Could one antibiotic dose replace three after jaw surgery?
NCT ID NCT05852158
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study compares a single dose of the antibiotic cefazolin given before jaw surgery to the standard approach of one dose before plus three doses after surgery. The goal is to see if the single dose works just as well to prevent surgical site infections, which occur in 10-15% of cases. About 400 people having jaw surgery will take part, and they will be randomly assigned to one of the two groups. The results could help reduce unnecessary antibiotic use and lower the risk of antibiotic resistance.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- cefazolin
- What this could lead to
- If successful, this could show that a single dose of antibiotics is enough to prevent infections after jaw surgery, reducing unnecessary antibiotic use.
- What could go wrong
- This is a single-center trial, and results may not apply to all hospitals. The study is not large enough to detect rare side effects, and there is a chance that fewer antibiotics could lead to more infections.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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About 400 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jan 2024
- Expected to finish
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Jul 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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16 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * All patients ASA 1 and 2 over the age of 16 undergoing orthognathic surgery will be offered participation in this study Exclusion Criteria: * Patients ASA 3 and higher, use of antibiotics in the preceding 2 weeks, presence of systemic, oral, or odontogenic infections, patients in a state of immunosuppression as a result of medications or systemic disease, patients with allergies to penicillins or cephalosporins, and patients who lack capacity for informed consent.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Victoria General Hospital
RECRUITINGHalifax, Nova Scotia, B3H2Y9, Canada