Review Article

Antibiotic Mixtures in Noninstrumental Endodontic Treatment of Primary Teeth with Necrotic Pulps: A Systematic Review

Table 2

Characteristics of the included studies.

StudyStudy designSubjects (no. of children/age in years/no. of teeth)Primary teeth selectedResultsConclusions
Antibiotics mixtureFollow-up (months)Clinical success
N (%)
Radiograph success
N (%)

Pinky et al. [13]
India/2011
RCT28 children/4–10 years/40 primary teethPrimary molarsCiprofloxacin-minocycline-metronidazole3
6
12
20/20 (100)
20/20 (100)
18/20 (90)
20/20 (100)
20/20 (100)
18/20 (90)
Good clinical and radiographic success in both groups.
No statistically significant difference between the two groups ().
Ciprofloxacin-minocycline-ornidazole20/20 (100)
20/20 (100)
20/20 (100)
20/20 (100)
20/20 (100)
20/20 (100)

Nanda et al. [14]
India/2014
RCT38 children/4–10 years/40 primary teethPrimary molarsCiprofloxacin-minocycline-metronidazole3
6
12
20/20 (100)
20/20 (100)
20/20 (100)
20/20 (100)
20/20 (100)
17/20 (85)
100% clinical success in both groups.
Radiological changes of two groups. Statistically similar observations in both groups (X2 = 1.35, ).
Radiological success rate was statistically similar in both groups ().
Ciprofloxacin-minocycline-ornidazole20/20 (100)
20/20 (100)
20/20 (100)
20/20 (100)
20/20 (100)
19/20 (95)

Singh et al. [16]
India/2017
RCT38 children/5–10 years/80 primary teethPrimary teethCiprofloxacin-metronidazole-minocycline3
6
12
40/40 (100)
40/40 (100)
36/40 (90)
Nm Nm
40/40 (100)
36/40 (90)
No statistically significant difference between both groups.
The ciprofloxacin-minocycline-ornidazole group showed better results clinically and radiographically compared with the 3 Mix group.
Ciprofloxacin-minocycline-ornidazole40/40 (100)
40/40 (100)
40/40 (100)
Nm Nm
40/40 (100)
40/40 (100)

Jaya et al. [15]
India/2012
RCT25 children/6–9 years/30 primary teethPrimary molarsCiprofloxacin-metronidazole-minocycline6
12
24
15/15 (100)
15/15 (100)
15/15 (100)
9/15 (60)
9/15 (60)
9/15 (60)
Good clinical and radiographic success in both groups.
No statistically significant difference between the two groups ().
Ciprofloxacin-tinidazole-minocycline15/15 (100)
15/15 (100)
15/15 (100)
8/15 (53.3)
8/15 (53.3)
8/15 (53.3)

Raslan et al. [17]
Syria/2017
RCT22 children/Nm/42 primary teethMandibular primary molarsCiprofloxacin-metronidazole-minocycline1
3
6
12
21/21 (100)
19/21 (90.4)
19/19 (100)
19/19 (100)
21/21 (100)
19/21 (90.4)
17/19 (89.4)
11/19 (89.4)
No statistically significant differences
Between the two groups regarding the appearance of radiolucency and the radiographic success rates after 6 and 12 months of treatment ().
Regarding the association between root resorption degree and the clinical and radiographic success of the treatment within each group individually during all the follow-up periods ().
Ciprofloxacin-metronidazole-clindamycin21/21 (100)
20/21 (95.2)
20/20 (100)
20/20 (100)
21/21 (100)
20/21 (95.2)
16/20 (80)
11/20 (55)

RCT: randomized controlled study; Nm: not mentioned.