/L disodium hydrogen phosphate and 5g/L sodium fluoride, and adjust the pH of the solution to 8-12 with sodium hydroxide, and add 0.1 g carboxymethyl chitosan, fully swollen to form gel ii;

(3)将凝胶i和凝胶ii等体积搅拌混合,获得含杂合无定形磷酸钙的牙齿矿化抗菌双重功能凝胶。(3) Stir and mix gel i and gel ii in equal volumes to obtain a tooth mineralization and antibacterial dual-function gel containing hybrid amorphous calcium phosphate.

本案例实施的凝胶i和凝胶ii可以分开保存,使用前混合,可确保杂合无定形磷酸钙的相稳定性和矿化活性。The gel i and gel ii implemented in this case can be stored separately and mixed before use to ensure the phase stability and mineralization activity of the hybrid amorphous calcium phosphate.

实施案例4Implementation Case 4

将实施案例1获得的牙齿矿化抗菌双重性能凝胶进行傅里叶红外光谱(FTIR)测试、X射线衍射仪分析(XRD)、扫描电镜(SEM)和能量色散X射线光谱仪(EDX)分析。结果如图2所示,从图2可见,本发明的凝胶制剂表征结果A)FTIR图示在1061和572cm-1的特征红外吸收峰,表明该制剂含有无定形磷酸钙的矿化成分;B)XRD图示在2θ=20°和2θ=30°的弥漫性包峰,说明含有的磷酸钙成分为无定形相;C)SEM图凝胶剂中无定形磷酸钙为球形颗粒,粒径约为30-40nm。即本发明的凝胶中含有的磷酸钙盐成分为无定形矿物相;扫描电镜显示无定形磷酸钙为球形颗粒,均匀的分布在凝胶基质中,粒径为30-40nm;元素分析表明含有Ca、P、Zn、F、C、O、H的化学成分。The tooth mineralization antibacterial dual-performance gel obtained in Example 1 was subjected to Fourier transform infrared spectroscopy (FTIR) testing, X-ray diffraction analysis (XRD), scanning electron microscopy (SEM) and energy dispersive X-ray spectroscopy (EDX) analysis. Result as shown in Figure 2, as can be seen from Figure 2, the gel formulation characterization result of the present invention A) FTIR diagram is in the characteristic infrared absorption peak of 1061 and 572cm-1, shows that this formulation contains the mineralization component of amorphous calcium phosphate; B) XRD shows diffuse peaks at 2θ=20° and 2θ=30°, indicating that the calcium phosphate component contained is an amorphous phase; C) SEM figure amorphous calcium phosphate in the gel is spherical particles, particle size About 30-40nm. That is, the calcium phosphate salt composition contained in the gel of the present invention is an amorphous mineral phase; scanning electron microscopy shows that the amorphous calcium phosphate is spherical particles, which are evenly distributed in the gel matrix, and the particle size is 30-40nm; elemental analysis shows that it contains Chemical composition of Ca, P, Zn, F, C, O, H.

实施案例5Implementation Case 5

对实施案例1获得的牙齿矿化抗菌双重性能凝胶进行相稳定性检测。将即刻混合后的凝胶制剂置于人工唾液中37℃环境下孵育,于不同时间点取样进行FTIR测试。从图2的测试结果可以看出,凝胶中无定形磷酸钙活性成分可以在人工唾液中维持亚稳态长达4小时,这有利于其发挥良好的矿化潜能。The phase stability of the tooth mineralization and antibacterial dual performance gel obtained in Example 1 was tested. The immediately mixed gel preparation was incubated in artificial saliva at 37°C, and samples were taken at different time points for FTIR testing. It can be seen from the test results in Figure 2 that the active ingredient of amorphous calcium phosphate in the gel can maintain a metastable state in artificial saliva for up to 4 hours, which is conducive to its good mineralization potential.

实施案例6Implementation Case 6

对实施案例1获得的牙齿矿化抗菌双重性能凝胶进行预防效果评估。The preventive effect of the tooth mineralization and antibacterial dual performance gel obtained in Example 1 was evaluated.

制备正常的牙釉质片:选取颗新鲜拔除无龋坏、无缺损、无裂纹、无斑点的人前磨牙供实验使用。在水冷却下,用Isomet精密切割机颊舌侧切取4mm×4mm×1.5mm的牙釉质块36个。使用碳化硅研磨纸将釉质外表面磨平并抛光,后用双层耐酸指甲油涂覆,余留3mm×3mm的开窗面。Preparation of normal enamel slices: Select a freshly extracted human premolar without caries, defects, cracks and spots for the experiment. Under water cooling, 36 enamel blocks of 4mm×4mm×1.5mm were cut out on the buccal and lingual side with an Isomet precision cutting machine. Use silicon carbide abrasive paper to grind and polish the outer surface of the enamel, and then coat it with double-layer acid-resistant nail polish, leaving a 3mm×3mm window surface.

将上述的凝胶制剂涂覆在牙釉质面上,放入5mL的人工唾液中孵育8小时,然后取出冲洗干净,再放入脱矿溶液中孵育16小时。每天更换新鲜的凝胶制剂和处理液,设置空白对照组(脱矿的牙釉质)和阳性对照组(临床常用再矿化制剂GC Tooth Mousse Plus)。置于37℃恒温箱中2周、4周取样。数字摄影、Micro-CT、SEM观察本发明凝胶制剂抑制牙釉质白斑形成的效果。The above-mentioned gel preparation was coated on the enamel surface, put into 5mL of artificial saliva and incubated for 8 hours, then taken out and rinsed, and then put into the demineralization solution and incubated for 16 hours. Fresh gel preparations and treatment solutions were replaced every day, and a blank control group (demineralized enamel) and a positive control group (GC Tooth Mousse Plus, a commonly used clinical remineralization preparation) were set up. Samples were placed in a 37°C incubator for 2 weeks and 4 weeks. Digital photography, Micro-CT, and SEM were used to observe the effect of the gel preparation of the present invention on inhibiting the formation of enamel leukoplakia.

效果观察Effect observation

采用标准环境下数字摄影来评价牙釉质样本在基线、脱矿再矿化循环2周、脱矿再矿化循环4周时的牙釉质颜色外观情况:Enamel color appearance in enamel samples at baseline, 2-week demineralization-remineralization cycle, and 4-week demineralization-remineralization cycle was assessed using digital photography under standard conditions:

如图3所示,在4周的脱矿再矿化循环过程中,各处理组牙釉质表面颜色随时间而变白,本发明的凝胶制剂处理组变白程度最小,说明其具有抑制牙釉质脱矿的效果,具有抑制牙釉质白斑形成的效果,可用于牙齿白斑的防治。As shown in Figure 3, during the 4-week demineralization and remineralization cycle process, the enamel surface color of each treatment group turned white with time, and the gel preparation of the present invention treated the group with the smallest degree of whitening, indicating that it has the ability to inhibit tooth decay. The effect of enamel demineralization has the effect of inhibiting the formation of enamel white spots, and can be used for the prevention and treatment of tooth white spots.

Micro-CT观察牙釉质的病变深度和矿物质损失量:Micro-CT observation of enamel lesion depth and mineral loss:

使用台式Micro-CT扫描仪,对同一个样本扫描2次,分别在基线和脱矿再矿化循环4周后进行。如图3所示,与基线相比,在4周的脱矿再矿化循环过程后,凝胶制剂处理组的病变深度和矿物质损失量最小。Using a desktop Micro-CT scanner, the same sample was scanned twice, at baseline and 4 weeks after the demineralization-remineralization cycle. As shown in Figure 3, compared with baseline, the gel formulation treatment group had the least lesion depth and mineral loss after the 4-week demineralization-remineralization cycle process.

扫描电镜观察牙釉质的脱矿情况:Scanning electron microscopy to observe the demineralization of tooth enamel:

取出牙釉质后,去离子水冲洗干净,将样本用乙醇梯度脱水,然后在空气中干燥并喷金,用SEM观察脱矿情况。空白对照牙釉质表面的粗糙度和孔隙率增加,釉柱和釉柱间质脱矿明显,未检测到新生矿物质沉积;凝胶制剂组牙釉质表面相对光滑,可见明显的矿物质沉积,釉柱和釉柱间质结构完整,新生的矿物质致密沉积在釉质晶体间隙中;阳性对照组的再矿化程度不如凝胶制剂组。After the enamel was removed, it was rinsed with deionized water, and the samples were dehydrated with an ethanol gradient, then dried in air and sprayed with gold, and the demineralization was observed by SEM. The roughness and porosity of the enamel surface in the blank control group increased, the enamel column and interstitial demineralization was obvious, and no new mineral deposition was detected; the enamel surface of the gel preparation group was relatively smooth, and obvious mineral deposition was visible. The interstitial structure of the columns and enamel columns was complete, and the new minerals were densely deposited in the gaps of the enamel crystals; the remineralization degree of the positive control group was not as good as that of the gel preparation group.

实施案例7Implementation Case 7

评价实施案例1获得的牙齿矿化抗菌双重性能凝胶对早期牙釉质龋的治疗效果。To evaluate the therapeutic effect of tooth mineralization and antibacterial dual performance gel on early enamel caries obtained in Example 1.

制备早期牙釉质龋样本:选取颗新鲜拔除无龋坏、无缺损、无裂纹、无斑点的人前磨牙供实验使用。在水冷却下,用Isomet精密切割机颊舌侧切取4mm×4mm×1.5mm的牙釉质块36个。使用碳化硅研磨纸将釉质外表面磨平并抛光,后用双层耐酸指甲油涂覆,余留3mm×3mm的开窗面。将各牙釉质片置于5mL醋酸缓冲溶液中浸泡6天。病变形成后将样本取出用去离子水冲洗干净,滤纸吸干放在4℃备用。Preparation of early enamel caries samples: A freshly extracted human premolar tooth without caries, defects, cracks and spots was selected for the experiment. Under water cooling, 36 enamel blocks of 4mm×4mm×1.5mm were cut out on the buccal and lingual side with an Isomet precision cutting machine. Use silicon carbide abrasive paper to grind and polish the outer surface of the enamel, and then coat it with double-layer acid-resistant nail polish, leaving a 3mm×3mm window surface. Each enamel slice was soaked in 5 mL of acetic acid buffer solution for 6 days. After the lesion was formed, the samples were taken out and rinsed with deionized water, blotted dry with filter paper and stored at 4°C for later use.

将本发明的凝胶制剂涂覆在脱矿牙釉质面上,放入5mL的人工唾液中,每天更换新鲜的凝胶制剂和人工唾液,设置空白对照组(脱矿的牙釉质)和阳性对照组(临床常用再矿化制剂GC Tooth Mousse Plus)。置于37℃恒温箱中1周、2周取样。数字摄影、Micro-CT、SEM观察本发明凝胶制剂对早期牙釉质龋的治疗效果。Gel preparation of the present invention is coated on the demineralized tooth enamel surface, put into the artificial saliva of 5mL, change fresh gel preparation and artificial saliva every day, set blank control group (demineralized tooth enamel) and positive control group (commonly used clinical remineralization preparation GC Tooth Mousse Plus). Placed in a 37°C incubator for 1 week and 2 weeks for sampling. Digital photography, Micro-CT, and SEM were used to observe the therapeutic effect of the gel preparation of the present invention on early tooth enamel caries.

效果观察Effect observation

数字摄影观察脱矿牙釉质样本在基线、脱矿后和再矿化2周后的颜色改变。与基线相比,各处理在脱矿后均出现了白垩色外观。再矿化2周后,空白对照组脱矿牙釉质表面的颜色外观无改善;凝胶制剂组白垩色外观消失,釉质表面的光泽性增加;阳性对照组脱矿牙釉质的颜色外观基本不变。Digital photography of color changes in demineralized enamel samples at baseline, after demineralization, and after 2 weeks of remineralization. All treatments had a chalky appearance after demineralization compared to the baseline. After 2 weeks of remineralization, the color appearance of the demineralized enamel surface in the blank control group did not improve; the chalky appearance of the gel preparation group disappeared, and the gloss of the enamel surface increased; the color appearance of the demineralized enamel in the positive control group remained basically unchanged .

Micro-CT扫描各组样本在基线、脱矿后和再矿化2周后的病变深度和矿物质含量变化。与基线相比,各组样本在脱矿后均显示出明显的釉质表面下病变,CT灰度值显著降低。再矿化2周后,凝胶制剂组釉质病变深度减小,CT灰度值显著增强,效果明显优于空白对照组和阳性对照组。Changes in lesion depth and mineral content of samples from each group were scanned by Micro-CT at baseline, after demineralization and after 2 weeks of remineralization. After demineralization, samples from all groups showed obvious subsurface lesions of the enamel with significantly lower CT gray value compared with baseline. After 2 weeks of remineralization, the depth of enamel lesions in the gel preparation group was reduced, and the gray value of CT was significantly enhanced, and the effect was significantly better than that of the blank control group and the positive control group.

扫描电镜对比正常牙釉质、脱矿牙釉质、各处理组再矿化后牙釉质的微观结构。如图4所示,正常牙釉质表面光滑平整,釉柱及釉柱间质的结构完整,釉质晶体间隙不明显;脱矿牙釉质表面呈现“鱼鳞状”的形貌,釉柱和釉柱间质的完整性被明显破坏,部分釉柱间质消失,釉质晶体间出现明显间隙。再矿化2周后,空白对照组未观察到再矿化迹象;凝胶制剂组釉质表面的脱矿形貌消失,原来暴露的釉质晶体间隙被新生的矿物质致密沉积,釉质微观结构得到良好的修复;阳性对照组的再矿化效果不如凝胶制剂组。Scanning electron microscopy was used to compare the microstructure of normal enamel, demineralized enamel, and remineralized enamel in each treatment group. As shown in Figure 4, the surface of normal tooth enamel is smooth and flat, the structure of the enamel column and the interstitial structure of the enamel column is complete, and the gap between enamel crystals is not obvious; The integrity of the enamel was obviously destroyed, part of the interstitium of the enamel column disappeared, and obvious gaps appeared between the enamel crystals. After 2 weeks of remineralization, no signs of remineralization were observed in the blank control group; the demineralized morphology of the enamel surface in the gel preparation group disappeared, and the gaps between the originally exposed enamel crystals were densely deposited by new minerals, and the microstructure of the enamel was improved. repair; the remineralization effect of the positive control group was not as good as that of the gel preparation group.

以上所述实施例仅表达了本发明的几种实施方式,其描述较为具体和详细,但并不能因此而理解为对本发明专利范围的限制。对于本领域的普通技术人员来说,在不脱离本发明构思的前提下,还可以做出若干变形和改进,这些都属于本发明的保护范围。The above-mentioned embodiments only express several implementation modes of the present invention, and the description thereof is relatively specific and detailed, but should not be construed as limiting the patent scope of the present invention. For those skilled in the art, without departing from the concept of the present invention, several modifications and improvements can be made, and these all belong to the protection scope of the present invention.

Claims (10)

1. A preparation method of a tooth mineralization and antibacterial dual-function gel is characterized by comprising the following steps:
1) Dissolving a stabilizer, a calcium salt and at least one metal ion salt additive in a solvent to obtain a mixed solution, then adding a gelling agent, and uniformly swelling to obtain gel i;
2) Dissolving phosphate and fluoride in a solvent to obtain a mixed solution, adjusting the pH value of the solution to 8-12, adding a gelling agent, and uniformly swelling to obtain gel ii;
3) Uniformly mixing the gel i obtained in the step 1) and the gel ii obtained in the step 2) in proportion to obtain the dental mineralization antibacterial dual-function gel.
2. The method of claim 1, wherein: in the step 1), the components in parts by weight are as follows: 10 to 100 portions of stabilizer, 50 to 500 portions of calcium salt, 50 to 250 portions of metal ion salt additive, 50 to 200 portions of gel and 50 to 2000 portions of solvent.
3. The method of claim 1, wherein: in the step 1), the stabilizer is one or more of polyglutamic acid, polyaspartic acid, polyacrylic acid, polymaleic acid, polyglutamic acid, polyvinyl phosphonic acid, carboxymethyl chitosan, ethylenediamine tetraacetic acid, sodium tripolyphosphate, sodium hexametaphosphate and sodium pyrophosphate;
the calcium salt is soluble calcium salt, and is selected from one or more of calcium chloride and/or its hydrate, calcium acetate and/or its hydrate, calcium lactate and/or its hydrate, calcium citrate and/or its hydrate, calcium bicarbonate, and calcium dihydrogen phosphate.
4. The method of claim 1, wherein: in the step 1), the metal ion salt additive is selected from one or more of nitrates, sulfates or chlorides of soluble silver, zinc, strontium, magnesium, copper, gallium, manganese, cerium, zirconium and titanium.
5. The method of claim 1, wherein: in the step 1) and the step 2), the gelling agent is any one or combination of more of methylcellulose, carboxymethyl cellulose, hydroxypropyl methylcellulose, acrylamide polymer, acrylic polymer, vinyl alcohol polymer, polyvinylpyrrolidone, polyethylene glycol, carboxymethyl chitosan, lignin, sodium alginate, agar, starch, collagen, hyaluronic acid and polypeptide compounds;
the solvent is deionized water, glycerol deionized water solution in any ratio and ethanol deionized water solution in any ratio.
6. The method of claim 1, wherein: in the step 2), the components in parts by weight are as follows: 50 to 500 portions of phosphate, 10 to 50 portions of fluoride, 50 to 200 portions of gel and 50 to 2000 portions of solvent.
7. The method of claim 1, wherein: in the step 2), the phosphate is soluble phosphate and is selected from one or more of sodium dihydrogen phosphate, potassium dihydrogen phosphate, ammonium dihydrogen phosphate, disodium hydrogen phosphate, dipotassium hydrogen phosphate, diammonium hydrogen phosphate, sodium phosphate, potassium phosphate and ammonium phosphate; the fluoride is any one or combination of stannous fluoride, sodium fluoride, potassium fluoride, silver fluoride, potassium monofluorophosphate and sodium fluosilicate.
8. The method of claim 1, wherein: the mixing in the step 3) is that the molar ratio of the calcium to the metal ions in the metal ion salt additive in the tooth mineralization and antibacterial dual-function gel is 1-10 by selecting the proportion of the gel agent i and the gel ii: 1; the molar ratio of the sum of the metal ions in the calcium and metal ion salt additive to the phosphorus is 1.3-2.1: 1.
9. a dental mineralization anti-bacterial dual function gel prepared by the method of any one of claims 1-8, wherein the active ingredient of the dental mineralization anti-bacterial dual function gel is a hybrid amorphous calcium phosphate having a particle size of 30-40nm and a spherical shape, and being doped with the metal ion and fluoride ion of the metal ion salt additive.
10. The use of the tooth-mineralization antibacterial bifunctional gel prepared by the method according to any one of claims 1 to 8 in the preparation of a tooth biomimetic-mineralization medicament, wherein the tooth biomimetic-mineralization medicament is a tooth leukoplakia prevention medicament, an early caries treatment medicament or a tooth desensitization treatment medicament.
CN202211550530.4A 2022-12-05 2022-12-05 A tooth mineralization antibacterial bifunctional gel, preparation method and application Pending CN115957237A (en)

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