Which single-dose antibiotic works best to prevent complications after lower wisdom tooth removal
Official title: Comparison of Amoxicillin, Clindamycin and Azithromycin Single Doses Antibiotic Prophylaxis in Patient Undergoing Lower Third Molar Extraction, A Randomized Control Trial
Run by Dow University of Health Sciences · NCT07894016 · Data updated 2026-11-12
This trial tests whether a single dose of amoxicillin, clindamycin, or azithromycin is best at reducing post-surgery problems for adults undergoing lower wisdom tooth extraction.
Quick facts
| Phase | Phase 4 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 105 (estimated) |
| Sponsor | Dow University of Health Sciences Academic / other |
| Locations | 1 site (Karachi, Sindh) |
| Status | Recruiting |
| Started | October 20, 2026 |
| Main results expected | December 30, 2026 |
| Study ends | December 30, 2026 |
| Registry record updated | November 2, 2026 |
| Trial ID | NCT07894016 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults 18 or older undergoing lower third molar extraction with no recent antibiotics and no allergies to study drugs.
✕Probably not a fit
Patients with certain medical conditions or those who do not respond to the selected antibiotic could see no benefit from participating.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This randomized, interventional study compares three single-dose antibiotics—amoxicillin, clindamycin, and azithromycin—to see which one most effectively reduces post-operative complications after lower third molar extraction. Eligible participants receive one pre-procedure dose, with follow-up assessments on the same day and on day three to measure pain, mouth opening, and bleeding. Data will be analyzed using SPSS to determine which drug provides the best outcomes. The study is conducted at a single institution in Karachi, led by Dow University of Health Sciences.
Why it matters
Potential benefit: If a particular antibiotic shows superior protection, participants and future patients may receive more effective single-dose prophylaxis for wisdom tooth extractions.
How similar studies have gone: Previous research has explored single-dose prophylaxis with these antibiotics, with varying results across dental procedures; this study adds direct comparison in this surgical context.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Individuals with no history antibiotics for past 1 month * No active infection going * No allergies to any antibiotics, analgesics, local anesthetic * Cases of low to medium difficulty * Age bracket from 18 years or older Exclusion Criteria: * Pregnant women * Lactating mothers * People who have any soft tissue healing disorder * Patient undergone radiotherapy * Patient having kidney or liver disease
Where it's running
-
Dr. Ishrat-ul-Ebad Khan Institute of Oral Health Sciences
Karachi, Sindh, Pakistan Recruiting
Study contacts
- Principal investigator: Meer M Fawad, Masters of Science — Down University of Health Sciences
- Study coordinator: Meer M Fawad, Masters of Science
- Email: fawadshaikh55@gmail.com
- Phone: +923331255251
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Piperacillin Prophylaxis in Major Liver and Pancreatic Surgery
This study tests whether piperacillin/tazobactam given around surgery reliably reaches the right levels to help prevent infections in adults undergoing major liver or pancreatic surgery.
-
Antibiotic Prophylaxis Before Simple Tooth Extraction in Immunosuppressed Patients with Autoimmune Rheumatic Diseases
This trial tests whether giving a single dose of amoxicillin before a simple tooth extraction can prevent infections in adults with autoimmune rheumatic diseases who are on immunosuppressive therapy.
-
Adding azithromycin to ampicillin for late PPROM
This test sees if adding a single dose of azithromycin to the usual ampicillin/amoxicillin treatment helps newborns when membranes break early between 34.0 and 36.6 weeks.
-
Cefazolin Prophylaxis and CSF Levels in Ventricular Shunt Surgery
This study tests whether a standard 2 g dose of cefazolin given before ventricular shunt surgery yields enough drug in the brain’s fluid to help prevent valve infections.
-
Understanding antibiotic resistance and microbiome changes in STI prevention
This study is trying to see how using doxycycline for STI prevention affects antibiotic resistance and changes in gut bacteria in men who have sex with men.
-
Testing targeted antibiotics to prevent infections after bladder surgery
This study is testing if using personalized antibiotics based on urine bacteria can help prevent infections after bladder surgery better than standard antibiotics.
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.