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CTRI Number  CTRI/2026/01/102638 [Registered on: 30/01/2026] Trial Registered Prospectively
Last Modified On: 06/05/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparison of Root canal cleaning solutions used in milk teeth of children.  
Scientific Title of Study   Comparative antimicrobial efficacy and clinical success of saline, chlorhexidine, one percent sodium hypochlorite and MTAD as intracanal irrigants in primary molar pulpectomy A randomised controlled clinical 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  Khushi Parmar  
Designation  Post Graduate  
Affiliation  Saveetha Dental College and Hospitals , Chennai  
Address  Clinic 28 , Department of Pediatric and Preventive Dentistry , Saveetha Dental College and Hospital 162, Poonamallee High Road, Velappanchavadi, Chennai , Tamil Nadu

Chennai
TAMIL NADU
600077
India 
Phone  8805978579  
Fax    
Email  parmarkhushi2001@gmail.com   
 
Details of Contact Person
Scientific Query
 
Name  Dr. Ramesh R  
Designation  Professor  
Affiliation  Saveetha Dental College and Hospitals , Chennai  
Address  Clinic 28 , Department of Pediatric and Preventive Dentistry , Saveetha Dental College and Hospital 162, Poonamallee High Road, Velappanchavadi, Chennai , Tamil Nadu

Chennai
TAMIL NADU
600077
India 
Phone  9895725236   
Fax    
Email  rameshr.sdc@saveetha.com  
 
Details of Contact Person
Public Query
 
Name  Khushi Parmar  
Designation  Post Graduate  
Affiliation  Saveetha Dental College and Hospitals , Chennai  
Address  Clinic 28 , Department of Pediatric and Preventive Dentistry , Saveetha Dental College and Hospital 162, Poonamallee High Road, Velappanchavadi, Chennai , Tamil Nadu

Chennai
TAMIL NADU
600077
India 
Phone  8805978579  
Fax    
Email  parmarkhushi2001@gmail.com   
 
Source of Monetary or Material Support  
Clinic 28, Department of Pediatric and Preventive Dentistry, Saveetha Dental College and Hospital 162, Poonamallee High Road, Velappanchavadi, Chennai Tamil Nadu 600077  
 
Primary Sponsor  
Name  Khushi Parmar  
Address  Clinic 28, Department of Pediatric and Preventive Dentistry,Saveetha Dental College and Hospitals 162, Poonamallee High Road, Velappanchavadi, Chennai, Tamil Nadu 600077 
Type of Sponsor  Other [Self ] 
 
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 Khushi Parmar   Saveetha Dental College and Hospital   Clinic 28, Department of Pediatric and Preventive Dentistry, Saveetha Dental College and Hospital, 162, Poonamallee High Road, Velappanchavadi, Chennai Tamil Nadu 600077
Chennai
TAMIL NADU 
8805978579

parmarkhushi2001@gmail.com  
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Saveetha Dental College and Hospitals   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Children requiring primary molar pulpectomy  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Chlorhexidine irrigation   Pulpectomy will be performed in primary molars under rubber dam isolation. Biomechanical preparation will be carried out using hand and rotary files. Irrigation will be done using two percent chlorhexidine solution delivered through a side vented irrigation needle. A standardised volume will be used in all cases.  
Comparator Agent  MTAD Irrigation   Pulpectomy will be performed in primary molars under rubber dam isolation. Biomechanical preparation will be carried out using hand and rotary files. Irrigation will be done using MTAD solution delivered through a side vented irrigation needle as final irrigant. A standardised volume will be used in all cases.  
Intervention  Normal Saline irrigation   Pulpectomy will be performed in primary molars under rubber dam isolation. Biomechanical preparation will be carried out using hand and rotary files. Irrigation will be done using normal saline solution delivered through a side vented irrigation needle. A standardised volume will be used in all cases. 
Comparator Agent  One percent sodium hypochlorite irrigation   Pulpectomy will be performed in primary molars under rubber dam isolation. Biomechanical preparation will be done using hand and rotary files. Irrigation will be done using one percent sodium hypochlorite solution delivered through a side vented irrigation needle. A standardised volume will be used in all cases.  
 
Inclusion Criteria  
Age From  4.00 Year(s)
Age To  9.00 Year(s)
Gender  Both 
Details  Children aged four to nine years of age
Primary molars indicated for pulpectomy
Teeth with minimum two thirds root length remaining
Physiological root resorption not exceeding one third of root length
Restorable primary molars with adequate coronal structure
Written informed consent from parent or guardian  
 
ExclusionCriteria 
Details  Children with systemic illness affecting healing or immunity.
History of allergy to saline, chlorhexidine, sodium hypochlorite or MTAD
Teeth with pathological root resorption, root perforation non restorable crown structure, excessive mobility, extensive furcal bone loss
Previously endodontically treated teeth
Children on antibiotics within past two or four weeks  
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant, Investigator and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Reduction in intracanal bacterial load, assessed by microbiological analysis of root canal samples collected before irrigation and immediately after final irrigation using sterlie papaer points.   Before and after irrigation  
 
Secondary Outcome  
Outcome  TimePoints 
Clinical success of pulpectomy at three and six months defined by the absence of spontaneous pain, swelling,sinus tract, tenderness to percussion or pathological mobility   clinical success at three months and six months  
Radiographic success at three and six months determined by absence or reduction of furcal or periapical radiolucency, no evidence of pathological root resorption and normal development of the permanent successor .  Radiographic success at three months and six months.  
Post operative pain within the first seventy two hours following treatment, evaluated using age appropriate pain assessment scale.  Seventy two hours after treatment  
 
Target Sample Size   Total Sample Size="160"
Sample Size from India="160" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)   12/02/2026 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="1"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Open to Recruitment 
Recruitment Status of Trial (India)  Open to Recruitment 
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  

This randomized controlled clinical trial compares the antimicrobial efficacy and clinical success of normal saline, chlorhexidine, one percent sodium hypochlorite, and MTAD as intracanal irrigants in primary molar pulpectomy. Children aged four to nine years will be included. The primary outcome is reduction in intracanal bacterial load. Secondary outcomes include clinical and radiographic success at three and six months, and post operative pain within seventy two hours. The planned sample size is one hundred sixty participants.

 
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