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CTRI Number  CTRI/2025/07/090523 [Registered on: 09/07/2025] Trial Registered Prospectively
Last Modified On: 29/03/2026
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   To Compare two agents which are considered to form hard tissue within the tooth. 
Scientific Title of Study   Comparative Clinical and Radiographic Evaluation of 3Mixtatin and MTA as Pulp Capping Agents: A Randomized Controlled Trial 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr S Srija Mili 
Designation  PG Student 
Affiliation  MALLA REDDY DENTAL COLLEGE FOR WOMEN 
Address  Department of Conservative Dentistry and Endodontics, Room no. 107 and 108, Malla Reddy Dental College for Women, Venkatarama colony, Suraram, Hyderabad, Telangana, 500055.

Hyderabad
TELANGANA
500055
India 
Phone  08897300388  
Fax    
Email  ssmili401@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr A Swathi 
Designation  HOD, Professor 
Affiliation  MALLA REDDY DENTAL COLLEGE FOR WOMEN 
Address  Department of Conservative Dentistry and Endodontics, Room no. 107 and 108, Malla Reddy Dental College for Women, Venkatarama colony, Suraram, Hyderabad, Telangana, 500055.

Hyderabad
TELANGANA
500055
India 
Phone  09866021672  
Fax    
Email  drswathi.endo@gmail.com  
 
Details of Contact Person
Public Query
 
Name  S Srija Mili 
Designation  PG Student 
Affiliation  MALLA REDDY DENTAL COLLEGE FOR WOMEN 
Address  Department of Conservative Dentistry and Endodontics, Room no. 107 and 108, Malla Reddy Dental College for Women, Venkatarama colony, Suraram, Hyderabad, Telangana, 500055.

Hyderabad
TELANGANA
500055
India 
Phone  08897300388  
Fax    
Email  ssmili401@gmail.com  
 
Source of Monetary or Material Support  
Department of Conservative Dentistry and Endodontics, Room Number 107 and 108, Malla Reddy Dental College for Women, Venkatarama colony, Suraram, Hyderabad, Telangana, 500055, INDIA.  
 
Primary Sponsor  
Name  Malla Reddy Dental College for Women 
Address  Department of Conservative Dentistry and Endodontics, Malla Reddy Dental College for Women, Venkatarama colony, Suraram, Hyderabad, Telangana, 500055. 
Type of Sponsor  Private medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr S Srija Mili  MALLA REDDY DENTAL COLLEGE FOR WOMEN  Department of Conservative Dentistry and Endodontics, Room No. 107 and 108, Malla Reddy Dental College for Women, Venkatarama colony, Suraram, Hyderabad, Telangana, 500055.
Hyderabad
TELANGANA 
08897300388

ssmili401@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
MALLA REDDY DENTAL COLLEGE FOR WOMEN INSTITUITIONAL ETHICS COMMITTEE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K029||Dental caries, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  3Mixtatin  It is a combination of 100mg Metronidazole, 100mg Ciprofloxacin, 100mg Cefixime, and 2mg Simvastatin. These 4 agents are mixed with the help of saline and made into a paste. After the deep caries excavation in the tooth, 3Mixtatin in a required amount is applied as a layer over the unexposed pulp, followed by a restoration over it. It is expected to promote healing and form a dentin bridge over the pulp. 
Comparator Agent  MTA (Mineral trioxide aggregate)  After the deep caries excavation in the tooth, MTA in a required amount is applied as a layer over the unexposed pulp, followed by a restoration over it. MTA promotes healing and forms a dentin bridge over the pulp. 
 
Inclusion Criteria  
Age From  15.00 Year(s)
Age To  40.00 Year(s)
Gender  Both 
Details  1. Deep carious lesion penetrating three-quarters or more into dentine as identified with periapical (PA) radiograph; Clinically mICDAS score 4 (Banerjee and Watson 2011)
2. Clinical symptoms of reversible pulpitis.
3. Presence of at least 2/3rds of root length radiographically, & restorability of selected teeth were also confirmed.
4. Positive pulp response to electric pulp test or thermal stimulation.
5. No PA changes on PA radiographs.
 
 
ExclusionCriteria 
Details  1. Signs or symptoms more severe than reversible pulpitis.
2. Radiographic evidence of pulp degeneration such - widening of periodontal ligament space,
internal and external resorption of the root (IRR and ERR),
3. Pulp necrosis
4. Furcal radiolucency or inter radicular bone destruction (FR/IBD) and/or
5. Periapical bone destruction (PBD).
6. Pregnant women (in view of requirements for radiographs).
7. Patients unable to give consent.


 
 
Method of Generating Random Sequence   Random Number Table 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
To compare and evaluate the clinical and radiographic efficacy of 3Mixtatin and MTA when used as pulp capping agents in permanent teeth using the CBCT.

 
1. Pre-operative PA radiograph and CBCT, followed by post-operative PA radiograph.
2. 1 month follow-up: PA radiograph.
3. 3 months follow-up: PA radiograph and CBCT taken.
4. 6 months follow-up: PA radiograph and CBCT taken. 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
Target Sample Size   Total Sample Size="38"
Sample Size from India="38" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="0" 
Phase of Trial   Phase 4 
Date of First Enrollment (India)   21/07/2025 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="8"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Closed to Recruitment of Participants 
Recruitment Status of Trial (India)  Completed 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  
MTA has an enhanced non-resorbable seal over the pulp and shows the ability to induce hard tissue formation due to the release of cytokines from bone cells. Due to a few drawbacks exhibited by MTA, there is a continuous look-out for new approaches and substances that stimulate the regenerative ability of dental tissues. 
Statin components are well known for their regenerative capacity. They enhance the activity of osteoblasts and decrease osteoclastic function, leading to an increase in the rate of formation of bone, and also exhibit potent anti-inflammatory properties and maintain the levels of pro-inflammatory cytokines. Assuming these properties might have a role in the regeneration of pulp and dentin, statins are used as a pulp capping agent in the form of 3Mixtatin.
 
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