CN106267166A - A kind of dental pulp regeneration paste and preparation method thereof - Google Patents

A kind of dental pulp regeneration paste and preparation method thereof Download PDF

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Publication number
CN106267166A
CN106267166A CN201610861935.8A CN201610861935A CN106267166A CN 106267166 A CN106267166 A CN 106267166A CN 201610861935 A CN201610861935 A CN 201610861935A CN 106267166 A CN106267166 A CN 106267166A
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paste
dental pulp
weight portion
estradiol
insulin
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于金华
庞希瑶
周洲
金琳
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Affiliated Stomatological Hospital of Nanjing Medical University
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Affiliated Stomatological Hospital of Nanjing Medical University
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    • A61K31/70Carbohydrates; Sugars; Derivatives thereof
    • A61K31/715Polysaccharides, i.e. having more than five saccharide radicals attached to each other by glycosidic linkages; Derivatives thereof, e.g. ethers, esters
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    • A61K47/44Oils, fats or waxes according to two or more groups of A61K47/02-A61K47/42; Natural or modified natural oils, fats or waxes, e.g. castor oil, polyethoxylated castor oil, montan wax, lignite, shellac, rosin, beeswax or lanolin
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Abstract

The invention provides a kind of dental pulp regeneration paste, described dental pulp regeneration paste includes active component, described active component is made up of YUNNAN BAIYAO, metronidazole, ciprofloxacin, type-1 insulin like growth factor, estradiol and chitosan, each component content in active component is as follows: YUNNAN BAIYAO 10 ~ 40 weight portion, metronidazole 10 ~ 40 weight portion, ciprofloxacin 10 ~ 40 weight portion, type-1 insulin like growth factor 0.01 ~ 1 weight portion, estradiol 0.01 ~ 1 weight portion, chitosan 5 ~ 20 weight portion.The present invention has the following technical effect that 1, the present invention in clinical use, relative to traditional root canal therapy, clinical oral doctor is easy and simple to handle, and treatment time is short, and patient's further consultation number of times is few, drastically increases the therapeutic efficiency of disease of pulp of tooth.Because of without carrying out root pipe mechanical preparation, it is to avoid root canal wall tissue secondary is impaired, reduces the risk of odontagma.

Description

A kind of dental pulp regeneration paste and preparation method thereof
Technical field
The invention belongs to retain when dental treatment technical field of pharmaceuticals, especially one treat the diseases such as pulpitis and live Marrow, the paste of promotion tissue regeneration, be placed in this paste in pulp tissue, can activate stem cells hyperplasia in pulp tissue, differentiation Potential, improve the antiinflammatory of pulp tissue, tissue repair and regeneration capacity, eliminate local pulp tissue inflammation, recover dental pulp, tooth The normal physiological function of soma.
Background technology
Pulpitis, the disease such as periapical periodontitis is the frequently-occurring disease that modern is common, and bacterial penetration to Its pulp makes softness Pulp cells infects death.Clinical oral routine is all to use root canal therapy (being commonly called as killing dental nerve) carry out debridement and disappear at present Except infecting, root canal therapy has played great function in preserving tissue of tooth, but its drawback the most increasingly allows people be difficult to suddenly Depending on, mainly show as the tooth after root canal owing to being in without marrow state, lose the nutrition of dental pulp, feel, defend and formed Function, intensity substantially reduces, and easily becomes fragile, and is susceptible to jackknifing;Root canal system is intricate, and patient is often difficult to feel in root pipe Dye thing is cleaned out, and remaining bacteria easily causes residual pulpitis, adds the uncertainty of root canal late result, and indication is subject to Limit, although many suffers from tooth extends retention time, but the most healthy tooth is susceptible to defect, thus causes loss of tooth.Cause This preserves vital pulp, finds more preferable, more reliable treatment means imperative.It is true that since nineteen thirties, Oral cavity workers begin to explore the modes such as the preservation measure of vital pulp, main employing calcium hydroxide lid marrow, it is thus achieved that higher Success rate, but still suffer from needing repeatedly going to a doctor, technique sensitive height, poor operability, damage remaining dental pulp, without induced tissue again The shortcomings such as raw function.To this end, we develop a kind of dental pulp regeneration paste, on the basis of promoting inflammatory resolution, at utmost Ground excavates dental pulp stem cell potential, promotes reparation and the regeneration of remaining pulp tissue.
Summary of the invention
It is an object of the invention to tooth to be made owing to being in without marrow state for root canal, lose the nutrition of dental pulp, sense Feeling, defend and formed function, intensity substantially reduces, and easily becomes fragile, and is susceptible to jackknifing, thus causes loss of tooth etc. a series of Problem, invents a kind of vital pulp that can preserve and can effect a radical cure again the dental pulp regeneration paste of the diseases such as pulpitis, provide its preparation side simultaneously Method.
The dental pulp regeneration paste of the present invention, including active component, described active component is by YUNNAN BAIYAO, metronidazole, ring Third husky star, type-1 insulin like growth factor, estradiol and chitosan composition, each component content in active component is as follows: Yunnan BAIYAO 10 ~ 40 weight portion, metronidazole 10 ~ 40 weight portion, ciprofloxacin 10 ~ 40 weight portion, type-1 insulin like growth factor (IGF-1) 0.01 ~ 1 weight portion, estradiol 0.01 ~ 1 weight portion, chitosan 5 ~ 20 weight portion.
Described dental pulp regeneration paste also include oral cavity paste substrate, described oral cavity paste substrate be olive oil or Polysiloxane oil;The w/v of described active component and oral cavity paste substrate is 1 gram: 1 ~ 1.5mL.
Or described dental pulp regeneration paste also includes oral cavity paste substrate, every 33g active component is added with including becoming as follows The oral cavity paste substrate divided:
Composition A: mass concentration is the citric acid 1mL of 19%, ethyl hydroxybenzoate 0.015 gram, distilled water 100mL;
Composition B: glycerol 10mL.
The preparation method of the dental pulp regeneration paste of the present invention, comprises the following steps:
1) by YUNNAN BAIYAO, metronidazole, ciprofloxacin, type-1 insulin like growth factor, estradiol and chitosan by certain weight Proportioning, grinds to form impalpable powder, crosses 100 mesh sieves;
2) with oral cavity paste substrate, the above-mentioned powder preparing gained is mixed tune to mix to butyrous, obtain the paste stirred Preparation.
The preparation method of the dental pulp regeneration paste of the present invention, comprises the steps:
1) by YUNNAN BAIYAO, metronidazole, ciprofloxacin, type-1 insulin like growth factor, estradiol by the weight proportion set, grind Wear into fine powder, cross 100 mesh sieves, obtain powder;
2) citric acid is dissolved in mix homogeneously in distilled water, then adds ethyl hydroxybenzoate mixing, in stirring, add chitosan make into Gel-type vehicle;
3) first by ground YUNNAN BAIYAO, metronidazole, ciprofloxacin, type-1 insulin like growth factor, estradiol powder and glycerol Stir, the most slowly add in gel-type vehicle, stir evenly and i.e. obtain dental pulp regeneration paste.
The using method of the dental pulp regeneration paste of the present invention: directly paste is injected in root pipe.
The mechanism of action of the present invention is as follows:
Paste of the present invention is with antibiotic such as YUNNAN BAIYAO, metronidazole, ciprofloxacins as primary raw material, in conjunction with other active factorses (type-1 insulin like growth factor, estradiol), mixs homogeneously by a certain percentage with paste substrate, chitosan stent material during making. Metronidazole in this product is typical anti-anaerobic agent, owing to the antibacterial in most Pulpal pathosis is from deep cavity, deep dental caries Hole is considered to be anaerobic environment, beneficially the growth and breeding of anaerobe, and the nitrergic in metronidazole makes low redox potential Anaerobe reduction, produce complex virulent to antibacterial itself, thus suppress the synthesis of bacteria dna, boil on the nape opposite the mouth The anaerobe caused a disease in chamber has specially good effect.Ciprofloxacin is the fluoroquinolones of synthetic, has broad-spectrum antibacterial action, especially Aerobic gram negative bacilli and multi-drug resistant bacteria are had higher antibacterial activity, fibroblastic life can also be promoted simultaneously Become, contribute to the reparation of inflammatory tissue.YUNNAN BAIYAO in this product is China's Chinese medicine, uses with a long history, has many Plant active component, have hemostatic analgesia, antiinflammatory heat radiation, blood circulation promoting and blood stasis dispelling, effect of erosion prevention and muscle growing, it is possible to strengthen platelet membrane penetrating Property, promote platelet component adenylic acid and the release of calcium;Improve the microcirculation obstacle that macromolecule right rotary glycoside causes;Suppression Inflammatory mediator histamine and the release of prostaglandin E.Additionally, the calcium ion in YUNNAN BAIYAO has the work increasing capillary permeability With, strengthen mass exchange.Therefore, YUNNAN BAIYAO not only can antibacterial, antiinflammatory, ease the pain, and pulp tissue can be promoted Repair, promote dental pulp blood fortune, and discharge calcium ion entrance dentinal matrix, reparative dentin after calcification, can be formed.Insulin Like growth factor 1, estradiol have the ability promoting dental pulp stem cell propagation, breaking up, and can form reparative dentin further and protect Protect pulp tissue from environmental stimuli.Chitosan is a kind of growth activity timbering material, is continue protein, fat, carbon hydrate The indispensable another vital principle of human body after thing, vitamin, mineral, is widely used in food, medicine, has good Biocompatibility, it is possible to promote osteoblast differentiation and promote calcification, guide tissue regeneration promote Renovate dentin formation, Being hydrolyzed into oligosaccharide under the effect of lysozyme, chitinase in vivo, its end-product glycosamine equally can be by internal utilization.
The root canal therapy of the most alternative complexity of use of the present invention, preserves and suffers from tooth pulp vitality, recovers The vitality of tooth, is the direction of following stomatology development.Have been for the present invention and carry out bacteriostatic test, clinical pharmacology, peace Full property toxicology, cytotoxicity experiment research, the most qualified, can life-time service.
The present invention has the following technical effect that
1, the present invention is in clinical use, and relative to traditional root canal therapy, clinical oral doctor is easy and simple to handle, treatment time Short, patient's further consultation number of times is few, drastically increases the therapeutic efficiency of disease of pulp of tooth.Because of without carrying out root pipe mechanical preparation, it is to avoid Root canal wall tissue secondary is impaired, reduces the risk of odontagma.
2, the present invention has preferable antibacterial and anti-inflammation functions, and efficacy stability is lasting, and permeability is strong, and has good biology The compatibility, without inhibitive ability of immunity, can promote recovery and the dental pulp regeneration of dental pulp normal physiological function, thus significantly improve and suffer from tooth work The storage rate of marrow.
3, the present invention using China's Chinese medicine YUNNAN BAIYAO as one of formula, Chinese and western medical combine serve good Effect.YUNNAN BAIYAO not only can antibacterial, antiinflammatory, ease the pain, and the reparation of beneficially pulp tissue, may advantageously facilitate dental pulp Blood is transported, and discharges calcium ion entrance dentinal matrix, can form reparative dentin after calcification.
4, medicine used by paste formula of the present invention is with low cost, easy to use, safely and effectively, it is simple to clinical large-scale promotion Use, can greatly save China's effective oral medical resource.
Prescription of the present invention is reasonable, safe and reliable, and medicine source is sufficient, easy to operate, and antibiotic property is strong, can effectively treat dental pulp Inflammation, the inflammation such as periapical periodontitis, indication is extensive, it is possible to effectively preserves and suffers from tooth pulp vitality, promotes repairing of pulp tissue Answering and regeneration, have great novelty, representative is the new direction that future, stomatology developed.
Accompanying drawing explanation
Fig. 1 is preoperative X-ray film: infections of dental pulp, and root of the tooth is not grown completely, and the tip of a root is not closed.
Fig. 2 is surgical radiograph: place dental pulp regeneration paste antiinflammatory.
Fig. 3 is postoperative X line sheet: root of the tooth completes to grow, and the tip of a root closes.
Detailed description of the invention
Embodiment 1
The dental pulp regeneration paste of the present embodiment, including paste substrate and active component, active component is as follows: YUNNAN BAIYAO 10g, first Nitre azoles 10g, ciprofloxacin 10g, type-1 insulin like growth factor 0.01g, estradiol 0.01g and chitosan 5g, paste substrate is 35mL olive oil.
The dental pulp regeneration paste of the present embodiment, uses following methods to be prepared from:
1) by YUNNAN BAIYAO, metronidazole, ciprofloxacin, type-1 insulin like growth factor, estradiol and chitosan by certain weight Proportioning, grinds to form impalpable powder, crosses 100 mesh sieves;
2) with oral cavity paste substrate, the above-mentioned powder preparing gained is mixed tune to mix to butyrous, obtain the paste stirred Preparation;
3) the paste-like preparation sterilizing subpackage that will obtain;
4) sterilizing paste good for subpackage is placed at dry sombre lucifuge stores for future use.
Embodiment 2
The dental pulp regeneration paste of the present embodiment, including paste substrate and active component, active component is as follows: YUNNAN BAIYAO 25g, first Nitre azoles 25g, ciprofloxacin 25g, type-1 insulin like growth factor 0.5g, estradiol 0.5g and chitosan 14g, paste substrate is 135mL olive oil.
Preparation method is with embodiment 1.
Embodiment 3
The dental pulp regeneration paste of the present embodiment, including paste substrate and active component, active component is as follows: YUNNAN BAIYAO 40g, first Nitre azoles 40g, ciprofloxacin 40g, type-1 insulin like growth factor 1g, estradiol 1g and chitosan 20g, paste substrate is 170mL Methyl-silicone oil.
Preparation method is with embodiment 1.
Embodiment 4
The dental pulp regeneration paste of the present embodiment, including paste substrate and active component.
Active component is as follows: YUNNAN BAIYAO 10g, metronidazole 10g, ciprofloxacin 10g, type-1 insulin like growth factor 0.01g, estradiol 0.01g and chitosan 5g.
Paste matrix components is as follows: composition A, and mass concentration is the citric acid 1mL of 19%, ethyl hydroxybenzoate 0.015 gram, Distilled water 100mL;Composition B, glycerol 10mL.
The dental pulp regeneration paste of the present embodiment, uses following methods to be prepared from:
1) by YUNNAN BAIYAO, metronidazole, ciprofloxacin, type-1 insulin like growth factor and estradiol, grind to form fine powder, cross 100 mesh Sieve, obtains powder;
2) the citric acid 1mL that mass concentration is 19% is dissolved in mix homogeneously in 100mL distilled water, then adds 0.015 gram of nipalgin Ethyl ester mixes, and adds 3g pharmaceutical grade chitosan and make into gel-type vehicle in stirring;
3) first by ground YUNNAN BAIYAO, metronidazole, ciprofloxacin, type-1 insulin like growth factor and estradiol powder with 10mL glycerol stirs, and the most slowly adds in gel-type vehicle, stirs evenly and i.e. obtains dental pulp regeneration paste;
4) the paste-like preparation sterilizing subpackage that will obtain;
5) sterilizing paste good for subpackage is placed at dry sombre lucifuge stores for future use.
Embodiment 5
Fig. 1-3 is that the paste treatment one example tip of a root immature permanent teeth periapical periodontitis utilizing the embodiment of the present invention 1 is accompanied The therapeutic process schematic diagram of cheek side fistula.
Fig. 1 is preoperative X-ray film: infections of dental pulp, and root of the tooth is not grown completely, and the tip of a root is not closed.
Fig. 2 is surgical radiograph: place dental pulp regeneration paste antiinflammatory.
Fig. 3 is postoperative X line sheet: root of the tooth completes to grow, and the tip of a root closes.
Concrete treatment operating procedure is as follows:
1, tooth routine local anaesthesia, upper rubber dam are suffered from, art district of sterilizing;
2, suffer from tooth routine removing the necrotic tissue for hole, open marrow and take off top, remove dead pulp, set up root pipe path;
3, conventional tooth sheet of clapping, estimation root pipe general operation length;
4, substantial amounts of medicine cleaning down root pipe is used, envelope dental pulp regeneration paste surrounding in root pipe;
5, further consultation after January, symptom takes a turn for the better.Opening root pipe, ooze out without purulence, drug irrigation root pipe, sharp instrument tool stimulates the tip of a root to go out Blood, after forming blood clot at blood from overflowing to root canal orifice, covers dental pulp regeneration paste on blood clot, and glass ion is rebasing, Resin fill;
6, postoperative half a year, check carried out x-ray (Fig. 3) and clinical assessment, it is seen that paste major part absorbs, dental pulp electricity vitality restoration (with Control teeth), root development is nearly completed, and tooth is without variable color.
The therapeutic effect of embodiment 2-4 is the most similar to Example 1.
Through 3 years 200 example Clinical practice, effect was all similar to Fig. 3.Thus prove that the regeneration paste of the present invention has reason The therapeutic effect thought, and without any example side effect, clinic is promoted.
The foregoing is only the case study on implementation of the present invention, and be not so limited the scope of the claims of the present invention, every utilization this Equivalent structure or equivalence flow process that description of the invention and accompanying drawing content are made convert, or are directly or indirectly used in what other were correlated with Technical field, is the most in like manner included in the scope of patent protection of the present invention.
Part that the present invention does not relate to is the most same as the prior art maybe can use prior art to be realized.

Claims (5)

1. a dental pulp regeneration paste, it is characterised in that described dental pulp regeneration paste includes active component, described activity one-tenth Dividing and be made up of YUNNAN BAIYAO, metronidazole, ciprofloxacin, type-1 insulin like growth factor, estradiol and chitosan, each component is being lived Content in property composition is as follows: YUNNAN BAIYAO 10 ~ 40 weight portion, metronidazole 10 ~ 40 weight portion, ciprofloxacin 10 ~ 40 weight Part, type-1 insulin like growth factor 0.01 ~ 1 weight portion, estradiol 0.01 ~ 1 weight portion, chitosan 5 ~ 20 weight portion.
Dental pulp the most according to claim 1 regeneration paste, it is characterised in that described dental pulp regeneration paste also includes oral cavity Using paste substrate, described oral cavity paste substrate is olive oil or polysiloxane oil;Described active component and oral cavity are stuck with paste The w/v of agent substrate is 1 gram: 1 ~ 1.5mL.
Dental pulp the most according to claim 1 regeneration paste, it is characterised in that described dental pulp regeneration paste also includes oral cavity Using paste substrate, every 33g active component is added with the oral cavity paste substrate including following composition:
Composition A: mass concentration is the citric acid 1mL of 19%, ethyl hydroxybenzoate 0.015 gram, distilled water 100mL;
Composition B: glycerol 10mL.
4. the preparation method of dental pulp regeneration paste as claimed in claim 2, it is characterised in that comprise the following steps:
1) by YUNNAN BAIYAO, metronidazole, ciprofloxacin, type-1 insulin like growth factor, estradiol and chitosan by certain weight Proportioning, grinds to form impalpable powder, crosses 100 mesh sieves;
2) with oral cavity paste substrate, the above-mentioned powder preparing gained is mixed tune to mix to butyrous, obtain the paste stirred Preparation.
5. the preparation method of dental pulp regeneration paste as claimed in claim 3, it is characterised in that comprise the steps:
1) by YUNNAN BAIYAO, metronidazole, ciprofloxacin, type-1 insulin like growth factor, estradiol by the weight proportion set, grind Wear into fine powder, cross 100 mesh sieves, obtain powder;
2) citric acid is dissolved in mix homogeneously in distilled water, then adds ethyl hydroxybenzoate mixing, in stirring, add chitosan make into Gel-type vehicle;
3) first by ground YUNNAN BAIYAO, metronidazole, ciprofloxacin, type-1 insulin like growth factor, estradiol powder and glycerol Stir, the most slowly add in gel-type vehicle, stir evenly and i.e. obtain dental pulp regeneration paste.
CN201610861935.8A 2016-09-29 2016-09-29 A kind of dental pulp regeneration paste and preparation method thereof Pending CN106267166A (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108379087A (en) * 2018-03-30 2018-08-10 徐崇明 A kind of filling paste and preparation method thereof for dental pulp expectant treatment

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CN102813935A (en) * 2012-03-29 2012-12-12 余东方 Application of non-woven fabric in preparing drug for treating oral diseases and preparation
CN104547856A (en) * 2014-12-18 2015-04-29 苏敏华 Traditional Chinese medicine composition for treating periodontitis, gel preparation and preparation method thereof
CN105641337A (en) * 2014-11-10 2016-06-08 于明梅 Compound Yushang ointment

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
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