WO1992004006A1 - Composition dentaire desensibilisante - Google Patents
Composition dentaire desensibilisante Download PDFInfo
- Publication number
- WO1992004006A1 WO1992004006A1 PCT/EP1991/001616 EP9101616W WO9204006A1 WO 1992004006 A1 WO1992004006 A1 WO 1992004006A1 EP 9101616 W EP9101616 W EP 9101616W WO 9204006 A1 WO9204006 A1 WO 9204006A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- strontium
- calcium
- anion
- composition
- source
- Prior art date
Links
- 239000000203 mixture Substances 0.000 title claims abstract description 83
- 150000001450 anions Chemical class 0.000 claims abstract description 55
- 239000002244 precipitate Substances 0.000 claims abstract description 26
- 150000001768 cations Chemical class 0.000 claims abstract description 23
- 230000015572 biosynthetic process Effects 0.000 claims abstract description 13
- 150000003839 salts Chemical class 0.000 claims abstract description 13
- 210000005239 tubule Anatomy 0.000 claims abstract description 10
- 150000001875 compounds Chemical class 0.000 claims abstract description 9
- 239000007788 liquid Substances 0.000 claims abstract description 6
- 238000002156 mixing Methods 0.000 claims abstract description 5
- 238000006243 chemical reaction Methods 0.000 claims abstract description 4
- 239000011575 calcium Substances 0.000 claims description 37
- OYPRJOBELJOOCE-UHFFFAOYSA-N Calcium Chemical compound [Ca] OYPRJOBELJOOCE-UHFFFAOYSA-N 0.000 claims description 36
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 claims description 30
- 229910001868 water Inorganic materials 0.000 claims description 29
- CIOAGBVUUVVLOB-UHFFFAOYSA-N strontium atom Chemical compound [Sr] CIOAGBVUUVVLOB-UHFFFAOYSA-N 0.000 claims description 27
- 229910001427 strontium ion Inorganic materials 0.000 claims description 26
- 229910052791 calcium Inorganic materials 0.000 claims description 25
- 229910001424 calcium ion Inorganic materials 0.000 claims description 24
- 229910052712 strontium Inorganic materials 0.000 claims description 21
- BHPQYMZQTOCNFJ-UHFFFAOYSA-N Calcium cation Chemical compound [Ca+2] BHPQYMZQTOCNFJ-UHFFFAOYSA-N 0.000 claims description 12
- 150000002500 ions Chemical class 0.000 claims description 11
- KRHYYFGTRYWZRS-UHFFFAOYSA-M Fluoride anion Chemical compound [F-] KRHYYFGTRYWZRS-UHFFFAOYSA-M 0.000 claims description 8
- NBIIXXVUZAFLBC-UHFFFAOYSA-K phosphate Chemical compound [O-]P([O-])([O-])=O NBIIXXVUZAFLBC-UHFFFAOYSA-K 0.000 claims description 8
- 210000003296 saliva Anatomy 0.000 claims description 6
- 238000002648 combination therapy Methods 0.000 claims description 4
- 239000002245 particle Substances 0.000 claims description 4
- 150000003438 strontium compounds Chemical class 0.000 claims description 4
- BVKZGUZCCUSVTD-UHFFFAOYSA-L Carbonate Chemical compound [O-]C([O-])=O BVKZGUZCCUSVTD-UHFFFAOYSA-L 0.000 claims description 3
- 239000012736 aqueous medium Substances 0.000 claims description 3
- MUBZPKHOEPUJKR-UHFFFAOYSA-N Oxalic acid Chemical compound OC(=O)C(O)=O MUBZPKHOEPUJKR-UHFFFAOYSA-N 0.000 claims description 2
- XPPKVPWEQAFLFU-UHFFFAOYSA-J diphosphate(4-) Chemical compound [O-]P([O-])(=O)OP([O-])([O-])=O XPPKVPWEQAFLFU-UHFFFAOYSA-J 0.000 claims description 2
- 235000011180 diphosphates Nutrition 0.000 claims description 2
- 125000005341 metaphosphate group Chemical group 0.000 claims description 2
- 230000008021 deposition Effects 0.000 abstract description 6
- 206010020751 Hypersensitivity Diseases 0.000 abstract description 5
- 208000026935 allergic disease Diseases 0.000 abstract description 4
- 238000000586 desensitisation Methods 0.000 abstract description 4
- 230000009610 hypersensitivity Effects 0.000 abstract description 4
- 238000011065 in-situ storage Methods 0.000 abstract description 3
- 210000003298 dental enamel Anatomy 0.000 abstract description 2
- PEDCQBHIVMGVHV-UHFFFAOYSA-N Glycerine Chemical compound OCC(O)CO PEDCQBHIVMGVHV-UHFFFAOYSA-N 0.000 description 22
- LXCFILQKKLGQFO-UHFFFAOYSA-N methylparaben Chemical compound COC(=O)C1=CC=C(O)C=C1 LXCFILQKKLGQFO-UHFFFAOYSA-N 0.000 description 21
- QELSKZZBTMNZEB-UHFFFAOYSA-N propylparaben Chemical compound CCCOC(=O)C1=CC=C(O)C=C1 QELSKZZBTMNZEB-UHFFFAOYSA-N 0.000 description 20
- LFQSCWFLJHTTHZ-UHFFFAOYSA-N Ethanol Chemical compound CCO LFQSCWFLJHTTHZ-UHFFFAOYSA-N 0.000 description 16
- 239000000796 flavoring agent Substances 0.000 description 15
- -1 fluoride ions Chemical class 0.000 description 13
- GHXZTYHSJHQHIJ-UHFFFAOYSA-N Chlorhexidine Chemical compound C=1C=C(Cl)C=CC=1NC(N)=NC(N)=NCCCCCCN=C(N)N=C(N)NC1=CC=C(Cl)C=C1 GHXZTYHSJHQHIJ-UHFFFAOYSA-N 0.000 description 12
- 229960003260 chlorhexidine Drugs 0.000 description 11
- 229940091249 fluoride supplement Drugs 0.000 description 11
- 235000011187 glycerol Nutrition 0.000 description 11
- 239000004292 methyl p-hydroxybenzoate Substances 0.000 description 11
- 235000010270 methyl p-hydroxybenzoate Nutrition 0.000 description 11
- CVHZOJJKTDOEJC-UHFFFAOYSA-N saccharin Chemical compound C1=CC=C2C(=O)NS(=O)(=O)C2=C1 CVHZOJJKTDOEJC-UHFFFAOYSA-N 0.000 description 11
- GWEVSGVZZGPLCZ-UHFFFAOYSA-N Titan oxide Chemical compound O=[Ti]=O GWEVSGVZZGPLCZ-UHFFFAOYSA-N 0.000 description 10
- 125000000129 anionic group Chemical group 0.000 description 10
- LLSDKQJKOVVTOJ-UHFFFAOYSA-L calcium chloride dihydrate Chemical compound O.O.[Cl-].[Cl-].[Ca+2] LLSDKQJKOVVTOJ-UHFFFAOYSA-L 0.000 description 10
- 235000019634 flavors Nutrition 0.000 description 10
- 229960002216 methylparaben Drugs 0.000 description 10
- 239000004405 propyl p-hydroxybenzoate Substances 0.000 description 10
- 235000010232 propyl p-hydroxybenzoate Nutrition 0.000 description 10
- 229960003415 propylparaben Drugs 0.000 description 10
- 239000000243 solution Substances 0.000 description 10
- AMGRXJSJSONEEG-UHFFFAOYSA-L strontium dichloride hexahydrate Chemical compound O.O.O.O.O.O.Cl[Sr]Cl AMGRXJSJSONEEG-UHFFFAOYSA-L 0.000 description 10
- 239000007864 aqueous solution Substances 0.000 description 9
- 239000003795 chemical substances by application Substances 0.000 description 9
- 239000002324 mouth wash Substances 0.000 description 9
- 239000000499 gel Substances 0.000 description 8
- 229940051866 mouthwash Drugs 0.000 description 8
- 239000004354 Hydroxyethyl cellulose Substances 0.000 description 7
- 229920000663 Hydroxyethyl cellulose Polymers 0.000 description 7
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 description 7
- 125000002091 cationic group Chemical group 0.000 description 7
- 235000019447 hydroxyethyl cellulose Nutrition 0.000 description 7
- 229940071826 hydroxyethyl cellulose Drugs 0.000 description 7
- 239000004615 ingredient Substances 0.000 description 7
- PWYYWQHXAPXYMF-UHFFFAOYSA-N strontium(2+) Chemical compound [Sr+2] PWYYWQHXAPXYMF-UHFFFAOYSA-N 0.000 description 7
- 229910019142 PO4 Inorganic materials 0.000 description 6
- 238000009472 formulation Methods 0.000 description 6
- 239000010452 phosphate Substances 0.000 description 6
- BWHMMNNQKKPAPP-UHFFFAOYSA-L potassium carbonate Chemical compound [K+].[K+].[O-]C([O-])=O BWHMMNNQKKPAPP-UHFFFAOYSA-L 0.000 description 6
- 229940081974 saccharin Drugs 0.000 description 6
- 235000019204 saccharin Nutrition 0.000 description 6
- 239000000901 saccharin and its Na,K and Ca salt Substances 0.000 description 6
- 239000011734 sodium Substances 0.000 description 6
- 229910052708 sodium Inorganic materials 0.000 description 6
- 239000000600 sorbitol Substances 0.000 description 6
- 235000010356 sorbitol Nutrition 0.000 description 6
- 241000894007 species Species 0.000 description 6
- 239000000606 toothpaste Substances 0.000 description 6
- 229940034610 toothpaste Drugs 0.000 description 6
- FBPFZTCFMRRESA-FSIIMWSLSA-N D-Glucitol Natural products OC[C@H](O)[C@H](O)[C@@H](O)[C@H](O)CO FBPFZTCFMRRESA-FSIIMWSLSA-N 0.000 description 5
- 239000000654 additive Substances 0.000 description 5
- 238000004040 coloring Methods 0.000 description 5
- 235000013355 food flavoring agent Nutrition 0.000 description 5
- 239000003755 preservative agent Substances 0.000 description 5
- 229910002027 silica gel Inorganic materials 0.000 description 5
- 239000000741 silica gel Substances 0.000 description 5
- 239000004408 titanium dioxide Substances 0.000 description 5
- HEDRZPFGACZZDS-UHFFFAOYSA-N Chloroform Chemical compound ClC(Cl)Cl HEDRZPFGACZZDS-UHFFFAOYSA-N 0.000 description 4
- 239000003242 anti bacterial agent Substances 0.000 description 4
- 230000002882 anti-plaque Effects 0.000 description 4
- 239000011230 binding agent Substances 0.000 description 4
- 239000003906 humectant Substances 0.000 description 4
- 229910001637 strontium fluoride Inorganic materials 0.000 description 4
- 239000004094 surface-active agent Substances 0.000 description 4
- 239000004150 EU approved colour Substances 0.000 description 3
- 239000007832 Na2SO4 Substances 0.000 description 3
- DNIAPMSPPWPWGF-UHFFFAOYSA-N Propylene glycol Chemical compound CC(O)CO DNIAPMSPPWPWGF-UHFFFAOYSA-N 0.000 description 3
- PMZURENOXWZQFD-UHFFFAOYSA-L Sodium Sulfate Chemical compound [Na+].[Na+].[O-]S([O-])(=O)=O PMZURENOXWZQFD-UHFFFAOYSA-L 0.000 description 3
- 239000004480 active ingredient Substances 0.000 description 3
- 230000002051 biphasic effect Effects 0.000 description 3
- KRKNYBCHXYNGOX-UHFFFAOYSA-N citric acid Chemical compound OC(=O)CC(O)(C(O)=O)CC(O)=O KRKNYBCHXYNGOX-UHFFFAOYSA-N 0.000 description 3
- ZPWVASYFFYYZEW-UHFFFAOYSA-L dipotassium hydrogen phosphate Chemical compound [K+].[K+].OP([O-])([O-])=O ZPWVASYFFYYZEW-UHFFFAOYSA-L 0.000 description 3
- 229910000396 dipotassium phosphate Inorganic materials 0.000 description 3
- 235000003599 food sweetener Nutrition 0.000 description 3
- 230000003993 interaction Effects 0.000 description 3
- 229940006093 opthalmologic coloring agent diagnostic Drugs 0.000 description 3
- 229910000027 potassium carbonate Inorganic materials 0.000 description 3
- 229910052938 sodium sulfate Inorganic materials 0.000 description 3
- 229910001631 strontium chloride Inorganic materials 0.000 description 3
- AHBGXTDRMVNFER-UHFFFAOYSA-L strontium dichloride Chemical compound [Cl-].[Cl-].[Sr+2] AHBGXTDRMVNFER-UHFFFAOYSA-L 0.000 description 3
- FVRNDBHWWSPNOM-UHFFFAOYSA-L strontium fluoride Chemical compound [F-].[F-].[Sr+2] FVRNDBHWWSPNOM-UHFFFAOYSA-L 0.000 description 3
- 239000003765 sweetening agent Substances 0.000 description 3
- 239000002562 thickening agent Substances 0.000 description 3
- XLOMVQKBTHCTTD-UHFFFAOYSA-N Zinc monoxide Chemical compound [Zn]=O XLOMVQKBTHCTTD-UHFFFAOYSA-N 0.000 description 2
- 239000003082 abrasive agent Substances 0.000 description 2
- 229910052784 alkaline earth metal Inorganic materials 0.000 description 2
- WPYMKLBDIGXBTP-UHFFFAOYSA-N benzoic acid Chemical compound OC(=O)C1=CC=CC=C1 WPYMKLBDIGXBTP-UHFFFAOYSA-N 0.000 description 2
- 239000003518 caustics Substances 0.000 description 2
- 239000003153 chemical reaction reagent Substances 0.000 description 2
- 239000003349 gelling agent Substances 0.000 description 2
- 238000010952 in-situ formation Methods 0.000 description 2
- 210000000214 mouth Anatomy 0.000 description 2
- 239000003921 oil Substances 0.000 description 2
- 239000006072 paste Substances 0.000 description 2
- 238000001556 precipitation Methods 0.000 description 2
- 230000002335 preservative effect Effects 0.000 description 2
- 230000035945 sensitivity Effects 0.000 description 2
- SQGYOTSLMSWVJD-UHFFFAOYSA-N silver(1+) nitrate Chemical compound [Ag+].[O-]N(=O)=O SQGYOTSLMSWVJD-UHFFFAOYSA-N 0.000 description 2
- 230000009974 thixotropic effect Effects 0.000 description 2
- XGRSAFKZAGGXJV-UHFFFAOYSA-N 3-azaniumyl-3-cyclohexylpropanoate Chemical group OC(=O)CC(N)C1CCCCC1 XGRSAFKZAGGXJV-UHFFFAOYSA-N 0.000 description 1
- VLUDUOQLYSYGHP-UHFFFAOYSA-N 5-methoxy-4-methylquinolin-8-ol Chemical compound C1=CC(C)=C2C(OC)=CC=C(O)C2=N1 VLUDUOQLYSYGHP-UHFFFAOYSA-N 0.000 description 1
- 239000005725 8-Hydroxyquinoline Substances 0.000 description 1
- 239000005995 Aluminium silicate Substances 0.000 description 1
- 239000005711 Benzoic acid Substances 0.000 description 1
- UXVMQQNJUSDDNG-UHFFFAOYSA-L Calcium chloride Chemical class [Cl-].[Cl-].[Ca+2] UXVMQQNJUSDDNG-UHFFFAOYSA-L 0.000 description 1
- 229920002134 Carboxymethyl cellulose Polymers 0.000 description 1
- 240000001238 Gaultheria procumbens Species 0.000 description 1
- 235000007297 Gaultheria procumbens Nutrition 0.000 description 1
- 229920002153 Hydroxypropyl cellulose Polymers 0.000 description 1
- DGAQECJNVWCQMB-PUAWFVPOSA-M Ilexoside XXIX Chemical compound C[C@@H]1CC[C@@]2(CC[C@@]3(C(=CC[C@H]4[C@]3(CC[C@@H]5[C@@]4(CC[C@@H](C5(C)C)OS(=O)(=O)[O-])C)C)[C@@H]2[C@]1(C)O)C)C(=O)O[C@H]6[C@@H]([C@H]([C@@H]([C@H](O6)CO)O)O)O.[Na+] DGAQECJNVWCQMB-PUAWFVPOSA-M 0.000 description 1
- FYYHWMGAXLPEAU-UHFFFAOYSA-N Magnesium Chemical compound [Mg] FYYHWMGAXLPEAU-UHFFFAOYSA-N 0.000 description 1
- 235000014749 Mentha crispa Nutrition 0.000 description 1
- 244000246386 Mentha pulegium Species 0.000 description 1
- 235000016257 Mentha pulegium Nutrition 0.000 description 1
- 244000078639 Mentha spicata Species 0.000 description 1
- 235000004357 Mentha x piperita Nutrition 0.000 description 1
- 239000004115 Sodium Silicate Substances 0.000 description 1
- QAOWNCQODCNURD-UHFFFAOYSA-L Sulfate Chemical class [O-]S([O-])(=O)=O QAOWNCQODCNURD-UHFFFAOYSA-L 0.000 description 1
- 235000016639 Syzygium aromaticum Nutrition 0.000 description 1
- 244000223014 Syzygium aromaticum Species 0.000 description 1
- TVXBFESIOXBWNM-UHFFFAOYSA-N Xylitol Natural products OCCC(O)C(O)C(O)CCO TVXBFESIOXBWNM-UHFFFAOYSA-N 0.000 description 1
- YKTSYUJCYHOUJP-UHFFFAOYSA-N [O--].[Al+3].[Al+3].[O-][Si]([O-])([O-])[O-] Chemical compound [O--].[Al+3].[Al+3].[O-][Si]([O-])([O-])[O-] YKTSYUJCYHOUJP-UHFFFAOYSA-N 0.000 description 1
- 150000001342 alkaline earth metals Chemical class 0.000 description 1
- 239000004411 aluminium Substances 0.000 description 1
- 229910052782 aluminium Inorganic materials 0.000 description 1
- XAGFODPZIPBFFR-UHFFFAOYSA-N aluminium Chemical compound [Al] XAGFODPZIPBFFR-UHFFFAOYSA-N 0.000 description 1
- 229910000323 aluminium silicate Inorganic materials 0.000 description 1
- 235000012211 aluminium silicate Nutrition 0.000 description 1
- 230000003276 anti-hypertensive effect Effects 0.000 description 1
- 235000010233 benzoic acid Nutrition 0.000 description 1
- 230000000903 blocking effect Effects 0.000 description 1
- 235000011148 calcium chloride Nutrition 0.000 description 1
- WUKWITHWXAAZEY-UHFFFAOYSA-L calcium difluoride Chemical compound [F-].[F-].[Ca+2] WUKWITHWXAAZEY-UHFFFAOYSA-L 0.000 description 1
- JUNWLZAGQLJVLR-UHFFFAOYSA-J calcium diphosphate Chemical compound [Ca+2].[Ca+2].[O-]P([O-])(=O)OP([O-])([O-])=O JUNWLZAGQLJVLR-UHFFFAOYSA-J 0.000 description 1
- 229910001634 calcium fluoride Inorganic materials 0.000 description 1
- ROPDWRCJTIRLTR-UHFFFAOYSA-L calcium metaphosphate Chemical compound [Ca+2].[O-]P(=O)=O.[O-]P(=O)=O ROPDWRCJTIRLTR-UHFFFAOYSA-L 0.000 description 1
- QXDMQSPYEZFLGF-UHFFFAOYSA-L calcium oxalate Chemical compound [Ca+2].[O-]C(=O)C([O-])=O QXDMQSPYEZFLGF-UHFFFAOYSA-L 0.000 description 1
- 229940043256 calcium pyrophosphate Drugs 0.000 description 1
- 239000001768 carboxy methyl cellulose Substances 0.000 description 1
- 235000010948 carboxy methyl cellulose Nutrition 0.000 description 1
- 239000008112 carboxymethyl-cellulose Substances 0.000 description 1
- 238000004140 cleaning Methods 0.000 description 1
- 230000001112 coagulating effect Effects 0.000 description 1
- 239000013078 crystal Substances 0.000 description 1
- 238000000354 decomposition reaction Methods 0.000 description 1
- 239000008367 deionised water Substances 0.000 description 1
- 229910021641 deionized water Inorganic materials 0.000 description 1
- 239000000551 dentifrice Substances 0.000 description 1
- 235000019821 dicalcium diphosphate Nutrition 0.000 description 1
- BNIILDVGGAEEIG-UHFFFAOYSA-L disodium hydrogen phosphate Chemical compound [Na+].[Na+].OP([O-])([O-])=O BNIILDVGGAEEIG-UHFFFAOYSA-L 0.000 description 1
- 229910000397 disodium phosphate Inorganic materials 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- DWYMPOCYEZONEA-UHFFFAOYSA-L fluoridophosphate Chemical class [O-]P([O-])(F)=O DWYMPOCYEZONEA-UHFFFAOYSA-L 0.000 description 1
- 150000002222 fluorine compounds Chemical class 0.000 description 1
- 229910021485 fumed silica Inorganic materials 0.000 description 1
- 235000001050 hortel pimenta Nutrition 0.000 description 1
- BDAGIHXWWSANSR-NJFSPNSNSA-N hydroxyformaldehyde Chemical compound O[14CH]=O BDAGIHXWWSANSR-NJFSPNSNSA-N 0.000 description 1
- 239000001863 hydroxypropyl cellulose Substances 0.000 description 1
- 235000010977 hydroxypropyl cellulose Nutrition 0.000 description 1
- 239000011777 magnesium Substances 0.000 description 1
- 229910052749 magnesium Inorganic materials 0.000 description 1
- 235000001055 magnesium Nutrition 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- HEBKCHPVOIAQTA-UHFFFAOYSA-N meso ribitol Natural products OCC(O)C(O)C(O)CO HEBKCHPVOIAQTA-UHFFFAOYSA-N 0.000 description 1
- 229910052751 metal Inorganic materials 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- WSFSSNUMVMOOMR-NJFSPNSNSA-N methanone Chemical compound O=[14CH2] WSFSSNUMVMOOMR-NJFSPNSNSA-N 0.000 description 1
- 238000000034 method Methods 0.000 description 1
- OSWPMRLSEDHDFF-UHFFFAOYSA-N methyl salicylate Chemical compound COC(=O)C1=CC=CC=C1O OSWPMRLSEDHDFF-UHFFFAOYSA-N 0.000 description 1
- 229960003540 oxyquinoline Drugs 0.000 description 1
- 239000000546 pharmaceutical excipient Substances 0.000 description 1
- 229920001223 polyethylene glycol Polymers 0.000 description 1
- 229920000642 polymer Polymers 0.000 description 1
- 238000002360 preparation method Methods 0.000 description 1
- MCJGNVYPOGVAJF-UHFFFAOYSA-N quinolin-8-ol Chemical compound C1=CN=C2C(O)=CC=CC2=C1 MCJGNVYPOGVAJF-UHFFFAOYSA-N 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
- 239000000377 silicon dioxide Substances 0.000 description 1
- 229910001961 silver nitrate Inorganic materials 0.000 description 1
- WXMKPNITSTVMEF-UHFFFAOYSA-M sodium benzoate Chemical compound [Na+].[O-]C(=O)C1=CC=CC=C1 WXMKPNITSTVMEF-UHFFFAOYSA-M 0.000 description 1
- 239000004299 sodium benzoate Substances 0.000 description 1
- 235000010234 sodium benzoate Nutrition 0.000 description 1
- 229960004711 sodium monofluorophosphate Drugs 0.000 description 1
- NTHWMYGWWRZVTN-UHFFFAOYSA-N sodium silicate Chemical compound [Na+].[Na+].[O-][Si]([O-])=O NTHWMYGWWRZVTN-UHFFFAOYSA-N 0.000 description 1
- 229910052911 sodium silicate Inorganic materials 0.000 description 1
- 238000003860 storage Methods 0.000 description 1
- 229910000018 strontium carbonate Inorganic materials 0.000 description 1
- KQAGKTURZUKUCH-UHFFFAOYSA-L strontium oxalate Chemical compound [Sr+2].[O-]C(=O)C([O-])=O KQAGKTURZUKUCH-UHFFFAOYSA-L 0.000 description 1
- 159000000008 strontium salts Chemical class 0.000 description 1
- 239000006228 supernatant Substances 0.000 description 1
- 239000000725 suspension Substances 0.000 description 1
- QORWJWZARLRLPR-UHFFFAOYSA-H tricalcium bis(phosphate) Chemical compound [Ca+2].[Ca+2].[Ca+2].[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O QORWJWZARLRLPR-UHFFFAOYSA-H 0.000 description 1
- 229910000391 tricalcium phosphate Inorganic materials 0.000 description 1
- JOPDZQBPOWAEHC-UHFFFAOYSA-H tristrontium;diphosphate Chemical compound [Sr+2].[Sr+2].[Sr+2].[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O JOPDZQBPOWAEHC-UHFFFAOYSA-H 0.000 description 1
- WGIWBXUNRXCYRA-UHFFFAOYSA-H trizinc;2-hydroxypropane-1,2,3-tricarboxylate Chemical compound [Zn+2].[Zn+2].[Zn+2].[O-]C(=O)CC(O)(CC([O-])=O)C([O-])=O.[O-]C(=O)CC(O)(CC([O-])=O)C([O-])=O WGIWBXUNRXCYRA-UHFFFAOYSA-H 0.000 description 1
- 229920001285 xanthan gum Polymers 0.000 description 1
- 239000000811 xylitol Substances 0.000 description 1
- 235000010447 xylitol Nutrition 0.000 description 1
- HEBKCHPVOIAQTA-SCDXWVJYSA-N xylitol Chemical compound OC[C@H](O)[C@@H](O)[C@H](O)CO HEBKCHPVOIAQTA-SCDXWVJYSA-N 0.000 description 1
- 229960002675 xylitol Drugs 0.000 description 1
- 150000003751 zinc Chemical class 0.000 description 1
- 239000011746 zinc citrate Substances 0.000 description 1
- 235000006076 zinc citrate Nutrition 0.000 description 1
- 229940068475 zinc citrate Drugs 0.000 description 1
- 239000011787 zinc oxide Substances 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K8/00—Cosmetics or similar toiletry preparations
- A61K8/18—Cosmetics or similar toiletry preparations characterised by the composition
- A61K8/19—Cosmetics or similar toiletry preparations characterised by the composition containing inorganic ingredients
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K8/00—Cosmetics or similar toiletry preparations
- A61K8/18—Cosmetics or similar toiletry preparations characterised by the composition
- A61K8/19—Cosmetics or similar toiletry preparations characterised by the composition containing inorganic ingredients
- A61K8/20—Halogens; Compounds thereof
- A61K8/21—Fluorides; Derivatives thereof
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K8/00—Cosmetics or similar toiletry preparations
- A61K8/18—Cosmetics or similar toiletry preparations characterised by the composition
- A61K8/19—Cosmetics or similar toiletry preparations characterised by the composition containing inorganic ingredients
- A61K8/24—Phosphorous; Compounds thereof
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61Q—SPECIFIC USE OF COSMETICS OR SIMILAR TOILETRY PREPARATIONS
- A61Q11/00—Preparations for care of the teeth, of the oral cavity or of dentures; Dentifrices, e.g. toothpastes; Mouth rinses
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K2800/00—Properties of cosmetic compositions or active ingredients thereof or formulation aids used therein and process related aspects
- A61K2800/80—Process related aspects concerning the preparation of the cosmetic composition or the storage or application thereof
- A61K2800/88—Two- or multipart kits
Definitions
- This invention relates to a desensitizing dental composition.
- Hypersensitivity is a common phenomenon among dental patients that often causes the patient to reject dental treatment.
- the sensitivity may be local or general and very often
- Treatment of hypersensitivity has resulted in varying degrees of success.
- the treatment often has relied upon the astringent or coagulating effects of various agents, occulating properties or the ability to render calcium less soluble.
- agents include formaldehyde, silver nitrate, zinc oxide and strontium chloride.
- tooth hypersensitivity can be countered by applying one or more specifically formulated compositions to the tooth surface, which compositions contain ionic species which result in the formation of precipitates within the enamel tubules with the formation of precipitated salts or other compounds having a particularly low solubility.
- in situ mixing of cations and anions, or reaction with oral liquids leads to the formation of low-solubility compounds leading to increased deposition of these compounds on tooth surfaces and in dentinal tubules which can lead to dentinal desensitisation.
- the present invent ion provides a system allowing the accelerated deposition of calcium and/or strontium salts in or near the dentinal tubules of the tooth in order to alleviate the pain of dental sensitivity.
- This accelerated deposition may be achieved by in situ formation of low solubility compounds in two ways: (1) The mixing immediately prior to or at the time of
- a suitable anionic component which upon interaction with oral liquids such as saliva, can decompose to form an anionic species which can lower the solubility of the strontium and/or calcium.
- NaMFP sodium monofluorophosphate
- This fluoride and/or phosphate will react with Ca 2+ and/or Sr 2+ and lower the solubility of these
- composition said system comprising a source of a first cationic species and a source of a second anionic species, both sources being in physiologically acceptable form and said sources being segregated from each other, said first ionic species being selected from calcium and/or strontium ions and said second ionic species being selected from anions which combine with the first ionic species to form a salt whose solubility is less than 10 mg in 100 ml of cold water.
- a dispensing means arranged to dispense said sources of ions so that a mixture thereof may be formed on, or immediately prior to application (of the composition) to, the teeth.
- a densensitising composition comprising a physiologically acceptable source of strontium and/or calcium ions and a
- physiologically acceptable source of a suitable anion the anions being bound in a form such that the sources are unreactive with each other at ambient conditions (e.g. during storage) but upon reaction with oral liquids such as saliva a precipitate of a salt or other compound of the anion and cation is formed.
- the precipitate it is preferred, but not essential, for the precipitate to have a solubility of less than 10 mg in 100 ml of cold water. It will be understood that with this modified form of the invention, the sources of cation and anion do not have to be kept apart from each other prior to use.
- densensitising composition which includes a physiologically acceptable source of strontium and/or calcium ions and a physiologically acceptable source of anion as described above, wherein these two sources are maintained separate from each other and are not admixed until application to the teeth is desired.
- a precipitate may be formed whose action is desensitizing.
- the package may include compartments, one for housing the calcium and/or strontium ions in the absence of said specified anion, and the other for housing the specified anion, preferably in the absence of calcium and/or strontium ions.
- the said sources of ions can then be dispensed simultaneously on the teeth surfaces.
- dentinal desensitizing compositions have been formulated using alkaline earth metals, but always in the form of soluble salts. It was felt that insoluble salts would act only as abrasives and could not provide the cation species necessary for deposition in, or in the proximity of, the dentinal tubule. It has now been found in accordance with this invention however, that in situ formation of low solubility salts in the process of dental
- desensitization can be effective. It is postulated that in the present invention the desensitizing action occurs due to the formation of particles, e.g. crystals, of insoluble precipitate inside the dentinal tubles, thereby blocking them.
- the calcium or strontium ion and the anion, respectively are provided in their respective sources in concentrations such that upon mixing small particles can be formed in the tubules in a suitably short time, i.e. before the reagent diffuses out.
- Physiologically safe reagents should be used as the sources of the ions to form the precipitates.
- acceptable anions that may be employed to obtain with calcium and/or strontium, precipitates of the required low solubility include fluoride, orthophosphate, pyrophosphate, metaphosphate, carbonate and oxalate; it being understood that not all these anions are suitable with both cations; for example the solubility of
- strontium fluoride is above 11 mg per 100 ml in cold water.
- the approximate solubilities of some of the preferred salts in 100 ml of cold water are given below:
- Strontium fluoride (which may be formed as a precipitate on admixing separate compositions containing stontium ions as the sole cationic species and fluoride ions as the sole anionic species, e.g. as desribed in my previous International Patent Application No
- W087/2890 has a solubility of around 11 mg/100ml. Accordingly compositions which on use result in the formation of strontium fluoride as the sole low-solubility salt do not form part of Variant (1)-the present invention. The formation of strontim fluoride is however encompassed by Variant (2).
- the invention further provides a kit for desensitizing the dental area of a patient having hypersensitive teeth which comprises supplies of two separate dentifrice or mouthwash compositions, one of said compositions containing a source of a physiologically acceptable free calcium and/or strontium ion and the other of said compositions containing a physiologically acceptable source of free anion, and optionally instructions for admixing said compositions on or
- the invention also provides the use of a physiologically acceptable source of strontium and/or calcium cations to produce industrially a kit or system for the treatment of teeth in a combination therapy involving the application of said cations and anions which will combine with the chosen cations to produce a precipitate having a solubility of less than 10 mg in 100 ml of cold water, using separate compositions containing respectively said cations and said anions.
- the invention further provides the use of a physiologically acceptable source of anions to produce industrially a kit or system for the treatment of teeth in a combination therapy involving the application of said anion and cations selected from calcium and/or strontium ions which will combine with the chosen anion to produce a precipitate having a solubility of less than 10 mg per 100 ml of cold water using separate compositions containing respectively said anions and said cations.
- any convenient means for effecting separation of the source of calcium and/or strontium ions and the source of the prescribed anion according to the first aspect of the invention can be utilized.
- a single container may be compartmentalized so that the calcium and/or strontium containing source and the anion containing source are housed in separate compartments and are not admixed until applied to the teeth or immediately before such application.
- the segregating means may comprise a physiologically acceptable composition located between and separating the two sources in a single compartment and adapted to be dispensed with said segregated ion-containing phases.
- the calcium and/or strontium containing source is preferably maintained at a pH of between about 3 and about 7 more preferably between about 5 and 7 so that the calcium and/or strontium ions are solubilized within the source at the desired concentration.
- the preferred sources of strontium and calcium are strontium and calcium chlorides since they are readily dissolved in an aqueous medium.
- the sources of the strontium and/or calcium ions and the anion are most conveniently each maintained in a viscous aqueous medium such as in the form of a gel or a paste.
- the preferred concentration ranges for the active ingredients are as follows (most preferred concentrations in brackets).
- the strontium and/or calcium and the chosen anion be present in either a toothpaste composition suitable for cleaning teeth, in a mouthwash with desensitizing properties, or in a gel composition of the type commonly used by dentists in order to apply treatment compositions to the teeth or gum surface.
- a toothpaste composition suitable for cleaning teeth in a mouthwash with desensitizing properties
- a gel composition of the type commonly used by dentists in order to apply treatment compositions to the teeth or gum surface.
- the compositions of this invention may also contain other excipients.
- anionic binding agents are preferably avoided
- the toothpaste formulations may contain abrasive, binding agents, humectants, thickening agents, surfactants, preservative, flavouring agents, sweetening agents, anti-bacterial agents, colouring agents, anti-corrosive agents, pH-adjusters and anti-plaque additives.
- Mouthwash formulations may contain humectants, alcohol,
- flavouring agents sweetening agents, preservatives, antibacterial agents, colouring agents, pH-adjusters, anti-plaque additives and surfactants.
- compositions used in accordance with the invention contain abrasives
- the abrasive may be synthetic silicas or
- abrasive is generally present in an amount of 10 to 60% by weight of the composition.
- composition of the invention may include one or more
- non-ionic binding agents such as hydroxy ethylcellulose, or xanthan gums. These binding agents may be present in an amount, for example of 0.1% to 5% by weight of the composition.
- compositions may also include one or more humectants in a total amount, for example of up to 90% by weight of the composition.
- humectants include glycerin, sorbitol syrup, polyethylene glycols and propylene glycol.
- composition may include thickening agents in an amount for example of up to 20%, preferably 0.5% to 10% by weight of the
- thickening agents include pyrogenic silica and natural and synthetic clays, such as hydrated sodium magnesium lithium silicates.
- compositions may also include one or more preservatives for example benzoic acid, methyl p-hydroxybenzoate or sodium benzoate.
- the preservatives may be present in an amount, for example up to 5%, preferably 0.05% to 1%, by weight of the composition.
- Chloroform may alternatively or additionally be included as a preservative in an amount, for example, of up to 5%, preferably 0.1% to 2%, by weight of the composition. Chloroform also acts as a flavouring agent.
- flavouring agents may be included in an amount, for example of up to 5%, preferably 0.5% to 2%, by weight of the composition.
- flavouring agents include conventional flavouring oils, such as oils of spearmint, peppermint, wintergreen and cloves.
- Sweetening agents especially saccharin, may additionally or
- compositions alternatively be included in an amount, for example of up to 5%, preferably 0.1% to 1% by weight of the composition.
- compositions may also include anti-bacterial agents in an amount of, for example up to 5%, preferably 0.1% to 1%, by weight of the composition.
- a particularly suitable anti-bacterial agent is chlorhexidine (1,1'-hexamethylene-bis-[5-(4-chlorophenyl)biguanide]).
- compositions may also include anti-plaque additives, e.g. sparingly water-soluble zinc salts, especially zinc citrate, in an amount for example of from 0.25% to 10% by weight of the composition.
- anti-plaque additives e.g. sparingly water-soluble zinc salts, especially zinc citrate, in an amount for example of from 0.25% to 10% by weight of the composition.
- anti-plaque additives include xylitol and 8-hydroxyquinoline and derivatives thereof, e.g. 4,5-dimethyl and 5-methoxy-4-methyl-8-hydroxyquinoline.
- additives may include one or more of colouring agents; anti-corrosive agents, e.g. sodium silicate; pH adjusters, e.g. citric acid.
- colouring agents e.g. sodium silicate
- pH adjusters e.g. citric acid.
- Each of these agents may be present in amounts, for example of up to 2%, preferably 0.1% to 1%, by weight of the composition.
- compositions are usually aqueous compositions and include water in an amount of up to, for example 50%, preferably 10% to 30%, by weight of the composition.
- an aqueous solution of the ion may be admixed with a pharmaceutically acceptable gelling agent such as sodium
- thixotropic properties of the resultant gel can be varied by varying the concentration of the gelling agent, with increased concentrations providing increased thixotropic properties as is well known in the art.
- aqueous solutions of calcium and/or strontium and of the anion may, for example, be enclosed in a two-compartment bottle in accordance with the first spect of the invention from which both solutions can be dispensed simultaneously immediately prior to use as a mouthwash.
- compositions utilized in the present invention are:
- the concentration of the calcium and/or strontium compound may be such that in the final composition it comprises between 0.01 and 20 weight per cent of the final composition (exclusive of the prescribed anion-containing composition), preferably between 1 and 10 weight percent.
- the prescribed anion-containing composition in the aqueous solution may be such that concentration in the final composition is between 0.01 and 5 weight percent (exclusive of the calcium and/or strontium containing phase), more preferably between 0.1 and 3 weight percent.
- the conventional agents utilized to form a paste or a gel or the like may then be admixed with the aqueous solution to form the final composition.
- a suitable container (10) useful for housing said first and second sources in accordance with the first aspect of the present invention comprises an outer wall formed of a flexible material such as a polymer which can contain a sheet of flexible metal such as aluminium (12).
- the container (10) is segmented into two compartments (14) and (16) by means of a wall (18) which is sealed to the interior surface of the outer wall (12).
- One end (20) of the container is sealed while the opposing end (22) is open so that it can be conveniently opened or closed in a conventional manner such as with a screw cap (not shown).
- Compartment (14) can house either the cation-containing source or the anion-containing source while the other compartment (16) can house the source not housed within compartment (14).
- containing source and the anion-containing source can be housed in separate containers from which they can be conveniently dispensed just prior to being topically applied to the dental area of the user.
- an intermediate layer of toothpaste, gel or the like containing neither cation nor anion can be interposed between the layer of calcium and/or strontium source and the layer of anion source within the same container so that mixture of the ion containing layers does not occur until use.
- the cation and anion containing sources can be housed together in a container with a single compartment as is used commonly for mouthwashes, gels and toothpaste, because precipitate formation does not occur until the anion is released from its chemically bound form by contact with oral liquids.
- Aqueous solutions were made of 102 SrCl 2 .6H 2 O, 10%
- the resulting fine precipitate was allowed to settle overnight and filtered off.
- a precipitate forms rapidly and is heavy within five minutes. Even in a four-fold diluted solution, the saliva causes a precipitate to form.
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Abstract
L'invention décrit des compositions servant à soulager l'hypersensibilité dentaire en appliquant une ou plusieurs compositions spécialement formulées à la surface de la dent. Les compositions contiennent des espèces ioniques qui provoquent la formation de précipités à l'intérieur des tubules de l'émail, avec la formation de sels ou autres composés précipités dont le point de dissolution est particulièrement bas, soit en mélange in situ de cations et d'anions, soit en réaction avec les liquides buccaux. La formation de composés peu solubles provoque l'augmentation du dépôt desdits composés sur les surfaces dentaires et les tubules dentinaires, ce qui peut produire une désensibilisation dentinaire.
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| GB909018836A GB9018836D0 (en) | 1990-08-29 | 1990-08-29 | Desensitising dental composition |
| GB9018836.8 | 1990-08-29 |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| WO1992004006A1 true WO1992004006A1 (fr) | 1992-03-19 |
Family
ID=10681328
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| PCT/EP1991/001616 WO1992004006A1 (fr) | 1990-08-29 | 1991-08-17 | Composition dentaire desensibilisante |
Country Status (5)
| Country | Link |
|---|---|
| AU (1) | AU8406991A (fr) |
| GB (1) | GB9018836D0 (fr) |
| IE (1) | IE913026A1 (fr) |
| WO (1) | WO1992004006A1 (fr) |
| ZA (1) | ZA916570B (fr) |
Cited By (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO1995007685A1 (fr) * | 1993-09-13 | 1995-03-23 | American Dental Association Health Foundation | Solutes buccaux, dentifrices et gommes a macher contenant un complex calcium et fluorure |
| US5476647A (en) * | 1993-09-13 | 1995-12-19 | American Dental Association Health Foundation | Complex calcium and fluoride containing mouth rinses, dentifrices, and chewable tablets |
| EP0721773A3 (fr) * | 1994-12-13 | 1997-06-18 | Sun Medical Co Ltd | Composition de soin dentaire pour soulager l'hypersensibilité de la dentine |
| WO1999003445A3 (fr) * | 1997-07-17 | 1999-04-08 | Henkel Kgaa | Agents de soin a usage buccal et dentaire pour dents sensibles |
| WO1999044570A1 (fr) * | 1998-03-06 | 1999-09-10 | Italmed S.N.C. Di Galli G. E Pacini G. | Composition dentaire desensibilisante |
| EP1120106A1 (fr) * | 2000-01-25 | 2001-08-01 | Rudi Dominique Dr. Neirinckx | Procédés pour boucher des tubes dentines par formation in-situ de précipites difficilement solubles |
| US9180318B2 (en) | 2010-03-09 | 2015-11-10 | Conopco, Inc. | Stable oral care compositions |
Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| FR2329292A1 (fr) * | 1975-10-31 | 1977-05-27 | Nat Res Dev | Compositions remineralisantes pour les surfaces dentaires |
| US4080440A (en) * | 1974-12-13 | 1978-03-21 | The Procter & Gamble Company | Method for remineralizing tooth enamel |
| EP0080293A2 (fr) * | 1981-11-25 | 1983-06-01 | Murray L. Schole | Dentifrice contenant du fluorure |
| EP0089136A2 (fr) * | 1982-03-10 | 1983-09-21 | The Procter & Gamble Company | Produits d'hygiène orale |
| WO1987002890A1 (fr) * | 1985-11-13 | 1987-05-21 | Rudi Dominique Neirinckx | Composition dentaire de desensibilisation |
| EP0263638A2 (fr) * | 1986-10-02 | 1988-04-13 | Unilever Plc | Composition orale |
| WO1990010435A2 (fr) * | 1989-03-13 | 1990-09-20 | American Dental Association Health Foundation | Collutoires, dentifrices, gels et pastilles a macher contenant du fluorure |
-
1990
- 1990-08-29 GB GB909018836A patent/GB9018836D0/en active Pending
-
1991
- 1991-08-17 WO PCT/EP1991/001616 patent/WO1992004006A1/fr unknown
- 1991-08-17 AU AU84069/91A patent/AU8406991A/en not_active Abandoned
- 1991-08-20 ZA ZA916570A patent/ZA916570B/xx unknown
- 1991-08-28 IE IE302691A patent/IE913026A1/en unknown
Patent Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4080440A (en) * | 1974-12-13 | 1978-03-21 | The Procter & Gamble Company | Method for remineralizing tooth enamel |
| FR2329292A1 (fr) * | 1975-10-31 | 1977-05-27 | Nat Res Dev | Compositions remineralisantes pour les surfaces dentaires |
| EP0080293A2 (fr) * | 1981-11-25 | 1983-06-01 | Murray L. Schole | Dentifrice contenant du fluorure |
| EP0089136A2 (fr) * | 1982-03-10 | 1983-09-21 | The Procter & Gamble Company | Produits d'hygiène orale |
| WO1987002890A1 (fr) * | 1985-11-13 | 1987-05-21 | Rudi Dominique Neirinckx | Composition dentaire de desensibilisation |
| EP0263638A2 (fr) * | 1986-10-02 | 1988-04-13 | Unilever Plc | Composition orale |
| WO1990010435A2 (fr) * | 1989-03-13 | 1990-09-20 | American Dental Association Health Foundation | Collutoires, dentifrices, gels et pastilles a macher contenant du fluorure |
Cited By (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO1995007685A1 (fr) * | 1993-09-13 | 1995-03-23 | American Dental Association Health Foundation | Solutes buccaux, dentifrices et gommes a macher contenant un complex calcium et fluorure |
| US5476647A (en) * | 1993-09-13 | 1995-12-19 | American Dental Association Health Foundation | Complex calcium and fluoride containing mouth rinses, dentifrices, and chewable tablets |
| EP0721773A3 (fr) * | 1994-12-13 | 1997-06-18 | Sun Medical Co Ltd | Composition de soin dentaire pour soulager l'hypersensibilité de la dentine |
| US5766328A (en) * | 1994-12-13 | 1998-06-16 | Sun Medical Co., Ltd. | Dental composition for relieving dentin hypersensitivity |
| WO1999003445A3 (fr) * | 1997-07-17 | 1999-04-08 | Henkel Kgaa | Agents de soin a usage buccal et dentaire pour dents sensibles |
| WO1999044570A1 (fr) * | 1998-03-06 | 1999-09-10 | Italmed S.N.C. Di Galli G. E Pacini G. | Composition dentaire desensibilisante |
| EP1120106A1 (fr) * | 2000-01-25 | 2001-08-01 | Rudi Dominique Dr. Neirinckx | Procédés pour boucher des tubes dentines par formation in-situ de précipites difficilement solubles |
| US9180318B2 (en) | 2010-03-09 | 2015-11-10 | Conopco, Inc. | Stable oral care compositions |
Also Published As
| Publication number | Publication date |
|---|---|
| GB9018836D0 (en) | 1990-10-10 |
| ZA916570B (en) | 1992-04-29 |
| IE913026A1 (en) | 1992-03-11 |
| AU8406991A (en) | 1992-03-30 |
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