Compositions, kits and methods for initiating or accelerating curing of endodontic filler or sealer compositions placed on a root canal

Abstract

Activating endodontic points and dental tools are sized and configured to be placed in the root canal of a tooth. The activating endodontic points or dental tools are coated or impregnated with a curing agent that initiates or accelerates polymerization of a sealer or filler composition when placed in contact with the sealer or filler material. Curing agents can include amines that can destabilize a peroxide in the sealer or filler material to initiate or accelerate polymerization, or they may comprise the peroxide. An implement can be dipped in a concentrated curing composition just prior to inserting the implement into a root canal to contact the filler or sealer composition. Kits may include a plurality of curing agent compositions having different concentrations and/or amounts of curing agent. Kits may also include a curable resin material that includes a first part of a multi-part curing system and a curing composition that includes, as curing agent a complementary part of the curing system.

What is claimed is: 
     
       1. A curing composition for use in initiating or accelerating curing of a filler or sealer composition placed in a root canal of a tooth, the curing composition consisting essentially of:
 a liquid carrier in an amount of 0% to about 75%; and 
 a curing agent that is only one part of a multi-part chemical curing system in order to initiate or accelerate curing of a filler or sealer composition placed within a root canal of a tooth which contains a complementary part of the multi-part chemical curing system,
 wherein the curing agent has a concentration in a range of about 25% to 100% by weight of the curing composition, 
 wherein the curing agent does not react until contacted with a filler or sealer composition containing a complementary part of the multi-part chemical curing system, 
 
 the curing composition having a flowability so as to facilitate coating onto or impregnation within an implement that is sized so as to be at least partially insertable into a root canal of a tooth. 
 
     
     
       2. A curing composition as defined in  claim 1 , wherein the liquid carrier comprises a non-polymerizable solvent. 
     
     
       3. A curing composition as defined in  claim 1 , wherein the liquid carrier comprises a polymerizable hydrophilic resin. 
     
     
       4. A curing composition as defined in  claim 1 , wherein the curing agent is an additive compound that destabilizes a peroxide initiator contained in a sealer or filler composition. 
     
     
       5. A curing composition as defined in  claim 4 , wherein the additive compound comprises an amine selected from the group consisting of dimethylamino ethyl methacrylate, triethyl amine, 2-dimethylamino ethanol, diethylamino ethyl methacrylate, trihexyl amine, N,N-dimethyl-p-toluidine, N-methylethanolamine, 2,2′(p-tolyimino) diethanol, derivatives thereof, and combinations thereof. 
     
     
       6. A curing composition as defined in  claim 1 , wherein the curing agent is an initiator that is destabilized by an additive compound contained in a sealer or filler composition. 
     
     
       7. A curing composition as defined in  claim 6 , wherein the initiator comprises a peroxide selected from the group consisting of benzoyl peroxide, 2-butanone peroxide, lauroyl peroxide, tert-butyl peroxide, derivatives thereof, and combinations thereof. 
     
     
       8. A curing composition as defined in  claim 1 , wherein the curing agent is selected to catalyze an epoxy-based polymer composition. 
     
     
       9. A curing composition as defined in  claim 8 , wherein the curing agent is selected from the group consisting of strong bases, amines, and hexamethylenetramine. 
     
     
       10. A curing composition as defined in  claim 1 , wherein the curing agent is selected to catalyze a cationic-based polymer composition. 
     
     
       11. A curing composition as defined in  claim 1 , wherein the curing agent has a concentration in a range of about 35% to about 75% by weight of the curing composition. 
     
     
       12. A curing composition as defined in  claim 1 , wherein the curing agent has a concentration in a range of about 45% to about 55% by weight of the curing composition. 
     
     
       13. A curing composition as defined in  claim 1 , wherein the curing composition is pre-packaged in a microdose container. 
     
     
       14. A curing composition as defined in  claim 13 , wherein the microdose container contains from about 0.01 ml to about 1 ml of the curing composition. 
     
     
       15. A curing composition as defined in  claim 13 , wherein the microdose container contains from about 0.05 ml to about 0.5 ml of the curing composition. 
     
     
       16. A curing composition as defined in  claim 13 , wherein the microdose container contains from about 0.075 ml to about 2.5 ml of the curing composition. 
     
     
       17. A kit for use in controlling cure time of a filler or sealer composition comprising the curing composition of  claim 1  pre-packaged within a plurality of microdose containers. 
     
     
       18. A kit as defined in  claim 17 , wherein the kit comprises at least two microdose containers containing different concentrations and/or amounts of the curing agent. 
     
     
       19. A kit for use in controlling cure time of a filler or sealer composition comprising the curing composition of  claim 1  and a filler or sealer composition containing a complementary part of the multi-part chemical curing system. 
     
     
       20. A kit for use in controlling cure time of a filler or sealer composition comprising the curing composition of  claim 1  and one or more implements for introducing the curing composition into a root canal of a tooth and that are sized so as to be at least partially insertable into a root canal of a tooth. 
     
     
       21. A kit as defined in  claim 20 , wherein the one or more implements comprise one or more gutta percha cones. 
     
     
       22. A kit for use in initiating or accelerating curing of a filler or sealer composition placed in a root canal of a tooth, comprising:
 an endodontic filler or sealer composition stored in a first container and containing a first part of a multi-part chemical curing system; and 
 a curing composition stored in a second container and which contains a curing agent that is only a complementary part of the multi-part chemical curing system in order to initiate or accelerate curing of the filler or sealer composition when contacted therewith in a root canal of a tooth,
 wherein the curing agent has a concentration in a range of about 25% to 100% by weight of the curing composition, 
 wherein the curing agent does not react until contacted with the endodontic filler or sealer composition containing the first part of the multi-part chemical curing system, 
 the curing composition having a flowability so as to facilitate coating onto or impregnation within an implement that is sized so as to be at least partially insertable into a root canal of a tooth. 
 
 
     
     
       23. A kit as defined in  claim 22 , wherein the filler or sealer composition contains a peroxide initiator and the curing composition contains an amine additive that destabilizes the peroxide initiator when the curing composition is contacted with the filler or sealer composition. 
     
     
       24. A kit as defined in  claim 22 , wherein the curing composition contains a peroxide initiator and the filler or sealer composition contains an amine additive that destabilizes the peroxide initiator when the curing composition is contacted with the filler or sealer composition. 
     
     
       25. A kit for use in initiating or accelerating curing of a filler or sealer composition placed in a root canal of a tooth, comprising:
 a curing composition containing a curing agent that is only one part of a multi-part chemical curing system in order to initiate or accelerate curing of a filler or sealer composition placed within a root canal of a tooth which contains a complementary part of the multi-part chemical curing system,
 wherein the curing agent has a concentration of at least about 25% by weight of the curing composition, 
 wherein the curing agent does not react until contacted with a filler or sealer composition containing a complementary part of the multi-part chemical curing system, 
 the curing composition having a flowability so as to facilitate coating onto or impregnation within an implement that is sized so as to be at least partially insertable into a root canal of a tooth; and 
 
 a plurality of implements that are sized so as to be at least partially insertable within a root canal of a tooth in order to facilitate contact of the curing composition with a filler or sealer composition placed within a root canal of a tooth, 
 wherein coating or impregnating one of the implements with the curing agent yields a coated or impregnated implement that is sized so as to be at least partially insertable into a root canal of a tooth. 
 
     
     
       26. A kit as defined in  claim 25 , wherein the implements comprise one or more endodontic cones. 
     
     
       27. A kit as defined in  claim 25 , wherein the implements comprise one or more dental tools. 
     
     
       28. A kit as defined in  claim 25 , wherein the implements comprise one or more plastic fragments. 
     
     
       29. A curing composition for use in initiating curing of a filler or sealer composition placed in a root canal of a tooth, the curing composition consisting essentially of:
 a liquid carrier and   a curing agent that is only one part of a multi-part chemical curing system in order to initiate curing of a filler or sealer composition placed within a root canal of a tooth which contains a complementary part of the multi-part chemical curing system,
 wherein the curing agent has a concentration in a range of about 5% to 35% by weight of the curing composition, 
 wherein the curing agent does not react until contacted with a filler or sealer composition containing a complementary part of the multi-part chemical curing system, 
   the curing composition having a flowability so as to facilitate coating onto or impregnation within an implement that is sized so as to be at least partially insertable into a root canal of a tooth.   
     
     
       30. A curing composition as defined in claim 29, wherein the curing agent has a concentration in a range of about 5% to 25% by weight of the curing composition. 
     
     
       31. A curing composition as defined in claim 29, wherein the curing agent has a concentration in a range of about 20% to 25% by weight of the curing composition. 
     
     
       32. A curing composition as defined in claim 29, wherein the liquid carrier comprises a non-polymerizable solvent. 
     
     
       33. A curing composition as defined in claim 29, wherein the liquid carrier comprises a polymerizable hydrophilic resin. 
     
     
       34. A curing composition as defined in claim 29, wherein the curing agent is an additive compound that destabilizes a peroxide initiator contained in a sealer or filler composition. 
     
     
       35. A curing composition as defined in claim 34, wherein the additive compound comprises an amine selected from the group consisting of dimethylamino ethyl methacrylate, triethyl amine, 2-dimethylamino ethanol, diethylamino ethyl methacrylate, trihexyl amine, N,N-dimethyl-p-toluidine, N-methylethanolamine, 2,2′(p-tolyimino) diethanol, derivatives thereof, and combinations thereof. 
     
     
       36. A curing composition as defined in claim 29, wherein the curing agent is an initiator that is destabilized by an additive compound contained in a sealer or filler composition. 
     
     
       37. A curing composition as defined in claim 36, wherein the initiator comprises a peroxide selected from the group consisting of benzoyl peroxide, 2-butanone peroxide, lauroyl peroxide, tert-butyl peroxide, derivatives thereof, and combinations thereof. 
     
     
       38. A curing composition as defined in claim 29, wherein the curing agent is selected to catalyze an epoxy-based polymer composition. 
     
     
       39. A curing composition as defined in claim 38, wherein the curing agent is selected from the group consisting of strong bases, amines, and hexamethylenetramine. 
     
     
       40. A curing composition as defined in claim 29, wherein the curing agent is selected to catalyze a cationic-based polymer composition. 
     
     
       41. A curing composition as defined in claim 29, wherein the curing composition is pre-packaged in a microdose container. 
     
     
       42. A curing composition as defined in claim 41, wherein the microdose container contains from about 0.01 ml to about 1 ml of the curing composition. 
     
     
       43. A curing composition as defined in claim 41, wherein the microdose container contains from about 0.05 ml to about 0.5 ml of the curing composition. 
     
     
       44. A curing composition as defined in claim 41, wherein the microdose container contains from about 0.075 ml to about 2.5 ml of the curing composition. 
     
     
       45. A kit for use in initiating curing of a filler or sealer composition comprising the curing composition of claim 29 pre-packaged within a plurality of microdose containers. 
     
     
       46. A kit as defined in claim 45, wherein the kit comprises at least two microdose containers containing different concentrations and/or amounts of the curing agent. 
     
     
       47. A kit for use in initiating curing of a filler or sealer composition comprising the curing composition of claim 29 and a filler or sealer composition containing a complementary part of the multi-part chemical curing system. 
     
     
       48. A kit for use in initiating curing of a filler or sealer composition comprising the curing composition of claim 29 and one or more implements for introducing the curing composition into a root canal of a tooth and that are sized so as to be at least partially insertable into a root canal of a tooth. 
     
     
       49. A kit as defined in claim 48, wherein the one or more implements comprise one or more gutta percha cones. 
     
     
       50. A kit for use in initiating curing of a filler or sealer composition placed in a root canal of a tooth comprising:
 an endodontic filler or sealer composition stored in a first container and containing a first part of a multi-part chemical curing system; and   a curing composition stored in a second container and which contains a curing agent that is only a complementary part of the multi-part chemical curing system in order to initiate curing of the filler or sealer composition when contacted therewith within a root canal of a tooth,
 wherein the curing agent has a concentration in a range of about 5% to 35% by weight of the curing composition, 
 wherein the curing agent does not react until contacted with the endodontic filler or sealer composition containing the first part of the multi-part chemical curing system, 
 the curing composition having a flowability so as to facilitate coating onto or impregnation within an implement that is sized so as to be at least partially insertable into a root canal of a tooth. 
   
     
     
       51. A kit as defined in claim 50, wherein the curing agent has a concentration in a range of about 5% to 25% by weight of the curing composition. 
     
     
       52. A kit as defined in claim 50, wherein the filler or sealer composition contains a peroxide initiator and the curing composition contains an amine additive that destabilizes the peroxide initiator when the curing composition is contacted with the filler or sealer composition. 
     
     
       53. A kit as defined in claim 50, wherein the curing composition contains a peroxide initiator and the filler or sealer composition contains an amine additive that destabilizes the peroxide initiator when the curing composition is contacted with the filler or sealer composition. 
     
     
       54. A kit for use in initiating curing of a filler or sealer composition placed in a root canal of a tooth comprising:
 a curing composition containing a curing agent that is only one part of a multi-part chemical curing system in order to initiate or accelerate curing of a filler or sealer composition placed within a root canal of a tooth which contains a complementary part of the multi-part chemical curing system,
 wherein the curing agent has a concentration of about 5% to about 35% by weight of the curing composition, 
 wherein the curing agent does not react until contacted with a filler or sealer composition containing a complementary part of the multi-part chemical curing system 
 the curing composition having a flowability so as to facilitate coating onto or impregnation within an implement that is sized so as to be at least partially insertable into a root canal of a tooth; and 
   a plurality of implements that are sized so as to be at least partially insertable within a root canal of a tooth in order to facilitate contact of the curing composition with a filler or sealer composition placed within a root canal of a tooth,   wherein coating or impregnating one of the implements with the curing agent yields a coated or impregnated implement that is sized so as to be at least partially insertable into a root canal of a tooth.   
     
     
       55. A kit as defined in claim 54, wherein the curing agent has a concentration in a range of about 5% to 25% by weight of the curing composition. 
     
     
       56. A kit as defined in claim 54, wherein the implements comprise one or more endodontic cones. 
     
     
       57. A kit as defined in claim 54, wherein the implements comprise one or more dental tools. 
     
     
       58. A kit as defined in claim 54, wherein the implements comprise one or more plastic fragments. 
     
     
       59. A curing composition for use in initiating curing of a filler or sealer composition placed in a root canal of a tooth, the curing composition consisting essentially of:
 a non-polymerizable liquid carrier; and   a curing agent that is only one part of a multi-part chemical curing system in order to initiate curing of a filler or sealer composition placed within a root canal of a tooth which contains a complementary part of the multi-part chemical curing system,
 wherein the curing agent has a concentration in a range of about 0.1% to 35% by weight of the curing composition, 
 wherein the curing agent does not react until contacted with a filler or sealer composition containing a complementary part of the multi-part chemical curing system, 
   the curing composition having a flowability so as to facilitate coating onto or impregnation within an implement that is sized so as to be at least partially insertable into a root canal of a tooth.   
     
     
       60. A curing composition as defined in claim 59, wherein the non-polymerizable liquid carrier is a non-polymerizable solvent selected from the group consisting of water, methanol, ethanol, isopropyl alcohol, propylene glycol, 1,3-propanediol, glycerin, polyethylene glycol, polypropylene glycol, actone, toluene, xylene, ethyl acetate, DMSO, DMF, acetonitrile, and mixtures thereof. 
     
     
       61. A curing composition as defined in claim 59, wherein the curing agent has a concentration in a range of about 0.1% to 20% by weight of the curing composition. 
     
     
       62. A curing composition as defined in claim 59, wherein the curing agent has a concentration in a range of about 1% to 2% by weight of the curing composition. 
     
     
       63. A curing composition as defined in claim 59, wherein the curing agent is an additive compound that destabilizes a peroxide initiator contained in a sealer or filler composition. 
     
     
       64. A curing composition as defined in claim 63, wherein the additive compound comprises an amine selected from the group consisting of dimethylamino ethyl methacrylate, triethyl amine, 2-dimethylamino ethanol, diethylamino ethyl methacrylate, trihexyl amine, N,N-dimethyl-p-toluidine, N-methylethanolamine, 2,2′(p-tolyimino) diethanol, derivatives thereof, and combinations thereof.