Triple antibiotic paste versus simvastatin for cleaning and healing infected baby molars
Official title: Triple Antibiotic Paste Versus Simvastatin for LSTR Treatment of Primary Molars With Pulp Necrosis: A Randomized Controlled Trial
Run by Dow University of Health Sciences · NCT07264842 · Data updated 2026-11-12
This trial will test whether a simvastatin paste works as well as a triple antibiotic paste to clean and help heal non-vital primary molars in children aged 5–8.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 5 Years to 8 Years |
| Sex | All |
| Enrollment | 60 (estimated) |
| Sponsor | Dow University of Health Sciences Academic / other |
| Locations | 1 site (Karachi, Sindh) |
| Status | Recruiting |
| Started | June 26, 2024 |
| Main results expected | April 30, 2026 |
| Study ends | July 31, 2026 |
| Registry record updated | March 10, 2026 |
| Trial ID | NCT07264842 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Children aged 5–8 with restorable non-vital primary molars showing signs such as spontaneous pain, deep caries reaching the pulp, chronic abscess, or a draining sinus are ideal candidates.
✕Probably not a fit
Children who are uncooperative, allergic to antibiotics, or whose teeth have advanced physiological root resorption, severe internal resorption, canal obliteration, or other exclusions are unlikely to benefit from enrollment.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a randomized, double-blinded, parallel-controlled Phase 2 trial enrolling 60 children with non-vital primary molars to compare lesion sterilization and tissue repair (LSTR) using either triple antibiotic paste (ciprofloxacin + metronidazole + cefixime) or simvastatin paste. After non-instrumentation cleaning, the allocated medicament will be placed, the tooth sealed with glass ionomer cement, and a stainless steel crown fitted. Clinical and radiographic outcomes will be recorded at 1, 2, and 3 months, with primary endpoints including absence of pain, swelling, or sinus tract and radiographic signs of healing. The trial is conducted at Dow International Dental College, Karachi, and aims to offer an antibiotic-sparing alternative if simvastatin proves effective.
Why it matters
Potential benefit: If successful, simvastatin could provide an effective, antibiotic-sparing option to promote healing of infected primary molars.
How similar studies have gone: LSTR using triple antibiotic paste has clinical precedent, while the use of simvastatin in this setting is relatively novel with limited clinical data so far.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Young, healthy patient, ranging in age from 5-8 years. * Has parents/ guardians who give consent to allow their minor to participate in the study and willing to monitor their progress. * Having maxillary and mandibular primary molars with: * Spontaneous pain or tenderness to percussion. * Deep cavity extending to the pulp chamber. * Chronic Abscess or draining sinus. * Restorable. * To be kept for less than a year. * Irregular mobility that is not related to exfoliation. Exclusion Criteria: * Uncooperative patients. * Children with a history of allergic reaction with antibiotics. * Teeth with physiological root resorption but root length is more than two thirds, root canal obliteration, severe internal resorption, internal calcifications, or piercing into the bifurcation.
Where it's running
-
Dow International Dental College, Chanesar goth.
Karachi, Sindh, Pakistan Recruiting
Study contacts
- Study coordinator: Muhammad Waleed Postgraduate Trainee, FCPS
- Email: waleedmumtaz.401194@duhs.edu.pk
- Phone: 923222046451
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.