CA1163564A - Method for reducing dental plaque and pellicle precursor of plaque - Google Patents
Method for reducing dental plaque and pellicle precursor of plaqueInfo
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- CA1163564A CA1163564A CA000367409A CA367409A CA1163564A CA 1163564 A CA1163564 A CA 1163564A CA 000367409 A CA000367409 A CA 000367409A CA 367409 A CA367409 A CA 367409A CA 1163564 A CA1163564 A CA 1163564A
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- undecylenic acid
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Abstract
METHOD FOR REDUCING DENTAL PLAQUE AND PELLICLE PRECURSOR OF
PLAQUE
ABSTRACT OF THE DISCLOSURE
A composition for reducing dental plaque, pellicle and infections of the teeth, the present invention essentially comprises an effective amount of n-undecylenic acid or an effective substitute therefore according to the invention to the teeth, gums and mouth. The effective ingredient employed accord-ing to the method of the invention can either be applied directly to the teeth and tissues in a substantially inert carrier such as in a dentifrice paste for personal oral use or can be applied directly by a dental practitioner. The effective ingredient can also be caused to contact the teeth and tissues by application through an impregnated dental tape or the like.
Practice of the present method improves the condition of the gums and other tissues of the mouth, acts to prevent yeast and other infections, reduces the incidence of tooth decay caused by parasitic bacteria, reduces the bacteria count in the mouth to provide a more hygienic oral environment, substantially reduces plaque formation present on the teeth prior to treatment accord-ing to the invention and essentially acts to prevent new plaque from forming on the teeth with continued treatment. The method employs treatment of the teeth by brushing or irrigating with a dental preparation containing an active ingredient comprising up to about two percent undecylenic acid and up to about 20 percent by weight of zinc undecylenate based on the total dental preparation.
PLAQUE
ABSTRACT OF THE DISCLOSURE
A composition for reducing dental plaque, pellicle and infections of the teeth, the present invention essentially comprises an effective amount of n-undecylenic acid or an effective substitute therefore according to the invention to the teeth, gums and mouth. The effective ingredient employed accord-ing to the method of the invention can either be applied directly to the teeth and tissues in a substantially inert carrier such as in a dentifrice paste for personal oral use or can be applied directly by a dental practitioner. The effective ingredient can also be caused to contact the teeth and tissues by application through an impregnated dental tape or the like.
Practice of the present method improves the condition of the gums and other tissues of the mouth, acts to prevent yeast and other infections, reduces the incidence of tooth decay caused by parasitic bacteria, reduces the bacteria count in the mouth to provide a more hygienic oral environment, substantially reduces plaque formation present on the teeth prior to treatment accord-ing to the invention and essentially acts to prevent new plaque from forming on the teeth with continued treatment. The method employs treatment of the teeth by brushing or irrigating with a dental preparation containing an active ingredient comprising up to about two percent undecylenic acid and up to about 20 percent by weight of zinc undecylenate based on the total dental preparation.
Description
1 ~ ¢35~4 The invention generally relates to a dental preparation for the improvement of the health of the teeth, gums, and mouth, the invention particularly providing methods for the reduction and prevention of pellicle and plaque on the teeth and of infections of the teeth, gums and mouth.
Proper oral hygiene as presently practiced requires that the substance ~nown as "plaque" which forms on the surface of the teeth be removed in order to eliminate a source of potential injury to the teeth and gums as well as to allow usual oral hygiene methods to be more effective. The removal of plaque is, therefore, no~ for cosmetic purposes although such purposes are also served when plaque is removed from the teeth.
Prior methods for remo~ing plaque have essentially been mechanical in nature, the toothbrush being used for personal hygiene by the patients. Abrasive compounds are also applied by the dentist to the teeth by rotary "polishing" instruments which mechanically "scour" plaque from the teeth. These prior treatments, while effective, at best only eliminate the gross build-up on the teeth, thin layers of plaque remaining after such treatments due to the undesirability of grinding or abrading the enamel surfaces of the teeth which can result from a too enthusiastic practice of the prior methods.
The necessity for plaque control is due to the very nature of this rather complex material. Essentially, pellicle, a precursor of plaque, deposits in rough areas or at or under the free margin of the gingiva. Plaque is generally considered to be a deposit of .~
material on the surface of a tooth, the deposit usually being a growth of bacteria. Plaque also acts as a nucleus for formation of a dental calculus which typically comprises calcium phosphate, calcium carbonate, and organic matter which forms as a deposit on the surface of the teeth. Plaque has different forms and combinations of forms depending on individual oral conditions, the syndrome typically referred to as plaque usually not being recognized as having the complexity which it exhibits. The complex nature of plaque is elucidated only partially by an appreciation of the fact that plaque can be at least partially bacterial and/or fungal in nature as well as being an actual deposit of inorganic and organic materials. The very complexity of the syndrome referred to as plaque has caused the dental practitioner to feel the need for even more effective treatment andpreventative tools than have heretofore been available. The methods otherwise useful for generally treating oral infections, including yeast infections, and for maintaining a high level or oral health. In particular, practice of the present invention acts to reduce tooth decay and gum diseases inter alia by reducing the bacteria count in the mouth, the reduction of the bacteria count to a desired and safe level due to the present methods being one cause for the reduction of tooth decay and gum diseases provided by the invention.
i 1 63564 The present invention provides a dental preparation for contacting the teeth to reduce dental plaque and pellicle precursor plaque comprising as active ingredient, an effective amount of undecylenic acid, zinc undecylenate, or mixtures thereof, together with a pharmaceutically acceptable diluent or carrler.
According to an aspect of the invention is a dental preparation for contacting the teeth to reduce dental plaque and pellicle precursor plaque comprising containing as active ingredient, an effective amount up to about 20% by weight of zinc undecylenate and an effective amount up to about 2~ by weight of undecylenic acid based on the weight of the dental preparation, together with a pharmaceutically acceptable diluent or carrier.
The active ingredient may be an effective amount of undecylenic acid or a non-toxic salt thereof inclllding the calcium and zinc salts in the teeth and mouth tissues, particularly the gums. While undecylenic acid and the calcium and zinc salts thereof are particularly useful according to the in~en~ion, it is to be understood that the saturated form of undecylenic acid, i.e. undecanoic acid and the non-toxic salts thereof, are also useful in a similar fashion. Monocarboxylic fatty acids which also show a satisfactory utility according to the invention are propionic, caprylicy and caproic acids, the non-toxic salts thereof being also useful to a satisfactory degree. It is to be understood that the use of the term undecylenic acid is taken to include the salts thereof as afore-said and the monocarboxylic acids indicated hereinabove as well ~ :1 63~4 as the non-toxic salts thereof. It is also to be appreciated that the straight-chain, partially unsaturated undécylenic acid provides particularly effective results when used according to the teachings of the present invention.
Undecylenic acid can be utilized according to the invention in a dentifrice normally applied to the teeth and gums on a daily basis. In such a composition, the total weight proportion of the acid and/or salt thereof or any combination of acids and/or salts is typically less than 5~, the balance of the dentrifice composition comprising a mild dentifrice paste such as Kolynose (Trade Mark) paste or any dentifrice with or without abrasives or active ingredients other than the substances added to the dentifrice according to the invention. While the acids and/or salts could be used in such a dentifrice in weight proportions greater than 5%, and are so used for relatively shorter periods of time to correct certaln situations, the taste of the composition according to the invention becomes objection able to many individuals after a period of time. The method of the present invention is preferably practiced with a dentifrice composition which does not contain fluoride. The present methods can also be practiced with oral irriga-ting devices, effective concentrations of undecylenic acid being even less than 0.01% by weight of the irrigating solutionO In the concentrations indicated for use in a dentifrice or with an oral irrigating device, the method of the invention can be practiced indefinitely without irritation of the tissues or loss of tooth structure, the practice of the present method acting to forecefully deter infections of the gums and to also deter the incidence of tooth decay due at least in part to the reduction and/or elimination of plaque on the teeth.
~ .
. .
1 ~ ~3564 The present method can also be practiced by a dental practitioner, the preferred method so employed comprising a topical application of undecylenic acid to the teeth, gums, and at least contact by the acid with oral tissues~ the acid being applied even in full strength for rapid reduction of plaque and stubborn parasitic infections or infestations including fungus and yeast infections. Such full-strength application is preferably followed by oral irrigation. Topical application by a dental practitio~ typically utilizes a given weight proportion of undecylenic acid in an otherwise or essentially inert application medium, the weight percent of undecylenic acid typically being 10 to 50% in such a composition.
-4a-i ~ ~35~4 It is, therefore, an object of the present invention to provide methods for at least reducing dental plaque on the teeth and infections of the teeth, gums, and tissues of the mouth by application of an effective amount of undecylenic acid and/or the non-toxic salts thereof including the zinc and calcium salts.
It is another object of the present invention to provlde methods for reducing and/or eliminating dental plaque, improving gum conditions, reducing and/or eliminating infection and infestations sf the mouth including yeast and fungal infections and reducing the incidence of tootn decay due to parasitic bacteria, the methods involving the application of an effective amount of undecylenic acid and/or the non-toxic salts thereof including the zinc and calcium salts.
It is a further object of the invention to provide methods for reducing the bacteria count in the mouth, improving gum conditions, and reducing and preventing plaque on the teeth, the methods contemplating the topical application to at least the teeth and gums of one or more monocar-boxylic acids, including undecylenic acid, undecanoic acid, propionic acid, caprylic acid, and caproic acid and/or the non-toxic salts including the calcium and zinc salts thereof.
Other objects and advantages of the invention will become more apparent in light of the following detailed description of the preferred embodiments of the invention.
The present invention provides methods for reducing, eliminating, and/or preventing the formation of dental plaque on the teeth, Ihe practice of the present methods further improving oral health by causing a reduction, elimination, and/or prevention of infections and infestations of the mouth including those of bacteria, fungal, and yeast origins. Further, the i ~ ~3564 practice of the methods according to the invention reduces the incidence of tooth decay due at least in part to parasitic bacteria, the present methods generally acting to reduce the bacterial count in the mouth to thereby improve and mainLain oral health.
While acute infections of the mouth are usually readily detect-able and can be treated successfully with antibiotics, most chronic and sub-acute infections are less easily detected and are usually more resistant to standard treatments. Bacterial, fungal, and yeast infections and infestations are virtually always associated with plaque formation on the teeth, such conditions always showing the development of plaque on the gingival margin and between the teeth. The teaching of the present invention involves the reduction, elimination, and/or prevention of plaque formation on the teeth in order to concurrently treat the aforesaid infections and infestations. A further teaching of the present invention involves the observation that an individual who experiences a sudden increase in the incidence of cavities has concurrently experienced a causative change in the bacterial flora of the mouth. In such situations, oral examinations reveal that a plaque exists on the teeth which is subs~antially identical in appearance to plaque which is associated with
Proper oral hygiene as presently practiced requires that the substance ~nown as "plaque" which forms on the surface of the teeth be removed in order to eliminate a source of potential injury to the teeth and gums as well as to allow usual oral hygiene methods to be more effective. The removal of plaque is, therefore, no~ for cosmetic purposes although such purposes are also served when plaque is removed from the teeth.
Prior methods for remo~ing plaque have essentially been mechanical in nature, the toothbrush being used for personal hygiene by the patients. Abrasive compounds are also applied by the dentist to the teeth by rotary "polishing" instruments which mechanically "scour" plaque from the teeth. These prior treatments, while effective, at best only eliminate the gross build-up on the teeth, thin layers of plaque remaining after such treatments due to the undesirability of grinding or abrading the enamel surfaces of the teeth which can result from a too enthusiastic practice of the prior methods.
The necessity for plaque control is due to the very nature of this rather complex material. Essentially, pellicle, a precursor of plaque, deposits in rough areas or at or under the free margin of the gingiva. Plaque is generally considered to be a deposit of .~
material on the surface of a tooth, the deposit usually being a growth of bacteria. Plaque also acts as a nucleus for formation of a dental calculus which typically comprises calcium phosphate, calcium carbonate, and organic matter which forms as a deposit on the surface of the teeth. Plaque has different forms and combinations of forms depending on individual oral conditions, the syndrome typically referred to as plaque usually not being recognized as having the complexity which it exhibits. The complex nature of plaque is elucidated only partially by an appreciation of the fact that plaque can be at least partially bacterial and/or fungal in nature as well as being an actual deposit of inorganic and organic materials. The very complexity of the syndrome referred to as plaque has caused the dental practitioner to feel the need for even more effective treatment andpreventative tools than have heretofore been available. The methods otherwise useful for generally treating oral infections, including yeast infections, and for maintaining a high level or oral health. In particular, practice of the present invention acts to reduce tooth decay and gum diseases inter alia by reducing the bacteria count in the mouth, the reduction of the bacteria count to a desired and safe level due to the present methods being one cause for the reduction of tooth decay and gum diseases provided by the invention.
i 1 63564 The present invention provides a dental preparation for contacting the teeth to reduce dental plaque and pellicle precursor plaque comprising as active ingredient, an effective amount of undecylenic acid, zinc undecylenate, or mixtures thereof, together with a pharmaceutically acceptable diluent or carrler.
According to an aspect of the invention is a dental preparation for contacting the teeth to reduce dental plaque and pellicle precursor plaque comprising containing as active ingredient, an effective amount up to about 20% by weight of zinc undecylenate and an effective amount up to about 2~ by weight of undecylenic acid based on the weight of the dental preparation, together with a pharmaceutically acceptable diluent or carrier.
The active ingredient may be an effective amount of undecylenic acid or a non-toxic salt thereof inclllding the calcium and zinc salts in the teeth and mouth tissues, particularly the gums. While undecylenic acid and the calcium and zinc salts thereof are particularly useful according to the in~en~ion, it is to be understood that the saturated form of undecylenic acid, i.e. undecanoic acid and the non-toxic salts thereof, are also useful in a similar fashion. Monocarboxylic fatty acids which also show a satisfactory utility according to the invention are propionic, caprylicy and caproic acids, the non-toxic salts thereof being also useful to a satisfactory degree. It is to be understood that the use of the term undecylenic acid is taken to include the salts thereof as afore-said and the monocarboxylic acids indicated hereinabove as well ~ :1 63~4 as the non-toxic salts thereof. It is also to be appreciated that the straight-chain, partially unsaturated undécylenic acid provides particularly effective results when used according to the teachings of the present invention.
Undecylenic acid can be utilized according to the invention in a dentifrice normally applied to the teeth and gums on a daily basis. In such a composition, the total weight proportion of the acid and/or salt thereof or any combination of acids and/or salts is typically less than 5~, the balance of the dentrifice composition comprising a mild dentifrice paste such as Kolynose (Trade Mark) paste or any dentifrice with or without abrasives or active ingredients other than the substances added to the dentifrice according to the invention. While the acids and/or salts could be used in such a dentifrice in weight proportions greater than 5%, and are so used for relatively shorter periods of time to correct certaln situations, the taste of the composition according to the invention becomes objection able to many individuals after a period of time. The method of the present invention is preferably practiced with a dentifrice composition which does not contain fluoride. The present methods can also be practiced with oral irriga-ting devices, effective concentrations of undecylenic acid being even less than 0.01% by weight of the irrigating solutionO In the concentrations indicated for use in a dentifrice or with an oral irrigating device, the method of the invention can be practiced indefinitely without irritation of the tissues or loss of tooth structure, the practice of the present method acting to forecefully deter infections of the gums and to also deter the incidence of tooth decay due at least in part to the reduction and/or elimination of plaque on the teeth.
~ .
. .
1 ~ ~3564 The present method can also be practiced by a dental practitioner, the preferred method so employed comprising a topical application of undecylenic acid to the teeth, gums, and at least contact by the acid with oral tissues~ the acid being applied even in full strength for rapid reduction of plaque and stubborn parasitic infections or infestations including fungus and yeast infections. Such full-strength application is preferably followed by oral irrigation. Topical application by a dental practitio~ typically utilizes a given weight proportion of undecylenic acid in an otherwise or essentially inert application medium, the weight percent of undecylenic acid typically being 10 to 50% in such a composition.
-4a-i ~ ~35~4 It is, therefore, an object of the present invention to provide methods for at least reducing dental plaque on the teeth and infections of the teeth, gums, and tissues of the mouth by application of an effective amount of undecylenic acid and/or the non-toxic salts thereof including the zinc and calcium salts.
It is another object of the present invention to provlde methods for reducing and/or eliminating dental plaque, improving gum conditions, reducing and/or eliminating infection and infestations sf the mouth including yeast and fungal infections and reducing the incidence of tootn decay due to parasitic bacteria, the methods involving the application of an effective amount of undecylenic acid and/or the non-toxic salts thereof including the zinc and calcium salts.
It is a further object of the invention to provide methods for reducing the bacteria count in the mouth, improving gum conditions, and reducing and preventing plaque on the teeth, the methods contemplating the topical application to at least the teeth and gums of one or more monocar-boxylic acids, including undecylenic acid, undecanoic acid, propionic acid, caprylic acid, and caproic acid and/or the non-toxic salts including the calcium and zinc salts thereof.
Other objects and advantages of the invention will become more apparent in light of the following detailed description of the preferred embodiments of the invention.
The present invention provides methods for reducing, eliminating, and/or preventing the formation of dental plaque on the teeth, Ihe practice of the present methods further improving oral health by causing a reduction, elimination, and/or prevention of infections and infestations of the mouth including those of bacteria, fungal, and yeast origins. Further, the i ~ ~3564 practice of the methods according to the invention reduces the incidence of tooth decay due at least in part to parasitic bacteria, the present methods generally acting to reduce the bacterial count in the mouth to thereby improve and mainLain oral health.
While acute infections of the mouth are usually readily detect-able and can be treated successfully with antibiotics, most chronic and sub-acute infections are less easily detected and are usually more resistant to standard treatments. Bacterial, fungal, and yeast infections and infestations are virtually always associated with plaque formation on the teeth, such conditions always showing the development of plaque on the gingival margin and between the teeth. The teaching of the present invention involves the reduction, elimination, and/or prevention of plaque formation on the teeth in order to concurrently treat the aforesaid infections and infestations. A further teaching of the present invention involves the observation that an individual who experiences a sudden increase in the incidence of cavities has concurrently experienced a causative change in the bacterial flora of the mouth. In such situations, oral examinations reveal that a plaque exists on the teeth which is subs~antially identical in appearance to plaque which is associated with
2~ chronic gum irritations. The treatment of such conditions must be carefully approached, the use of obvious measures, such as antibiotics often being impossible or contraindicated due to the possibility of allergy or poLential resistance or development of resistance to the antibiotic. Treatment is further complicated by the fact that the pathogenic organisms present in ~he mouth typically fall into a number of differing categories which include organisms of quite differing character and description, thereby generally indicating that a variety of different treatments would be necessary in order ~o effec~ively treat the several different categories 1 ~ ~3~4 of pathogens present in the mouth. Such a pracrice would first necessitate the identification of the certain pathogen or pathogens which were present in the mouth due to both normal and abnormal conditions. Pathogenic microorganiSmS present in the mouth and which appear to cause the most significant difficulties are summarized as follows:
Co]on-typhoid 57%
Beta Strep 19%
Hemophilis Para Influenza 4%
Yeast 7%
Fungus 4%
Staph infections are also presen~ in a relatively smaller precent-age of the population, the oral manifestations of the parasitic staph so encountered being considered to comprise only a portion of the total infes-tation associated with individuals having such bacteria in the mouth. Yeast , infections appear to be increasing, the typical yeast infection being : visually identifiable due to the formation of black spots on the necks of the teeth.
According to the practice of the several methods according to the present invention, a monocarboxylic acid substantially selected from the group consisting of undecylenic acid, undecanoic acid, propionic acid, caprylic acid, caproic acid, and/or the non-toxic salts including the calcium and zinc salts thereof is topically applied either directly or in combination with a relatively inert application media, such as a dentifrice paste, to at least the teeth, contact further occurring with the gums and other tissues of the mouth. Of particular utility is the topical applica-tion oE n-undecylenic acid and/or the non-toxic salts thereof including the calcium and zinc salts. Undecylenic acid, also known as 10-undecenoic ~ 3 B~564 acid, is a liquid at room temperature and is typically~derived from the destructive distillation of castor oil. ~5ndecanoic acid, also known as hendecanoic acid, is the saturated form of undecylenic acid. A particular teaching of the present invention is that the topical application of the aforesaid acids and salts, particularly undecylenic acid, acts to reduce, control, eliminate, and/or prevent dental plaque on the teeth and to reduce the bacteria count of the mouth, tooth decay due at least in part to parasitic bateria and gum diseases being markedly reduced through a practice of the present invention. Practice of the present methods further acts to reduce, control, eliminate, andlor prevent yeast infections, fungal conditions, and infections and infestations caused by bacteria, yeast, and fungus in the mouth, the practice of the invention particularly acting to markedly~leduce the bacteria count in the mouth. From the standpoint of the indiv~;idual treated by direct topical application or by use of the aforesaid acids and salts thereof in a dentifrice paste, the moSt noticeable immediate sign of such treatment is the general subjective feeling of a clean condition in the mouth, a substantial number of individuals reporting that a l'fuzzy" feeling present in association with the teeth having been eliminated due to the use of the invention. Such individuals reported that the teeth felt clean and "slick" in a manner similar to the way the teeth feel after mechanical cleaning according to current dental practice.
Chronic gum conditions treated according to the present invention can readily be deter~sined by the individual so affected to be progressing toward a more healthy condition. Even conditions associated with stubborn cases of angular Cheilosis-chronic soreness in the corners of the mouth can be improved through a practice of the present invention. In prior dental practice, angular Cheilosis-chronic soreness has been at lease partially attributed to vita~sin deficiency and has typically been treated through the use of b complex. It is herein disclosed that angular Cheilosis-1 ~ ~3564 chronic soreness can be treated, controlled, eliminate~ and/or preventedthrough the practice of the present invention without the use of B complex.
Experimental usage of the present invention has involved the treatment of a number of selected individual patients, there not having been a single case of irritation or sensitivity having developed due to the practice of the invention either due to direct topical applicat~on by a dental practitioner or due to experimental usage of the invention in dentifrice form by the individuals themselves. The clean feeling experienced in the mouth of the individuals treated according to the present invention has also been sufficient to cause the overwhelming majority of the individuals so treated to wish to continue usage of the invention even after the conditions for which the individuals were originally treated had been reducedj controlled, or eliminated. Such continued usage has also proven that the practice of the present invention is a preventative of the conditions noted herein. It is further to be noted from the experimentil regimen followed that plague of all types has been reduced due to the practice of the present invention, virtually all types of plaque being controlled and/or prevented from additional substantial formation.
~hile the acids and salts utilized in the practice of the present methods can be applied in virtually any strength ranging from even less than 0.01% by weight to full 100% strength applications, such varying applications comprising under differing conditions medically effective amounts, it is considered that the invention is practiced in a preferred manner by utilizing differing percentages of the acids and the salts thereof according to differing modes of treatment. In particular, the direct topical application of the acids and salts according to the present methods by a dental practitioner can vary from a weight proportion of approximately 0.01% when utilized with an oral irrigation device to full 100% strength when directly applied to the teeth and gums in an effort to i ~ 635~
effect rapid reduction of playue and/or infections and infestations of the mouth. Such full strength application is preferably followed by irrigation of the mouth. Direct topical application by a dental practitioner typically involves a weight proportion of the acids and/or salts according ~o the invention in a range of between 10 and 50%, the balance of the applied material being a relatively inert application media. This reduced weight percent is necessitated by a concern for the comfort of the individual due to the fact that the application of the acids and /or salts in full strength produces a harmless burning sensation.
For use in daily oral hygiene, the present invention càn be practiced by the provision in a dentifrice, such as a paste, powder, etc., of weight percentages of the acids and/or salts according to the invention of between approximately 0.01 to approximately 10% by weight, the balance of the denti-frice paste, powder, etc., comprising relatively inert components, such as a mild toothpaste, toothpowder, or the like. The invention can further be practiced with oral irrigating devices, the solution so used typicaliy being approximately .01% by weight of the acids and/or salts according to the . invention. Accordingly, it can be seen that the present invention can be practiced with widely varying weight percentages of the acids and/or salts disclosed herein according to the invention, the method and conditions of application having a particular influence on the proportions of the acids and/or salts utilized in any particular treatment, maintenance, or prevention situation Experimental usage of the present invention has produced the following examples (Examples I to XIII) which typify treatment according to ~he invention and the results provided thereby with a dentrifrice paste com-prised of 2% by weight of undecylenic acid and 2% by weight of zinc undecyle-nate. Examples XIV to XXIII typify treatments with other ranges of concen~ra-tion in various proportions of undecylenic acid and its zinc salt.
EXAMPLE I
The patient evidenced acute gum infection and a heavy, yellow, grainy plaque. Cultu}e revealed Enterobacter, Xlebsiella group; the patient was treated with antibiotic to reduce acute infection. Following such infec-tions an inflammation typically lingers, treatment of which is impossible with antibiotics for a prolonged period of time in the mouth since exposure to mucous membrane eventually causes allergic reaction to an antibiotic.
When the acute stage was past, treatment with antibiotics was discontinued and a dentifrice paste comprised of 2% by weight of undecylenic acid and 2% by weight of zinc undecylen;ate was applied twice daily coincidental with the regular brushing of the teeth. Chronic inflammation subsided immediately, the plaque disappearing as the inflammation disappeared~
EXAMPLE II
The patient had a long-standing chronic gum condition with two areas of deep damage to bone between teeth, light plaque between the teeth, bleeding gums, poor prognosis. Culture revealed Haemophilus Parainfluenzae, a rare organism to find in the mouth. Home use of the dentifrice paste described in Example I dramatically controlled the wide-spread chronic inflammation.
The two deep areas required antibiotic irrigation for control. When the two deep areas were brought under control with antibiotic irrigation and use of the paste, home care wlth the paste alone has been sufficient to control both the plaque and the wide-spread chronic inflammation and the two deep areas. ~o measurable bone loss has occurred since treatment began.
~ 1 ~3564 EXAMPLE III
The patient had extensive dental decay with fillings in all teeth, and cavities appeared with such rapidity that ~he patient had to be recalled every three months for filling of caries. A medium growth of yellow-white plaque was always present even with normal mechanical cleaning.` The patient had an average of six new cavities every three months. Cultures revealed only normal flora although some identified microorganism or microorganisms were suspected to be present in addition to the plaque. The patient began use of the dentifrice paste described in Example I and continued use of the paste. Cavities slowly regressed until periodic checks were necessary only every six months, only about three new cavities now occurring every six months. The plaque is still visible in rough areas of old fillings but has been substantially reduced on all portions of the teeth since use of the dentifrice paste began. .
- EXAMPLE IV
The patient was found to have cancer of the left tonsilar arch. The treatment of choice was radiation; this is a procedure normally requiring extraction of all of the teeth. ~nder such conditions, teeth are normally extracted due to the altered flora of the mouth occurring due to radiation which causes the teeth to decay so badly that repair is essentially impossible.
Teeth under such conditions literally fall apart. Additionally, the altered blood supply to the jaw bones, especially the mandible, which is caused by radiation treatments, usually causes death of the bone if an extraction is necessary after the blood supply has been so affected. The pa~ient was radiated, and the tumor regressed and has not recurred. After radiation, the patient experienced black dots on the teeth which quickly became cavities.
1 1 B3~64 A dentifrice paste such as described in Example I was u,sed in combination with Nilstat (Trade Mark) Cream an~ massaged into the teet~ and gums three times a day. Treatment caused stop~ac~e of the black dots an~ decay. Treatment witn Nilstat Cr~am was di~c~ntinued witn continued ~sage of the present dentifrice paste, there being ~o significant decay subsequently, no loss of teeth, and no adverse conditions indicative of a reduced level of oral health EXAMPLE V
The patient bothered by very sore gums with essentially no visible Sy~ptoms. Gum tissues appeared slightly scalded, whitish; but without the usual appearance of acute infection. A substantial amount of plaque was present on the teeth. Culture revealed E. Coli, not a rare infection, but one not usually seen in the mouth. Dentifrice paste formulated substantial- I
ly as described in Example I was immediately begun without use of antibiotics. ¦-The tenderness of the gums disappeared in less than four days. Plaque f~rther disappeared within four days, the teeth appearing quite clean.
Inflammation completely disappeared within ten days without recurrence.
The patient continues use of the dentifrice paste.
.
EXAMPLE VI
An overweight young woman in poor general h,ealth evidenced acute red swelling of the gums and sore mouth, plaque appearing in all inflamed areas with a thickness such as to appear pustular. Culture revealed Enterococ-cus gp. D. Initial treatment involved tetracycline mouth wash and internal tetracycline. Acute soreness and most of the redness disappeared within five days, the gums remaining puffy and swollen. The patient began use of denti-frice paste as substantially described in Example I, the teeth being cleaned up im~ediarely and ~he 5wollen tissues slowly returninU to nnnnal atter tùree .~, ~ .......................................................... ~
~ J 63564 weeks usage of the dentifrice paste. When the patient discontinued use of che pas~e, the swelling reappeared within a week. ~se of the paste was again begun without recurrence of swelling and inflammation.
EXAMPLE VII
The patient evidenced chronic inflammation of unusual nature.
While tissues were not sore, the tissues were a bright red and swollen. A
great deal of bone damage existed in certain areas, as if an organism had found a particular invasion location at which deep pockets were formed result-ing in two loose teeth. Culture revealed pure pneumococcus, apparently of long standing. Heavy plaque existed on the teeth. Tetracycline was started as a mouthwash and also internally to prevent the organism from relocating in the throat or lungs. After passage of the acute stage, the deep pockets were surgically treated to obliterate room for infection. Plaque changed in appearance to a heavy line around the necks of the teeth which would reappear within 30 minutes after brushing. Treatment with dentifrice paste as substan-tially described in Example I was begun, the plaque disappearing immediately.
The general health of the mouth has since been excellent, there being no recurrence of the acute or chronic infection.
EXAMPLE VIII
The patent had a chronic irritation and many cavities. Heavy plaque recurred quickly after normal cleaning. The patient complained of teeth feeling "dirty" all the time. Culture revealed Staph Aurens. An~ibiotic therapy quickly stopped the mild soreness and chronic irritation. Plaque changed but remained. The patient felt that plaque was lessened and did not re~urn quite as quickly. Fillings were placed and the original irritation slowly reappeared before the fillings were finished over a period of weeks.
~ J ~5~4 Plaque again became heavier. Treatment with dentifric~e according to the invention was begun, the plaque disappearing in a matter of days.
Patien~ has continued use of the paste without recurrence of irritation and with a reduced level of cavities.
EX~MPLE IX
The patient was constantly bothered with cavities around the necXs of most of the teeth. Teeth had so many fillings that new cavities were difficult to find. Medium plaque recurred quickly after normal cleaning and was very difficult to brush away. Culture revealed Enterococcus which was treated experimentally with Lincocin mouthwash. Plaque remained.
Antibiotic Garamycin cream was applied three times daily, the plaque gradually being reduced. As soon as the antibiotic cream was discontinued, plaque reappeared. The patient developed sensitivity tO antibiotic cream, it being necessary to discontinue use thereof. ~se of the dentifrice paste according to the invention was begun, the plaque disappearing immediately.
The pa~ient has been able to re~ain on the paste over a period of years, cavities around the necks of the teeth being diminished in number during chis period of time by over 75%.
EXAMPLE X
The patient evidenced a chronically sore mou~h, a few fillings and cavities, and severe bone damage in isolated places apparently due to bacterial activity having a local foot-hold and invading deeply into the tissues. Culture revealed Beta Strep. Plaque was obvious between the teeth and around the necks of the teeth, but had apparently done little damage to the teeth themselves. Infection control was undertaken with anti-biotics, both as a mouthwash and internally to prevent to prevent the strep
Co]on-typhoid 57%
Beta Strep 19%
Hemophilis Para Influenza 4%
Yeast 7%
Fungus 4%
Staph infections are also presen~ in a relatively smaller precent-age of the population, the oral manifestations of the parasitic staph so encountered being considered to comprise only a portion of the total infes-tation associated with individuals having such bacteria in the mouth. Yeast , infections appear to be increasing, the typical yeast infection being : visually identifiable due to the formation of black spots on the necks of the teeth.
According to the practice of the several methods according to the present invention, a monocarboxylic acid substantially selected from the group consisting of undecylenic acid, undecanoic acid, propionic acid, caprylic acid, caproic acid, and/or the non-toxic salts including the calcium and zinc salts thereof is topically applied either directly or in combination with a relatively inert application media, such as a dentifrice paste, to at least the teeth, contact further occurring with the gums and other tissues of the mouth. Of particular utility is the topical applica-tion oE n-undecylenic acid and/or the non-toxic salts thereof including the calcium and zinc salts. Undecylenic acid, also known as 10-undecenoic ~ 3 B~564 acid, is a liquid at room temperature and is typically~derived from the destructive distillation of castor oil. ~5ndecanoic acid, also known as hendecanoic acid, is the saturated form of undecylenic acid. A particular teaching of the present invention is that the topical application of the aforesaid acids and salts, particularly undecylenic acid, acts to reduce, control, eliminate, and/or prevent dental plaque on the teeth and to reduce the bacteria count of the mouth, tooth decay due at least in part to parasitic bateria and gum diseases being markedly reduced through a practice of the present invention. Practice of the present methods further acts to reduce, control, eliminate, andlor prevent yeast infections, fungal conditions, and infections and infestations caused by bacteria, yeast, and fungus in the mouth, the practice of the invention particularly acting to markedly~leduce the bacteria count in the mouth. From the standpoint of the indiv~;idual treated by direct topical application or by use of the aforesaid acids and salts thereof in a dentifrice paste, the moSt noticeable immediate sign of such treatment is the general subjective feeling of a clean condition in the mouth, a substantial number of individuals reporting that a l'fuzzy" feeling present in association with the teeth having been eliminated due to the use of the invention. Such individuals reported that the teeth felt clean and "slick" in a manner similar to the way the teeth feel after mechanical cleaning according to current dental practice.
Chronic gum conditions treated according to the present invention can readily be deter~sined by the individual so affected to be progressing toward a more healthy condition. Even conditions associated with stubborn cases of angular Cheilosis-chronic soreness in the corners of the mouth can be improved through a practice of the present invention. In prior dental practice, angular Cheilosis-chronic soreness has been at lease partially attributed to vita~sin deficiency and has typically been treated through the use of b complex. It is herein disclosed that angular Cheilosis-1 ~ ~3564 chronic soreness can be treated, controlled, eliminate~ and/or preventedthrough the practice of the present invention without the use of B complex.
Experimental usage of the present invention has involved the treatment of a number of selected individual patients, there not having been a single case of irritation or sensitivity having developed due to the practice of the invention either due to direct topical applicat~on by a dental practitioner or due to experimental usage of the invention in dentifrice form by the individuals themselves. The clean feeling experienced in the mouth of the individuals treated according to the present invention has also been sufficient to cause the overwhelming majority of the individuals so treated to wish to continue usage of the invention even after the conditions for which the individuals were originally treated had been reducedj controlled, or eliminated. Such continued usage has also proven that the practice of the present invention is a preventative of the conditions noted herein. It is further to be noted from the experimentil regimen followed that plague of all types has been reduced due to the practice of the present invention, virtually all types of plaque being controlled and/or prevented from additional substantial formation.
~hile the acids and salts utilized in the practice of the present methods can be applied in virtually any strength ranging from even less than 0.01% by weight to full 100% strength applications, such varying applications comprising under differing conditions medically effective amounts, it is considered that the invention is practiced in a preferred manner by utilizing differing percentages of the acids and the salts thereof according to differing modes of treatment. In particular, the direct topical application of the acids and salts according to the present methods by a dental practitioner can vary from a weight proportion of approximately 0.01% when utilized with an oral irrigation device to full 100% strength when directly applied to the teeth and gums in an effort to i ~ 635~
effect rapid reduction of playue and/or infections and infestations of the mouth. Such full strength application is preferably followed by irrigation of the mouth. Direct topical application by a dental practitioner typically involves a weight proportion of the acids and/or salts according ~o the invention in a range of between 10 and 50%, the balance of the applied material being a relatively inert application media. This reduced weight percent is necessitated by a concern for the comfort of the individual due to the fact that the application of the acids and /or salts in full strength produces a harmless burning sensation.
For use in daily oral hygiene, the present invention càn be practiced by the provision in a dentifrice, such as a paste, powder, etc., of weight percentages of the acids and/or salts according to the invention of between approximately 0.01 to approximately 10% by weight, the balance of the denti-frice paste, powder, etc., comprising relatively inert components, such as a mild toothpaste, toothpowder, or the like. The invention can further be practiced with oral irrigating devices, the solution so used typicaliy being approximately .01% by weight of the acids and/or salts according to the . invention. Accordingly, it can be seen that the present invention can be practiced with widely varying weight percentages of the acids and/or salts disclosed herein according to the invention, the method and conditions of application having a particular influence on the proportions of the acids and/or salts utilized in any particular treatment, maintenance, or prevention situation Experimental usage of the present invention has produced the following examples (Examples I to XIII) which typify treatment according to ~he invention and the results provided thereby with a dentrifrice paste com-prised of 2% by weight of undecylenic acid and 2% by weight of zinc undecyle-nate. Examples XIV to XXIII typify treatments with other ranges of concen~ra-tion in various proportions of undecylenic acid and its zinc salt.
EXAMPLE I
The patient evidenced acute gum infection and a heavy, yellow, grainy plaque. Cultu}e revealed Enterobacter, Xlebsiella group; the patient was treated with antibiotic to reduce acute infection. Following such infec-tions an inflammation typically lingers, treatment of which is impossible with antibiotics for a prolonged period of time in the mouth since exposure to mucous membrane eventually causes allergic reaction to an antibiotic.
When the acute stage was past, treatment with antibiotics was discontinued and a dentifrice paste comprised of 2% by weight of undecylenic acid and 2% by weight of zinc undecylen;ate was applied twice daily coincidental with the regular brushing of the teeth. Chronic inflammation subsided immediately, the plaque disappearing as the inflammation disappeared~
EXAMPLE II
The patient had a long-standing chronic gum condition with two areas of deep damage to bone between teeth, light plaque between the teeth, bleeding gums, poor prognosis. Culture revealed Haemophilus Parainfluenzae, a rare organism to find in the mouth. Home use of the dentifrice paste described in Example I dramatically controlled the wide-spread chronic inflammation.
The two deep areas required antibiotic irrigation for control. When the two deep areas were brought under control with antibiotic irrigation and use of the paste, home care wlth the paste alone has been sufficient to control both the plaque and the wide-spread chronic inflammation and the two deep areas. ~o measurable bone loss has occurred since treatment began.
~ 1 ~3564 EXAMPLE III
The patient had extensive dental decay with fillings in all teeth, and cavities appeared with such rapidity that ~he patient had to be recalled every three months for filling of caries. A medium growth of yellow-white plaque was always present even with normal mechanical cleaning.` The patient had an average of six new cavities every three months. Cultures revealed only normal flora although some identified microorganism or microorganisms were suspected to be present in addition to the plaque. The patient began use of the dentifrice paste described in Example I and continued use of the paste. Cavities slowly regressed until periodic checks were necessary only every six months, only about three new cavities now occurring every six months. The plaque is still visible in rough areas of old fillings but has been substantially reduced on all portions of the teeth since use of the dentifrice paste began. .
- EXAMPLE IV
The patient was found to have cancer of the left tonsilar arch. The treatment of choice was radiation; this is a procedure normally requiring extraction of all of the teeth. ~nder such conditions, teeth are normally extracted due to the altered flora of the mouth occurring due to radiation which causes the teeth to decay so badly that repair is essentially impossible.
Teeth under such conditions literally fall apart. Additionally, the altered blood supply to the jaw bones, especially the mandible, which is caused by radiation treatments, usually causes death of the bone if an extraction is necessary after the blood supply has been so affected. The pa~ient was radiated, and the tumor regressed and has not recurred. After radiation, the patient experienced black dots on the teeth which quickly became cavities.
1 1 B3~64 A dentifrice paste such as described in Example I was u,sed in combination with Nilstat (Trade Mark) Cream an~ massaged into the teet~ and gums three times a day. Treatment caused stop~ac~e of the black dots an~ decay. Treatment witn Nilstat Cr~am was di~c~ntinued witn continued ~sage of the present dentifrice paste, there being ~o significant decay subsequently, no loss of teeth, and no adverse conditions indicative of a reduced level of oral health EXAMPLE V
The patient bothered by very sore gums with essentially no visible Sy~ptoms. Gum tissues appeared slightly scalded, whitish; but without the usual appearance of acute infection. A substantial amount of plaque was present on the teeth. Culture revealed E. Coli, not a rare infection, but one not usually seen in the mouth. Dentifrice paste formulated substantial- I
ly as described in Example I was immediately begun without use of antibiotics. ¦-The tenderness of the gums disappeared in less than four days. Plaque f~rther disappeared within four days, the teeth appearing quite clean.
Inflammation completely disappeared within ten days without recurrence.
The patient continues use of the dentifrice paste.
.
EXAMPLE VI
An overweight young woman in poor general h,ealth evidenced acute red swelling of the gums and sore mouth, plaque appearing in all inflamed areas with a thickness such as to appear pustular. Culture revealed Enterococ-cus gp. D. Initial treatment involved tetracycline mouth wash and internal tetracycline. Acute soreness and most of the redness disappeared within five days, the gums remaining puffy and swollen. The patient began use of denti-frice paste as substantially described in Example I, the teeth being cleaned up im~ediarely and ~he 5wollen tissues slowly returninU to nnnnal atter tùree .~, ~ .......................................................... ~
~ J 63564 weeks usage of the dentifrice paste. When the patient discontinued use of che pas~e, the swelling reappeared within a week. ~se of the paste was again begun without recurrence of swelling and inflammation.
EXAMPLE VII
The patient evidenced chronic inflammation of unusual nature.
While tissues were not sore, the tissues were a bright red and swollen. A
great deal of bone damage existed in certain areas, as if an organism had found a particular invasion location at which deep pockets were formed result-ing in two loose teeth. Culture revealed pure pneumococcus, apparently of long standing. Heavy plaque existed on the teeth. Tetracycline was started as a mouthwash and also internally to prevent the organism from relocating in the throat or lungs. After passage of the acute stage, the deep pockets were surgically treated to obliterate room for infection. Plaque changed in appearance to a heavy line around the necks of the teeth which would reappear within 30 minutes after brushing. Treatment with dentifrice paste as substan-tially described in Example I was begun, the plaque disappearing immediately.
The general health of the mouth has since been excellent, there being no recurrence of the acute or chronic infection.
EXAMPLE VIII
The patent had a chronic irritation and many cavities. Heavy plaque recurred quickly after normal cleaning. The patient complained of teeth feeling "dirty" all the time. Culture revealed Staph Aurens. An~ibiotic therapy quickly stopped the mild soreness and chronic irritation. Plaque changed but remained. The patient felt that plaque was lessened and did not re~urn quite as quickly. Fillings were placed and the original irritation slowly reappeared before the fillings were finished over a period of weeks.
~ J ~5~4 Plaque again became heavier. Treatment with dentifric~e according to the invention was begun, the plaque disappearing in a matter of days.
Patien~ has continued use of the paste without recurrence of irritation and with a reduced level of cavities.
EX~MPLE IX
The patient was constantly bothered with cavities around the necXs of most of the teeth. Teeth had so many fillings that new cavities were difficult to find. Medium plaque recurred quickly after normal cleaning and was very difficult to brush away. Culture revealed Enterococcus which was treated experimentally with Lincocin mouthwash. Plaque remained.
Antibiotic Garamycin cream was applied three times daily, the plaque gradually being reduced. As soon as the antibiotic cream was discontinued, plaque reappeared. The patient developed sensitivity tO antibiotic cream, it being necessary to discontinue use thereof. ~se of the dentifrice paste according to the invention was begun, the plaque disappearing immediately.
The pa~ient has been able to re~ain on the paste over a period of years, cavities around the necks of the teeth being diminished in number during chis period of time by over 75%.
EXAMPLE X
The patient evidenced a chronically sore mou~h, a few fillings and cavities, and severe bone damage in isolated places apparently due to bacterial activity having a local foot-hold and invading deeply into the tissues. Culture revealed Beta Strep. Plaque was obvious between the teeth and around the necks of the teeth, but had apparently done little damage to the teeth themselves. Infection control was undertaken with anti-biotics, both as a mouthwash and internally to prevent to prevent the strep
3 $ 6 ~
infection from settling elsewhere. Gingivectomies were performed on the damaged areas. A dentifrice paste prepa}ed according to the invention was used after the surgery, plaque disappearing immediately. Since the surgery and with continued use of the dentifrice paste, no further irritation or damage Lo the bone has occurred. The mouth is now completely clean and healthy, it being believed, however, that former gum problems would return if the use of the paste were discontinued due to other health problems of the patient.
EXAMPLE XI
The patient was subject to three month oral examinations due to rampant caries. A high rate of decay existed, approximately four cavities having to be filled every three months. Teeth were covered absolutely with a grainy plaque which would recur immediately after cleaning. The plaque was a yellow-white which could be scraped from the teeth at any location, no success being enjoyed in controlling the plaque even though antibiotics, antifungus medicines, and other techniques were employed. The patient began use of the dentifrice paste prepared according to the invention on a daily basis at home, there being an immediate reduction in the amount of plaque on the teeth. The incidence of decay diminished constantly for over a year until the cavity level now requires only one filling every three months.
The plaque is substantially reduced, although not completely eliminated, and the health of the gum has improved. An unknown microorganism is suspected which has not been eliminated by Ihe use of the paste but which has been substantially controlled.
; EX~PLE XII
The patient evidenced very heavy plaque, red gum tissue which was swollen and hypertrophied in places to such an extent that a gingival ~ 3 ~3~
papilla would be loose for half an inch and would pull away from the tooth and stand away until pushed back. Many cavities were present on surfaces which had no attrition, portions of the teeth eroding for no apparent reason.
Culture revealed Candida. Treatment with a dentifrice paste according IO the invention was started, plaque diminishing immediately. Cavities were filled and rough eroded places filled to eliminate places in which the Candida could live. Hypertrophied tissues became less red and irritated, but did not completely return to normal. Plaque is evident in places between teeth and under hypertrophied tissues. hypertrophied tissues are then removed with surgery and use of the dentifrice paste continued. Plaque diminished markedly, but still evident between teeth. The patient presently experiences little decay and no tissue hypertrophy with continued use of the dentifrice pasle.
Plaque diminished in direct ratio to home care with the paste, meticulous use of the paste for even short periods of time causing`the plaque to disappear and not recur.
EXAMPLE XIII
A child of 12 with no history of dental decay was suddenly observed to have a total of seven cavities. A medium growth of white plaque was in evidence. Culture revealed Budding Yeast. Treatment with dentifrice pasle as previously described was begun and cavities filled. Subsequent examination revealed a clean set of teeth with no cavities and no plaque. Patient now evidencing cavities which invariably accompany diet and eating habits of typical teenage individuals. Without original and continued treatment accord-ing to the present invention, it is believed that the high rate of decay first evidenced at the age of 12 would have continued.
`~ ~ 635~
~ )ile the foregoing provides typical examples of individuals treated according to the present invention, it is to be understood that the examples provide only a representative sampling of an experimental program involving over l,000 individuals treated either with the dentifrice paste as described hereinabove, by direct topical application by a dental practitioner, or with oral irrigation. In the experimental program, not a single case of irritation or sensitivity has developed. Individuals continuing to use the dentifrice paste on an experlmental home program report the feeling of having a "clean" mouth which has been unobtainable by any other program of oral treatment. The practice of the present invention in the experimental program so described has not res~lted in a single example ~here-plaque has not been reduced, all of the individuals so treated having been positively aided to at least some degree. hlhile the acids andlor salts, particularly in undecylenic acid and the zinc and calcium salts thereof, have long been known; the results provided by a practice of the methods according to the invention are completely unexpected and would not have been an obvious result of such treatment to a person of ordinary skill in the art. Accordingly, the present invention is seen to provide novel methods of effecting the beneficial results referred to hereinabove.
In Examples XIV to XXIII, tests of the plaque removing formu-lations were carried out to illustrate the wide rante of composition possible. This was achieved by preparing dentifrice for~ulations in several different dilutions of undecylenic acid by itself, zinc undecylenate by itself, and various combinations thereof, employing a commercial dentifrice base.
The dentifrice base with which the experiments were conducted was -356~
a commercial product available in tubes holding an average of S0 cubic centi-eters ~cc). The tubes were opened and the contents were removed. A measured quantity of undecylenic acid or zinc undecylenate was blended with the contents of the 50 cc tube of dental paste, and then replaced in the tube for experi-mental testing on various subjects.
The Table attached discloses the formulations of Examples XIV to XXIII, expressed both in volume and in weight percent of undecylenic acid and zinc undecylenate in the tested formulation.
EXAMPLE XIV
...._ The subject of the test of Example XIV was permitted to test the dentifrice base with about 0.5% by weight of undecylenic acid added, in a comparison with the dentifrice base having no additives and serving as a control. The composition of Example XIV, by comparison with the control, changed the flavor somewhat, caused the paste to foam to a greater extent, was not objectionable to the subject, and was somewhat more effective than the control.
EXAMPLE XV
The formulation having doubled the concentration of undecylenic acid from that of Example XIV was found to have fair effectiveness and was somewhat 20 hot to the taste.
~ ~ ~3~6~
EXAMPLE XVI
A formulation including zinc undecylenate with no undecylenic acid added displayed no unpleasanr taste or burning sensation and was found to be quite effective.
EXAMPLE XVII
An increased increment of zinc undecylenate was found to be more effective than that of Example XVI. Increasing increments of zinc undecylenate was found to increase effectiveness of the paste progressively.
EXAMPLE XVIII
At 20 cc of added zinc undecylenate~per 50 cc portion of dentifrice base, a noticeable "hotness" was found, but this was not judged by the subject to be unpleasant to the extent of a patient actually complaining about the : taste. Of six patients tested, one found the slight hotness to be pleasant, two found the hotness very slightly unpleasant, and none of the six actually complained of the taste. At this strength of 6.27% zinc undecylenate by weight, the formulation of Example XVIII was an excellent plaque remover with no added undecylenic acid.
XAMPLE XIX
In an effort to determine the upper limits of the amount of zinc 20 salt which could be utilized, it was surprisingly found that no substantial problems of taste were apparent, and an excellent plaque removing dentifrice was obtained.
^ ~
~ ~ 6356 ~
EXAMPLE ~X
The pure salt of zinc undecylenate was applied to determine the upper limit of the amount of power useable without undecylenic acid. The pure zinc salt was found to be no more objectionable LO use than the paste of Example XIX, indicating that there apparently is no upper limit to the amount of zinc undecylenate useable, except with respect to the taste, described by subjects as "hotness", which produces no harmful or detrimental effects other than those affecting consumer preferences.
EXAMPLE XXI
A patient having severe yeast infection was treated with dentifrice base containing a ~ixture of undecylenic acid and zinc undecylenate having a quite hot taste. The patent found the dentifrice containing the undecylenic acid and salt to be quite satisfactory due to the observed efficacy of cleaning, and the patent further found the taste quite acceptable.
: EXAMPLE XXII
.
A mixture of undecylenic acid and its zinc salt were prepared and found to be the preferable formulation. The plaque removal qualities were dramatic and the taste quite acceptable.
EX~MPLE XXIII
A for~ulation somewhat higher in zinc salt than that of Example XXII
was prepared, and no appreciable difference in effectiveness or taste was ob-servable.
Preferably, 20~ by weight of ~inc undecylenate and 2~ by weight of undecylenic acid constitutes the active ingredients in a conventional taste dentifrice preparatiOn. However, as is clear from the Examples, particu]arly ~ ~ ~356~
examples XVI through XX, undecylenic acid is not an essential component of the mixture. Accordingly, ranges of zinc undecylenate from about 0.6% to about 12% are effective, with undecylenic acid in conjunction therewith ranging from 0 to 2% by weight, and 7inc undecylenate up to 100~ is effective, although preferably zine undecylenate should be limited to no greater than about 20% by weight.
TABLE
Dental formulations tested in Exa~ples XIV to XXIII:
EXAMPLE D IFRICE BASE UNDECYLENIC ACID ZINC UNDECYLENATE
VolumeWeight Volume Weight Added % Added XIV 50 cc 1 cc 0.54 XV 50 cc 2 cc 1.04 -- --XVI 50 cc -- -- 2 cc 0.62 XVII I 50 cc -- -- 4 cc 1.24 XVIII 50 cc -- -- 20 cc 6.27 XIX 50 cc -- -- 30 cc 9.4 XX -- -- -- Pure Salt 100.00 XXI 50 cc 4 cc 2.19 4 cc 1.2 20 XXII 50 cc 2 cc 1.04 30 cc 9.4 XXIII 50 cc 2 cc ~ 1.04 ~ 40 cc 12.
The foregoing is considered as illustrative only of the principles of the inven~ion. Further, since numerous modifications and changes will readily occur to those skilled in the art, it is not desired to limit the inven~ion to the exact practice shown and described, and accordingly, all suitable modifications and equivalents may be rescrted to, falling within the scope of the invention. Throughout the specification and claims, unless o~herwise specifie~, parts and proportions are expressed by weight percent.
infection from settling elsewhere. Gingivectomies were performed on the damaged areas. A dentifrice paste prepa}ed according to the invention was used after the surgery, plaque disappearing immediately. Since the surgery and with continued use of the dentifrice paste, no further irritation or damage Lo the bone has occurred. The mouth is now completely clean and healthy, it being believed, however, that former gum problems would return if the use of the paste were discontinued due to other health problems of the patient.
EXAMPLE XI
The patient was subject to three month oral examinations due to rampant caries. A high rate of decay existed, approximately four cavities having to be filled every three months. Teeth were covered absolutely with a grainy plaque which would recur immediately after cleaning. The plaque was a yellow-white which could be scraped from the teeth at any location, no success being enjoyed in controlling the plaque even though antibiotics, antifungus medicines, and other techniques were employed. The patient began use of the dentifrice paste prepared according to the invention on a daily basis at home, there being an immediate reduction in the amount of plaque on the teeth. The incidence of decay diminished constantly for over a year until the cavity level now requires only one filling every three months.
The plaque is substantially reduced, although not completely eliminated, and the health of the gum has improved. An unknown microorganism is suspected which has not been eliminated by Ihe use of the paste but which has been substantially controlled.
; EX~PLE XII
The patient evidenced very heavy plaque, red gum tissue which was swollen and hypertrophied in places to such an extent that a gingival ~ 3 ~3~
papilla would be loose for half an inch and would pull away from the tooth and stand away until pushed back. Many cavities were present on surfaces which had no attrition, portions of the teeth eroding for no apparent reason.
Culture revealed Candida. Treatment with a dentifrice paste according IO the invention was started, plaque diminishing immediately. Cavities were filled and rough eroded places filled to eliminate places in which the Candida could live. Hypertrophied tissues became less red and irritated, but did not completely return to normal. Plaque is evident in places between teeth and under hypertrophied tissues. hypertrophied tissues are then removed with surgery and use of the dentifrice paste continued. Plaque diminished markedly, but still evident between teeth. The patient presently experiences little decay and no tissue hypertrophy with continued use of the dentifrice pasle.
Plaque diminished in direct ratio to home care with the paste, meticulous use of the paste for even short periods of time causing`the plaque to disappear and not recur.
EXAMPLE XIII
A child of 12 with no history of dental decay was suddenly observed to have a total of seven cavities. A medium growth of white plaque was in evidence. Culture revealed Budding Yeast. Treatment with dentifrice pasle as previously described was begun and cavities filled. Subsequent examination revealed a clean set of teeth with no cavities and no plaque. Patient now evidencing cavities which invariably accompany diet and eating habits of typical teenage individuals. Without original and continued treatment accord-ing to the present invention, it is believed that the high rate of decay first evidenced at the age of 12 would have continued.
`~ ~ 635~
~ )ile the foregoing provides typical examples of individuals treated according to the present invention, it is to be understood that the examples provide only a representative sampling of an experimental program involving over l,000 individuals treated either with the dentifrice paste as described hereinabove, by direct topical application by a dental practitioner, or with oral irrigation. In the experimental program, not a single case of irritation or sensitivity has developed. Individuals continuing to use the dentifrice paste on an experlmental home program report the feeling of having a "clean" mouth which has been unobtainable by any other program of oral treatment. The practice of the present invention in the experimental program so described has not res~lted in a single example ~here-plaque has not been reduced, all of the individuals so treated having been positively aided to at least some degree. hlhile the acids andlor salts, particularly in undecylenic acid and the zinc and calcium salts thereof, have long been known; the results provided by a practice of the methods according to the invention are completely unexpected and would not have been an obvious result of such treatment to a person of ordinary skill in the art. Accordingly, the present invention is seen to provide novel methods of effecting the beneficial results referred to hereinabove.
In Examples XIV to XXIII, tests of the plaque removing formu-lations were carried out to illustrate the wide rante of composition possible. This was achieved by preparing dentifrice for~ulations in several different dilutions of undecylenic acid by itself, zinc undecylenate by itself, and various combinations thereof, employing a commercial dentifrice base.
The dentifrice base with which the experiments were conducted was -356~
a commercial product available in tubes holding an average of S0 cubic centi-eters ~cc). The tubes were opened and the contents were removed. A measured quantity of undecylenic acid or zinc undecylenate was blended with the contents of the 50 cc tube of dental paste, and then replaced in the tube for experi-mental testing on various subjects.
The Table attached discloses the formulations of Examples XIV to XXIII, expressed both in volume and in weight percent of undecylenic acid and zinc undecylenate in the tested formulation.
EXAMPLE XIV
...._ The subject of the test of Example XIV was permitted to test the dentifrice base with about 0.5% by weight of undecylenic acid added, in a comparison with the dentifrice base having no additives and serving as a control. The composition of Example XIV, by comparison with the control, changed the flavor somewhat, caused the paste to foam to a greater extent, was not objectionable to the subject, and was somewhat more effective than the control.
EXAMPLE XV
The formulation having doubled the concentration of undecylenic acid from that of Example XIV was found to have fair effectiveness and was somewhat 20 hot to the taste.
~ ~ ~3~6~
EXAMPLE XVI
A formulation including zinc undecylenate with no undecylenic acid added displayed no unpleasanr taste or burning sensation and was found to be quite effective.
EXAMPLE XVII
An increased increment of zinc undecylenate was found to be more effective than that of Example XVI. Increasing increments of zinc undecylenate was found to increase effectiveness of the paste progressively.
EXAMPLE XVIII
At 20 cc of added zinc undecylenate~per 50 cc portion of dentifrice base, a noticeable "hotness" was found, but this was not judged by the subject to be unpleasant to the extent of a patient actually complaining about the : taste. Of six patients tested, one found the slight hotness to be pleasant, two found the hotness very slightly unpleasant, and none of the six actually complained of the taste. At this strength of 6.27% zinc undecylenate by weight, the formulation of Example XVIII was an excellent plaque remover with no added undecylenic acid.
XAMPLE XIX
In an effort to determine the upper limits of the amount of zinc 20 salt which could be utilized, it was surprisingly found that no substantial problems of taste were apparent, and an excellent plaque removing dentifrice was obtained.
^ ~
~ ~ 6356 ~
EXAMPLE ~X
The pure salt of zinc undecylenate was applied to determine the upper limit of the amount of power useable without undecylenic acid. The pure zinc salt was found to be no more objectionable LO use than the paste of Example XIX, indicating that there apparently is no upper limit to the amount of zinc undecylenate useable, except with respect to the taste, described by subjects as "hotness", which produces no harmful or detrimental effects other than those affecting consumer preferences.
EXAMPLE XXI
A patient having severe yeast infection was treated with dentifrice base containing a ~ixture of undecylenic acid and zinc undecylenate having a quite hot taste. The patent found the dentifrice containing the undecylenic acid and salt to be quite satisfactory due to the observed efficacy of cleaning, and the patent further found the taste quite acceptable.
: EXAMPLE XXII
.
A mixture of undecylenic acid and its zinc salt were prepared and found to be the preferable formulation. The plaque removal qualities were dramatic and the taste quite acceptable.
EX~MPLE XXIII
A for~ulation somewhat higher in zinc salt than that of Example XXII
was prepared, and no appreciable difference in effectiveness or taste was ob-servable.
Preferably, 20~ by weight of ~inc undecylenate and 2~ by weight of undecylenic acid constitutes the active ingredients in a conventional taste dentifrice preparatiOn. However, as is clear from the Examples, particu]arly ~ ~ ~356~
examples XVI through XX, undecylenic acid is not an essential component of the mixture. Accordingly, ranges of zinc undecylenate from about 0.6% to about 12% are effective, with undecylenic acid in conjunction therewith ranging from 0 to 2% by weight, and 7inc undecylenate up to 100~ is effective, although preferably zine undecylenate should be limited to no greater than about 20% by weight.
TABLE
Dental formulations tested in Exa~ples XIV to XXIII:
EXAMPLE D IFRICE BASE UNDECYLENIC ACID ZINC UNDECYLENATE
VolumeWeight Volume Weight Added % Added XIV 50 cc 1 cc 0.54 XV 50 cc 2 cc 1.04 -- --XVI 50 cc -- -- 2 cc 0.62 XVII I 50 cc -- -- 4 cc 1.24 XVIII 50 cc -- -- 20 cc 6.27 XIX 50 cc -- -- 30 cc 9.4 XX -- -- -- Pure Salt 100.00 XXI 50 cc 4 cc 2.19 4 cc 1.2 20 XXII 50 cc 2 cc 1.04 30 cc 9.4 XXIII 50 cc 2 cc ~ 1.04 ~ 40 cc 12.
The foregoing is considered as illustrative only of the principles of the inven~ion. Further, since numerous modifications and changes will readily occur to those skilled in the art, it is not desired to limit the inven~ion to the exact practice shown and described, and accordingly, all suitable modifications and equivalents may be rescrted to, falling within the scope of the invention. Throughout the specification and claims, unless o~herwise specifie~, parts and proportions are expressed by weight percent.
Claims (2)
1. A dental preparation for contacting the teeth to reduce dental plaque and pellicle precursor plaque comprising as active ingredients, an effective amount of undecylenic acid, zinc undecylenate, or mixtures thereof, together with a pharmaceutically acceptable diluent or carrier.
2. A dental preparation for contacting the teeth to reduce dental plaque and pellicle precursor plaque comprising containing as active ingredient, an effective amount up to about 20% by weight of zinc undecylenate and an effective amount up to about 2% by weight of undecylenic acid based on the weight of the dental preparation, together with a pharmaceutically acceptable diluent or carrier.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CA000367409A CA1163564A (en) | 1980-12-23 | 1980-12-23 | Method for reducing dental plaque and pellicle precursor of plaque |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CA000367409A CA1163564A (en) | 1980-12-23 | 1980-12-23 | Method for reducing dental plaque and pellicle precursor of plaque |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CA1163564A true CA1163564A (en) | 1984-03-13 |
Family
ID=4118766
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CA000367409A Expired CA1163564A (en) | 1980-12-23 | 1980-12-23 | Method for reducing dental plaque and pellicle precursor of plaque |
Country Status (1)
| Country | Link |
|---|---|
| CA (1) | CA1163564A (en) |
-
1980
- 1980-12-23 CA CA000367409A patent/CA1163564A/en not_active Expired
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