JPH03264532A - Remedy containing activated vitamin d - Google Patents

Remedy containing activated vitamin d

Info

Publication number
JPH03264532A
JPH03264532A JP6280590A JP6280590A JPH03264532A JP H03264532 A JPH03264532 A JP H03264532A JP 6280590 A JP6280590 A JP 6280590A JP 6280590 A JP6280590 A JP 6280590A JP H03264532 A JPH03264532 A JP H03264532A
Authority
JP
Japan
Prior art keywords
dihydroxyvitamin
1alpha
hydroxyvitamin
alveolar bone
activated vitamin
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
JP6280590A
Other languages
Japanese (ja)
Inventor
Akiko Yamazaki
山崎 章子
Gentaro Yamashita
山下 源太郎
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Teijin Ltd
Original Assignee
Teijin Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Teijin Ltd filed Critical Teijin Ltd
Priority to JP6280590A priority Critical patent/JPH03264532A/en
Publication of JPH03264532A publication Critical patent/JPH03264532A/en
Pending legal-status Critical Current

Links

Abstract

PURPOSE:To obtain a remedy for alveolar atrophy by using activated vitamin D as an active component. CONSTITUTION:The objective remedy contains, as an active component, an activated vitamin D, preferably 1alpha-hydroxyvitamin D, 1alpha,24 or 1alpha,25- dihydroxyvitamin D, 1alpha,24,25-trihydroxyvitamin D, 24,24-difluoro-1alpha,25- dihydroxyvitamin D, 26,26,26,27,27,27-hexafluoro-1alpha,25-dihydroxyvitamin D, 25- hydroxyvitamin D3-26,23-lactone or 1alpha,25-dihydroxyvitamin D3-26,23-lactone. The daily dose of the active component is usually 0.1-10mug, preferably 0.25-4.0mug and the compound is administered usually in 1-3 divided doses a day.

Description

【発明の詳細な説明】 〈産業上の利用分野〉 本発明は歯槽骨萎縮症の治療剤に関するものである。[Detailed description of the invention] <Industrial application field> The present invention relates to a therapeutic agent for alveolar bone atrophy.

〈従来の技術〉 歯周疾患(俗称、歯槽I漏〉におかされると、歯槽骨骨
頂部より骨吸収が始まる。骨吸収の進行に従って骨萎縮
が進行すると、歯それ自体は全く無傷であっても、その
歯を支える歯槽骨を初めとする南側組織が破壊されるこ
ととなる。その結果、歯の動揺が激しくなり、遂には抜
崗の止むなきに到ることがほとんどである。そのため、
歯槽骨萎縮症を防止乃至改善する治療剤が望まれている
<Prior art> When periodontal disease (commonly known as alveolar I leakage) occurs, bone resorption begins from the top of the alveolar bone.As bone atrophy progresses as bone resorption progresses, the tooth itself remains completely intact. However, the southern tissue, including the alveolar bone that supports the tooth, is destroyed.As a result, the tooth becomes more mobile, and in most cases, extraction is unavoidable. ,
A therapeutic agent that prevents or improves alveolar bone atrophy is desired.

しかしながら、かかる歯周疾患患者の歯槽骨萎縮症の治
療剤については、従来、全く知られていない。
However, no therapeutic agent for alveolar bone atrophy in periodontal disease patients has been known so far.

方、活性型ビタミンDの1つである1α−ヒドロキシビ
タミンDが骨粗鬆症、慢性腎不全の骨病変、副甲状腺機
能低下症、骨軟化症に対して有効であることは判明して
いるが、歯槽骨萎縮症に対して、どの様な効果を示すか
については、全く知られていない。
On the other hand, 1α-hydroxyvitamin D, one of the active forms of vitamin D, has been shown to be effective against osteoporosis, bone lesions of chronic renal failure, hypoparathyroidism, and osteomalacia. It is completely unknown what kind of effect it has on bone atrophy.

〈発明が解決しようとする問題点〉 そこで、本発明者らは、先ず整形外科領域等において、
骨萎縮度の判定法として広く用いられているMD法を歯
槽骨の萎縮度の評価に応用した歯槽骨の骨萎縮度評価法
を考案した(公開特許公報昭62−266053.公開
昭和62年11月18日)。
<Problems to be solved by the invention> Therefore, the present inventors first solved the problem in the field of orthopedics, etc.
We devised a method for evaluating the degree of alveolar bone atrophy by applying the MD method, which is widely used as a method for determining the degree of bone atrophy, to the evaluation of the degree of atrophy of the alveolar bone (Publication Patent Publication No. 1982-266053. Published in November 1988). 18th of the month).

更に、本発明者らは、かかる歯槽骨の骨萎縮度評価法を
用いて、歯槽骨萎縮症の治療剤につき鋭意研究した結果
、活性型ビタミンDが、歯槽骨萎縮症の治療に有効であ
ることを見出し、本発明に到達した。
Furthermore, the present inventors have conducted extensive research into therapeutic agents for alveolar bone atrophy using such a method for evaluating the degree of alveolar bone atrophy, and have found that active vitamin D is effective in treating alveolar bone atrophy. They discovered this and arrived at the present invention.

〈問題点を解決するための手段〉 即ち、本発明は、活性型ビタミンDを有効成分とする歯
槽骨萎縮症の治療剤である。
<Means for Solving the Problems> That is, the present invention is a therapeutic agent for alveolar bone atrophy containing active vitamin D as an active ingredient.

本発明における活性型ビタミンDとは活性型ビタミンD
2.活性型ビタミンD3およびそれらの誘導体を含むも
のであり、その具体例としては、例えば1α−ヒドロキ
シビタミンD、1α、24ジヒドロキシビタミンD、1
α、25−ジヒドロキシビタミンD、1α、 24.2
5−1−ジヒドロキシビタミンD、 24.24−ジフ
ルオロ−1α、25−ジヒドロキシビタミンD、 26
.26.26.27.27.27へキサフルオロ−1α
、25−ジヒドロキシビタミンD、25−ヒドロキシビ
タミンD3−26.23−ラクトン、1α、25−ジヒ
ドロキシビタミンD326、23−ラクトンが挙げられ
る。なかでも、1αヒドロキシビタミンD3.1α、2
4(R)−ジヒドロキシビタミンD3.1α、25−ジ
ヒドロキシビタミンD3が好ましい。
Active vitamin D in the present invention refers to active vitamin D
2. Contains active vitamin D3 and derivatives thereof, such as 1α-hydroxyvitamin D, 1α,24 dihydroxyvitamin D, 1α-hydroxyvitamin D, 1α-hydroxyvitamin D, 1α-hydroxyvitamin D,
α, 25-dihydroxyvitamin D, 1α, 24.2
5-1-dihydroxyvitamin D, 24.24-difluoro-1α, 25-dihydroxyvitamin D, 26
.. 26.26.27.27.27 Hexafluoro-1α
, 25-dihydroxyvitamin D, 25-hydroxyvitamin D3-26.23-lactone, 1α,25-dihydroxyvitamin D326, 23-lactone. Among them, 1α hydroxyvitamin D3.1α, 2
4(R)-dihydroxyvitamin D3.1α, 25-dihydroxyvitamin D3 is preferred.

これらの有効成分は公知の方法で適当な賦形剤等を用い
て、軟カプセル剤、硬カブヒル剤2錠剤。
These active ingredients are prepared by a known method using appropriate excipients, etc., into soft capsules and two hard tablets.

シロップ剤等の経口剤、注射剤、または外用剤として使
用できる。
It can be used as an oral preparation such as a syrup, an injection, or an external preparation.

かかる賦形剤としては植物油(例えばトウモロコシ油、
綿実油、ココナツツ油、アーモンド油。
Such excipients include vegetable oils (e.g. corn oil,
Cottonseed oil, coconut oil, almond oil.

落花生油等)、中鎖脂肪酸グリセライド等の油状エステ
ル、鉱物油、ワセリン、lI物油脂、セルロース誘導体
く結晶セルロース、ヒドロキシプロピルセルロース、ヒ
ドロキシプロピルメチルセルロース、メチルセルロース
)、ポリビニルピロリド3− ン、デキストリン、乳糖、マンニトール、ソルビトール
、デンプン等が挙げられる。
(peanut oil, etc.), oily esters such as medium-chain fatty acid glycerides, mineral oil, vaseline, lI fats and oils, cellulose derivatives (crystalline cellulose, hydroxypropylcellulose, hydroxypropylmethylcellulose, methylcellulose), polyvinylpyrrolidone, dextrin, lactose , mannitol, sorbitol, starch, etc.

有効成分の投与嬢は、通常0.01〜10αg/日/人
程度で、好ましくは0.25〜4.0αg/日/人であ
り、投与回数は通常1〜3回/日であり、このような条
件を満足するように製剤を調製するのが好ましい。
The dose of the active ingredient is usually about 0.01-10αg/day/person, preferably 0.25-4.0αg/day/person, and the number of administrations is usually 1-3 times/day. It is preferable to prepare a formulation so as to satisfy these conditions.

本発明の方法は既存の薬物療法治療剤と併用することも
可能である。
The methods of the invention can also be used in combination with existing pharmacotherapeutic treatments.

次に、実施例を用いて、本発明を詳述する。Next, the present invention will be explained in detail using examples.

[実施例] 2症例の歯周疾患患者(症例A及び症例B〉について、
公開特許公報昭62〜266053の方法で、1段の高
さ5 mmで5段のアルミニウム階段(最低5胴、最高
25m)と共に、下顎左側第2切歯から右側第2切歯ま
での4本の切歯のX線像を撮影し、ミクロデンシトメー
ターを用いて中切歯の根尖部から 1/3の部位の陰影
濃度を測定してチャートに5倍に拡大して記録し、アル
ミニウム階段の陰影′a度も測定して記録した。チャー
トより、1−2 L+:左側第2切歯と左側第1切歯と
の間 L+ −R+  :左側第1切歯と右側第1切歯との間 R+ −R2:右側第1切歯と右側第2切南との間 について、公開特許公報昭62−266053と同様に
して、歯槽骨幅d、アルミニウム階段の段数に換算した
吸収面積ΣGS並びに最大吸収度G5ll1axを測定
した。この測定値を投与前値とした。
[Example] Regarding two cases of periodontal disease patients (case A and case B),
Using the method described in Japanese Patent Publication No. 1982-266053, we constructed 4 aluminum stairs from the left second incisor of the mandible to the right second incisor, along with 5 aluminum steps (minimum 5 trunks, maximum 25 m) with each step height 5 mm. An X-ray image of the central incisor was taken, and the density of the shading in the 1/3 region from the root apex of the central incisor was measured using a microdensitometer and recorded on a chart with 5x magnification. The degree of shading of the stairs was also measured and recorded. From the chart, 1-2 L+: Between the second incisor on the left side and the first incisor on the left side L+ -R+: Between the first incisor on the left side and the first incisor on the right side R+ -R2: Between the first incisor on the right side The alveolar bone width d, the absorption area ΣGS converted to the number of steps of an aluminum staircase, and the maximum absorption degree G5ll1ax were measured between the right side and the second cut south in the same manner as in the published patent publication No. 62-266053. This measured value was taken as the pre-administration value.

1α−ヒドロキシビタミンD31.0αg/日の投与を
開始し、2〜5か月毎に、前記と同様にして、d、ΣG
S、GSmaxを測定し、投与前値力)らの変化率[(
投与接値−投与前値)/投与前値x 100]が、±1
0%以内を評点Q、10%以上の増加を評点−1,10
%以上の減少を評点+1と設定し、d、ΣGS、GSm
axの評点の合計が3〜2を改善、1〜−1を不変、−
2〜−3を悪化と判定した。
Administration of 31.0αg/day of 1α-hydroxyvitamin D was started, and d, ΣG
S, GSmax was measured, and the rate of change of the pre-administration value force) [(
administration value - pre-administration value)/pre-administration value x 100] is ±1
An increase of 0% or less is a rating of Q, an increase of 10% or more is a rating of -1, 10.
A decrease of % or more is set as a score +1, and d, ΣGS, GSm
Total ax score improved from 3 to 2, unchanged from 1 to -1, -
2 to -3 was determined to be worse.

測定結果、評点並びに効果判□定結果を部位別に第1表
(症例へ)並びに第2表(症例B)に示す。
The measurement results, ratings, and efficacy evaluation results are shown by site in Table 1 (for cases) and Table 2 (for case B).

症例Aでは、各部位とも、投与後5〜8か月後から改善
効果が認められ、以後、改善効果が持続している。症例
Bでは、各部位とも投与後5か月後から改善効果が認め
られ、以後も、はぼ改善効果が維持されている。
In case A, the improvement effect was observed in each site 5 to 8 months after administration, and the improvement effect continued thereafter. In case B, the improvement effect was observed in each site 5 months after administration, and the improvement effect on the skin was maintained even after that.

第2表(症例B) 9 第1表〈症例A〉Table 2 (Case B) 9 Table 1〈Case A〉

Claims (2)

【特許請求の範囲】[Claims] (1)活性型ビタミンDを有効成分とする歯槽骨萎縮症
の治療剤。
(1) A therapeutic agent for alveolar bone atrophy containing active vitamin D as an active ingredient.
(2)活性型ビタミンDが1α−ヒドロキシビタミンD
、1α,24−ジヒドロキシビタミンD、1α,25−
ジヒドロキシビタミンD、1α,24,25−トリヒド
ロキシビタミンD、24,24−ジフルオロ−1α、2
5−ジヒドロキシビタミンD、26,26,26,27
,27,27−ヘキサフルオロ−1α、25−ジヒドロ
キシビタミンD、25−ヒドロキシビタミンD_3−2
6,23−ラクトン、1α,25−ジヒドロキシビタミ
ンD_3−26,23−ラクトンからなる群から選ばれ
たものである請求項1記載の歯槽骨萎縮症の治療剤。
(2) Active vitamin D is 1α-hydroxyvitamin D
, 1α,24-dihydroxyvitamin D, 1α,25-
Dihydroxyvitamin D, 1α,24,25-trihydroxyvitamin D, 24,24-difluoro-1α,2
5-dihydroxyvitamin D, 26,26,26,27
, 27,27-hexafluoro-1α, 25-dihydroxyvitamin D, 25-hydroxyvitamin D_3-2
The therapeutic agent for alveolar bone atrophy according to claim 1, which is selected from the group consisting of 6,23-lactone and 1α,25-dihydroxyvitamin D_3-26,23-lactone.
JP6280590A 1990-03-15 1990-03-15 Remedy containing activated vitamin d Pending JPH03264532A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP6280590A JPH03264532A (en) 1990-03-15 1990-03-15 Remedy containing activated vitamin d

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
JP6280590A JPH03264532A (en) 1990-03-15 1990-03-15 Remedy containing activated vitamin d

Publications (1)

Publication Number Publication Date
JPH03264532A true JPH03264532A (en) 1991-11-25

Family

ID=13210919

Family Applications (1)

Application Number Title Priority Date Filing Date
JP6280590A Pending JPH03264532A (en) 1990-03-15 1990-03-15 Remedy containing activated vitamin d

Country Status (1)

Country Link
JP (1) JPH03264532A (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1208843A4 (en) * 1999-08-31 2002-09-11 Chugai Pharmaceutical Co Ltd Soft capsules

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS60185715A (en) * 1984-03-05 1985-09-21 Teijin Ltd Bone formation accelerator
JPS61109722A (en) * 1984-11-01 1986-05-28 Kureha Chem Ind Co Ltd Antidiabetic drug for bone reducing disease
JPS63166829A (en) * 1986-12-29 1988-07-11 Kureha Chem Ind Co Ltd Agent for increasing bone strength
JPS6483019A (en) * 1987-09-25 1989-03-28 Sunstar Inc Composition used in oral cavity for orthodontic therapy of tooth

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS60185715A (en) * 1984-03-05 1985-09-21 Teijin Ltd Bone formation accelerator
JPS61109722A (en) * 1984-11-01 1986-05-28 Kureha Chem Ind Co Ltd Antidiabetic drug for bone reducing disease
JPS63166829A (en) * 1986-12-29 1988-07-11 Kureha Chem Ind Co Ltd Agent for increasing bone strength
JPS6483019A (en) * 1987-09-25 1989-03-28 Sunstar Inc Composition used in oral cavity for orthodontic therapy of tooth

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1208843A4 (en) * 1999-08-31 2002-09-11 Chugai Pharmaceutical Co Ltd Soft capsules

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