Calcium hydroxide-based root canal filling material

Synthetic resins or natural rubbers -- part of the class 520 ser – Synthetic resins – Processes of preparing a desired or intentional composition...

Reexamination Certificate

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C523S117000, C523S118000, C524S401000, C433S224000, C433S226000

Reexamination Certificate

active

06566418

ABSTRACT:

BACKGROUND OF THE INVENTION
1. Field of the Invention
The present invention relates to a calcium hydroxide-based root canal filling material, which is a temporary root canal filling material that is used for a short period of time after root canal preparation, in the root canal treatment of teeth, a pulp tissue is removed with an instrument for root canal preparation such as a reamer or a file, thereby a root canal being prepared into a form in which the root canal filling can be readily achieved, but before a final root canal filling material such as a gutta-percha is filled into the prepared root canal. This calcium hydroxide-based root canal filling material has such roles that, when filled temporarily in the root canal, it stays in an affected part during a predetermined period of time, thereby preventing the root canal from staining by pathogenic bacteria or exudates, has corrosion resistance, and promotes the remedy of an apical abscess by wound of the root apex portion.
2. Background of the Invention
In the dental remedy, there is taken a treatment that, when the remedy of pulp disease or apical periodontitis of teeth is carried out, sphacelus pieces or food pieces within a root canal and dentins within a stained root canal inner wall are removed, and pulpectomy is then carried out. Simultaneously, there is taken a treatment that the root canal is adjusted into a form in which the root canal filling can be readily achieved with an instrument such as a reamer or a file, and a materially stable substance such as gutta-percha is filled into the prepared root canal, thereby pathogenic bacteria being prevented from invading as well as the tooth root being kept harmless for a periodontal tissue. This treatment in series is called as a root canal remedy.
Now, in order to achieve the root canal treatment, first of all, a dental pulp is removed, and root canal preparation is then performed to enlarge an instrument such as a reamer or a file,. Subsequently, the root canal thus treated is cleaned with a chemical. However, the root canal is complicated, and the number of root canals per tooth is different depending on a site at which the teeth are present, such as a single root canal, two root canals, three root canals, or four root canals. Further, the shape of the root canal varies depending on the individual teeth, including a linear shape, a flat shape, a gutter shape, and a curved shape. For these reasons, even when such a treatment is achieved, there is a fear that bacteria within the root canal and dentinal tubule cannot be removed completely.
Thus, as a treatment for overcoming this fear, a root canal disinfection is taken. As this operation, there is employed a process in which a cotton roll having a chemical (representative examples of the root canal disinfectant include formalin, phenol preparations, and iodine preparations) immersed therein is inserted within a root canal, thereby temporarily the root canal being sealed; the remaining bacteria are disinfected to effect sterilization within the root canal; and disinfection is further effected due to strong alkalinity of calcium hydroxide. After this treatment as root canal disinfection (this treatment is possibly repeated in an interval of about 5 days to one week) has been completed, the root canal is cleaned, the moisture is removed, and a final root canal filling material such as gutta-percha is then filled within the root canal.
This calcium hydroxide has the following characteristics. Rather than a characteristic of its strong transient pharmacological effect, it not only has a soft disinfection effect but also promotes the formation of a tooth tissue so that one can expect biological sealing of an apical foramen, and it is gentle to living bodies. These characteristics are ones not seen in other chemicals. However, to use calcium hydroxide as a disinfectant for root canal is difficult from the standpoint of operability due to its insolubleness in water. In other words, as described above, the root canal is complicated, and the number of root canals per tooth is different depending on a site at which the teeth are present. Accordingly, it is quite difficult to fill the calcium hydroxide within the complicated root canal. Moreover, when the calcium hydroxide does not spread completely into the complicated root canal and even a small gap remains within the root canal, pathogenic bacteria may enter therein also remain. As a result, sealing with the root canal filling material such as gutta-percha is finally carried out in a state that the pathogenic bacteria are present, and a dental prosthesis is set thereon. This possibly causes a worst state where re-remedy must be carried out.
Thus, there is taken a process for filling calcium hydroxide into a root canal by the following means for the purpose of improving the operability. It is a means in which a calcium hydroxide powder is mixed with a mixture of propylene glycol as a tackifier and water. However, in the case where a large amount of the calcium hydroxide powder is contained in the mixture of propylene glycol and water (the large amount of the calcium hydroxide powder as referred to herein means one in which calcium hydroxide sufficiently exhibits a remedy effect by refers to 30 to 60% by weight), the fluidity is lost, leading to a marked reduction in the clinical operability to be of no practical use.
On the other hand, in recent years, a toxicity of propylene glycol to human bodies has been pointed out. Although the calcium hydroxide are characterized to be gentle to living bodies, nevertheless, a serious question in its bioaffinity remains for the use of propylene glycol.
SUMMARY OF THE INVENTION
Thus, the present invention is aimed to provide a calcium hydroxide-based root canal filling material, which is free from propylene glycol as a tackifier and that is superior in bioaffinity and has a proper viscosity.
In order to overcome the above-described problem, we, the present inventors, made extensive and intensive investigations. As a result, it has been found that it is effective to use a predetermined proportion of polyvinylpyrrolidone and/or polyvinyl methyl ether, in order to provide a calcium hydroxide-based root canal filling material, which is free from propylene glycol as a tackifier, is superior in bioaffinity, has a proper viscosity such that it can remain in an affected part during a predetermined period of time, has fluidity suitable for clinical operability, has corrosion resistance while preventing a root canal from staining by pathogenic bacteria or exudates, and promotes the remedy of an apical abscess by wound of a root apex portion, leading to accomplishment of the invention.
Specifically, the calcium hydroxide-based root canal filling material according to the present invention comprises 3 to 20% by weight of polyvinylpyrrolidone and/or polyvinyl methyl ether, 30 to 60% by weight of calcium hydroxide, and 35 to 60% by weight of water.
Also, the present invention includes an embodiment in which from 5 to 20 parts by weight of at least one X-ray opacity medium selected from barium sulfate, zirconium oxide, bismuth subnitrate, bismuth trioxide, and bismuth carbonate is further contained based on 100 parts by weight of the calcium hydroxide-based root canal filling material; an embodiment in which 0.5 to 5 parts by weight of at least one disinfectant selected from iodoform and iodine is further contained based on 100 parts by weight of the calcium hydroxide-based root canal filling material; and an embodiment in which 5 to 20 parts by weight of at least one X-ray opacity medium selected from barium sulfate, zirconium oxide, bismuth subnitrate, bismuth trioxide, and bismuth carbonate and 0.5 to 5 parts by weight of at least one disinfectant selected from iodoform and iodine are further contained based on 100 parts by weight of the calcium hydroxide-based root canal filling material.
DETAILED DESCRIPTION OF THE INVENTION
The details to the development of the present invention as well as the calcium hydroxide-based root canal filling material accord

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