CA2028136A1 - Method and composition for treatment of periodontal disease - Google Patents

Method and composition for treatment of periodontal disease

Info

Publication number
CA2028136A1
CA2028136A1 CA 2028136 CA2028136A CA2028136A1 CA 2028136 A1 CA2028136 A1 CA 2028136A1 CA 2028136 CA2028136 CA 2028136 CA 2028136 A CA2028136 A CA 2028136A CA 2028136 A1 CA2028136 A1 CA 2028136A1
Authority
CA
Canada
Prior art keywords
composition
periodontal disease
sodium
allantoin
chlorhexidine gluconate
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Abandoned
Application number
CA 2028136
Other languages
French (fr)
Inventor
Marc N. Benhuri
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Publication of CA2028136A1 publication Critical patent/CA2028136A1/en
Abandoned legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61QSPECIFIC USE OF COSMETICS OR SIMILAR TOILETRY PREPARATIONS
    • A61Q11/00Preparations for care of the teeth, of the oral cavity or of dentures; Dentifrices, e.g. toothpastes; Mouth rinses
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K8/00Cosmetics or similar toiletry preparations
    • A61K8/18Cosmetics or similar toiletry preparations characterised by the composition
    • A61K8/30Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds
    • A61K8/33Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds containing oxygen
    • A61K8/36Carboxylic acids; Salts or anhydrides thereof
    • A61K8/368Carboxylic acids; Salts or anhydrides thereof with carboxyl groups directly bound to carbon atoms of aromatic rings
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K8/00Cosmetics or similar toiletry preparations
    • A61K8/18Cosmetics or similar toiletry preparations characterised by the composition
    • A61K8/30Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds
    • A61K8/40Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds containing nitrogen
    • A61K8/43Guanidines
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K8/00Cosmetics or similar toiletry preparations
    • A61K8/18Cosmetics or similar toiletry preparations characterised by the composition
    • A61K8/30Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds
    • A61K8/49Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds containing heterocyclic compounds
    • A61K8/494Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds containing heterocyclic compounds with more than one nitrogen as the only hetero atom
    • A61K8/4946Imidazoles or their condensed derivatives, e.g. benzimidazoles

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Birds (AREA)
  • Epidemiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Emergency Medicine (AREA)
  • Cosmetics (AREA)

Abstract

A composition for treatment of periodontal disease includes an aqueous carrier of sterile water, glycerin and ethanol in which are present chlorhexidine gluconate, allantoin, sodium salicylate and sodium bicarbonate. A preferred method of treatment includes topical application to human periodontium in a mouthwash.

Description

. WO90/09779 2028136 PCT/US9~t~1041 i :`~

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t ~

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¦ METHOD AND COMPOSITION FOR TREATMENT !' OF PERIODONTAL DISEASE. _ .

BACKGROUND OF THE_INVENTION

Field of the Invention The present invention relates to a method and composition for treatment of periodontal disease and, more particularly, to a composition suitahle for topical application to prevent and treat~periodontitls.
:: ~
Descri~tion of the Prior Art ~ ~
Periodontal disease is the major cause of tooth loss in adults~ The periodontium is subj~ect to inflammation for many reasons, primary among them ~ei~g the accumulation of plaque deposits~under and above the gumline These~ ~
calcareous deposits of~organic and mineral matter, which ~ ~`
! : ~ consist~of micr;obial~colonies growing~in carbohydrate~
residues (from food), attach themselves to tooth surfaces~
and can, over time,~ alci~y into tartar. This hard ~;mineraliz~ed su~stance~adheres tenaciously~to the teeth~
~and~, when~under~the gumline, causes inflammation of the periodont~ium. ~Other causes of periodontitls~ can include ~ ~-malocclusion, food impaction and mouth breathlng.

Periodontitis~can cause~the gumline to retract due to~
supporting bone~;loss and the~;gums~to~bleed, and `even~ually, if not treated, can result in tooth loss~.
Until~now,~ the~only~known treatment for~periodon~it~is, outside of taklng~preventive~measures~to keep it from ;;
devel~oping in~the~fi~rst place, was~surgery. The accepted urglcal:procedure invol-eL removIng the Inrlamed gum ~ ~-WO90/09779 ~ 2~2~13~ PCTfUS90/01041 `~
.. ..
..

` tissue, which is expensive and requires a long and painful recovery.
. ..

There have been Yarious attempts at treating periodontal ~--disease without such surgical intervention~ The ~est such ..
attempt to date resides in an oral rinse sold by Procter & ~ -Gamble under the name Peridex~. The chemistry of this product is described in the 1988 Physicans' Desk Reference at pages 1648-49. Unfortunately, Peridex~ rinse has not proved as efficacious ~gainst periodontal disease as might be desired and exhibits unwanted side effects, such as staining of tooth surfaces. -" ~,....

The following patents~also disclose oral treatment agents, but none is believed to represent a substitute for surgical intervention as a trea~ment for periodontal ~; disease:
~Re.31,397 ~ 4,213,961 2,684,924; ~ 4,332,7gl :: ~ ;3 j 887 ~ 712 4 r 339, 430 3,925,543 4,454,110 ~ !~
3,937,807 4,486,404 - ~
3,g57,967 4,569,837 ~ ;
4,051~234 4,601,900 4,067,962 4,661,342 4,198,392 Of interest;with regard to the present invention are U~.S.
Patent 4,486,404 which, in Example 5, discloses a ~`~
tdothpaste;containing chlorhexid;ine gluconate `and allantoin, U.S~. Patents 3,937,807 and 4,05~,234, which disc~lose mouthwashes~wlth~gluc~onates and anti~stain agents,~and U.S. Pa~ent 4,569,837, which discloses the use of~chlorhexidine gluconate and aspirin to treat perlodontal di~sease.~

W090~09779 PCT/U~90/0l0~1 - 20~136 ,.

., ~
SUMMA*Y OF THE INVENTION
It is an object of the present invention to provide a ' composition and method for treating Periodontitis I
; without costly and painful surgical intervention.
.~ .
In accordance with one aspect of the invention, a composition suitable for treating periodontitis comprises an a~ueous solution of an antimicrobial agent with bacteriacidal activity, an a~ent with therapeutic action against skin ulcers, an analgesic, a:stain remover and, if desired, suitable wetting agents, emulsifiers, dispersants, buffers stabilizers, preservatives, flavoring and coloring. -..
In accordance with another aspect of the invention, thecomposition i5 used in a treatment method which comprises the steps of topically applying the composition to inflamed periodonkium.

DESCRIPTION OF PREFERRED EMBODIMENTS
In a preferred embodimient of the invention the various components of the composition of the present invention are present in an aqueous carrier of sterile distilled water, gl.ycerine and ethanol. The glycerine provides thie composition with the desired feel an~ texture and the ethanol acts as an antiseptic.
.1'` ! ! I " I ' ` i , ~ ` i , To this water glycerine-ethanol:ca~rrier is added (1) chlorhexidîne gluconate (0.12% solution), C34H54Cl2N10Ol4 ! (Merck Index 2057j, as an antimicrobial agent with bacteriacldal action, (2):al1antoin,:or (2,5-dioxo-4- ~-imidazolidinyllurea (Merck Index 242) as an agent that ~:
..
,~. ~ ., ,. : ~ :
.J
~ :
'' I .

~ WO9~/0977~ . PCT/US9~J01041 2 ~ 1 ~ 6 - 4 ~

r .:
~ exhibits therapeutic action against skin ulcers, (3) .~ sodium salicylate, or 2-hydroxybenzoic acid monosodium . salt (Merck Index 8515), as an analgesic, and (4) sodium bicarbonate (Merck Index 8414) as a stain remover, along ~
with wetting agents, preservatives, emulsifiers, ~ dispersants, buffexs stabilizers, ~lavoring and coloring, .-t as desired (All references herein to the Merck Index refer to the 1~83 edition.) . .
In particularly preferred embodiment, the above ingredients are provided in the following proportions: -~

TABLE 1 ~;
''.. `' Sterile Water 70.77%
Glycerine (MI 4347) - 11.15% -Ethanol (MI 2~2) 7.50% ~ .
Polysorbate 80 :(as an emulsifier ~.
and dispersant; MI 7455) 4.20%
.
Chlorhexidine gluconate (0.12% -sol.) (MI 2057) 3.50% -~
Sodium bicarbonate (as a stain ;
remover; MI 8414) 0.50% l~.
Sodium lauryl sulfate (as a wetting agent; MI 8474~ 0.50% ~;
Vanilla (as flavoring; MI 9732) 0.60%
Saccharine~(as flavoring; MI~8170) 0.20~ ' ...
Sodium sali~ylate ~MI 8515) 0.15% ., ~i, Allantoin (MI 242) 0.63~% -Sodium ~enzoate (as a preservative; '-MI 8413) 0O10% `~:
, `-~
' ''`'"
. .;
. '""~.
, ...

~ W090~09779 ~ 0~ 1 3 6 P~CT/US90/01041 S

Xanthan gum (as a stabilizer and ~:
. emulsifier; MI 9868) 0.10% `
Sodium borate (as a buffer; MI 8421) 0.085%
F.D.& C. Blue (as coloring) 0.005%
F.D.& C. Red 40 (as coloring) 0.002%
f [Notes to Table l - (l) All proportions of the above ingredients are v/v; (2) "MI" refers to the Merck Index]
' The above composition is prepared by first measuring an appropriate quantity of sterile distilled water; for :
example, l000cc of the composition~ i5 to be prepared, 707.7cc of water are used. ~The remaining ingredients are added in the order listed in Table l, with each ingredient being thoroughly mixed by gently stirring the composition before the next ingredient is ad~ed. ~
,' A clinical test involving 30 people was performed using a composition similar to that set out above, except for using 72.77% sfterile water, 8.00% ethanol, 1.50%
chlorhexidine gluconate ff0.l2% solution) and 0.138%
allantoin. The subjects were chosen because~ all exhib~ited periodontal pockets up to 8mm or 9mm deep. Prior to beginning the treatment regimen, all 30 subjects agreed not to brush or floss their teeth for one week. Then, 15 :
cff the subjects rinsed their mouths three times a day with 1.0 cc of the abo~e composition 30 seconds before brushing and 15 rin~sed their mouths three ~imes a day with an equal amount of a colored sugar-water ~lacebo 30 seconds~before brushing. The sub~jects did not know whether they were uslng the inv~entive composition~or the placebo.
~ : : :: . :: ::
Once a week the teeth of each~subject were chec~ed for the - presence of plaque using a commercfially available plaque-'~ri'' ~ ~ disclosing solutio:n, Superdent'~ disclosing solution : .
:~.. ::
~i ~ ~: ~ ` ` : ' ,' W090/09779 PCT/US90/01041 ~
2 ~;~ g~
~,..`, - 6 - ~-.

concentrate, made by Rugby Laboratories, Inc., of ~' Rockville Centre, Long Island, NY 11570. All subjects using the inventive composition showed little or no plaque accumulation, while there was such plaque accumulation on the teeth of the subjects using the placebo.

The test procedures were continued for 12 weeks, and the subjects' conditions were measured in accordance with the Simplified Oral Hygiene Index (OHI-S) described in Orbanls Periodontics (3rd Ed. 1968~, The C.V. Mosby Co., St.
Louis, MO, at page 134. It was found that the average OHI-S for the subjects on the placebo went from 8mm to 9mm periodontal pocket depth to 6mm to 8mm pocket depth during the 12 week test, while that for the subjects using the inventive composition improved from 8mm to 9mm periodontal pocket depth to 2mm or 3mm pocket depth, which is considered within normal range.~
...
It is expected that~repeated use of the invPntive solution will reduce inflammation, stop bleeding and keratenize ;-damaged periodontal tissue. ,s Qf course, variations of the above preferred embodiment are possible within the scope of the present invention, such as ~arying the proportions of the chlorhexidine i gluconate, allantoin and sodium salicylate within ranges ! i that prov`ide efficacious results. It is intended by the claims appended below to include all such variations ~
i within the present invention.

: :' ., .", . ,, : : ' , . ...
`.'.,' . ", ,~
:~ .,

Claims (8)

WHAT I CLAIM IS:
1. A composition for treating periodontal disease comprising an aqueous carrier having therein chlorhexidine gluconate, allantoin and sodium salicylate.
2. A composition according to claim 1, further comprising a stain remover.
3. A composition according to claim 2, wherein said stain remover is sodium bicarbonate.
4. A composition according to claim 1, wherein said chlorhexidine gluconate is present as a 0.12% solution and said aqueous carrier consists essentially of sterile water, glycerine and ethanol.
5. A composition for treating periodontal disease consisting essentially of the following ingredients in the following amounts according to volume:

Sterile Water 70.77%
Glycerine 11.15%
Ethanol 7.50%
Polysorbate 80 4.20%
Chlorhexidine gluconate (0.12% sol.) 3.50%
Sodium bicarbonate 0.50%
Sodium lauryl sulfate 0.50%
Sodium salicylate 0.15%
Allantoin 0.638%

Xanthan gum 0.10 Preservatives, buffers, flavoring and coloring 0.992%
6. A method for treating periodontal disease comprising the steps of:
providing a composition including an aqueous carrier having therein chlorhexidine gluconate, allantoin and sodium salicylate; and applying said composition topically to a human periodontium.
7. A method according to claim 5, wherein the composition further includes a stain remover.
8. A method according to claim 6, wherein the stain remover is sodium bicarbonate.
CA 2028136 1989-02-28 1990-02-28 Method and composition for treatment of periodontal disease Abandoned CA2028136A1 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US31727189A 1989-02-28 1989-02-28
US317,271 1989-02-28

Publications (1)

Publication Number Publication Date
CA2028136A1 true CA2028136A1 (en) 1990-09-29

Family

ID=23232900

Family Applications (1)

Application Number Title Priority Date Filing Date
CA 2028136 Abandoned CA2028136A1 (en) 1989-02-28 1990-02-28 Method and composition for treatment of periodontal disease

Country Status (4)

Country Link
EP (1) EP0423266A4 (en)
AU (1) AU5287090A (en)
CA (1) CA2028136A1 (en)
WO (1) WO1990009779A1 (en)

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IT1257345B (en) 1992-06-02 1996-01-15 HIGHLY EFFECTIVE SCLEROSANT SOLUTION, WHICH DOES NOT PRODUCE IATROGEN INJURY AND PROCEDURE TO OBTAIN THIS SOLUTION.
US6486214B1 (en) 1997-09-10 2002-11-26 Rutgers, The State University Of New Jersey Polyanhydride linkers for production of drug polymers and drug polymer compositions produced thereby
US6468519B1 (en) 1997-09-10 2002-10-22 Rutgers, The State University Of New Jersey Polyanhydrides with biologically active degradation products
US6673826B2 (en) 1999-07-23 2004-01-06 Alwyn Company, Inc. Methods for treatment of inflammatory diseases
US6896897B2 (en) 1999-07-23 2005-05-24 Alwyn Company, Inc. Flexible applicator for applying oil-in-water emulsion with improved stability
US6329413B1 (en) 1999-07-23 2001-12-11 Alwyn Company, Inc. Allantoin-containing skin cream
US6864274B2 (en) 1999-07-23 2005-03-08 Alwyn Company, Inc. Allantoin-containing skin cream
US6281236B1 (en) 1999-07-23 2001-08-28 Alwyn Company, Inc. Oil-in-water emulsion with improved stability
US20020054895A1 (en) 1999-07-23 2002-05-09 Alwyn Company, Inc. Allantoin-containing skin cream
US6531500B2 (en) 1999-07-23 2003-03-11 Alwyn Company, Inc. Methods for treatment of inflammatory diseases
US20040038948A1 (en) 1999-12-07 2004-02-26 Uhrich Kathryn E. Therapeutic compositions and methods
US6685928B2 (en) 1999-12-07 2004-02-03 Rutgers, The State University Of New Jersey Therapeutic compositions and methods
DE60043075D1 (en) * 1999-12-07 2009-11-12 Univ Rutgers THERAPEUTIC COMPOSITIONS AND METHOD FOR TREATING PERIODONTITIS WITH INFLAMMATORY MEDIUM-SUBSTANCES
CN103767886B (en) 2005-11-09 2018-04-24 科洛斯科技公司 Make the composition and method of dental whitening
EP2102144A4 (en) 2006-09-13 2011-03-23 Univ Rutgers Active agents and their oligomers and polymers
US20100266989A1 (en) 2006-11-09 2010-10-21 Klox Technologies Inc. Teeth whitening compositions and methods
MX337084B (en) 2008-11-07 2016-02-10 Klox Technologies Inc Combination of an oxidant and a photoactivator for the healing of wounds.
CN102711831B (en) 2009-07-17 2015-04-01 克洛克斯科技公司 Antibacterial oral composition
US20140135372A1 (en) 2010-02-02 2014-05-15 Elliott Farber Compositions and methods of treatment of inflammatory skin conditions using allantoin
US20130281913A1 (en) 2012-04-20 2013-10-24 Klox Technologies Inc. Biophotonic compositions and methods for providing biophotonic treatment
US11116841B2 (en) 2012-04-20 2021-09-14 Klox Technologies Inc. Biophotonic compositions, kits and methods
US9144579B2 (en) 2012-08-17 2015-09-29 Rutgers, The State University Of New Jersey Polyesters and methods of use thereof
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US20140120057A1 (en) 2012-10-25 2014-05-01 Rutgers, The State University Of New Jersey Polymers and methods thereof for wound healing
US20140276354A1 (en) 2013-03-14 2014-09-18 Klox Technologies Inc. Biophotonic materials and uses thereof
US9387250B2 (en) 2013-03-15 2016-07-12 Rutgers, The State University Of New Jersey Therapeutic compositions for bone repair
US9862672B2 (en) 2013-05-29 2018-01-09 Rutgers, The State University Of New Jersey Antioxidant-based poly(anhydride-esters)
EP3016686A4 (en) 2013-07-03 2017-01-25 Klox Technologies Inc. Biophotonic compositions comprising a chromophore and a gelling agent for treating wounds
CN103893026B (en) * 2014-03-31 2018-04-06 陈光健 It is a kind of to be used for oral cleaning and the mouthwash of health care
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ES2856841T3 (en) 2014-10-31 2021-09-28 Klox Tech Inc Photoactivatable fibers and fabric media
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Also Published As

Publication number Publication date
WO1990009779A1 (en) 1990-09-07
AU5287090A (en) 1990-09-26
EP0423266A1 (en) 1991-04-24
EP0423266A4 (en) 1991-09-25

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