NCT04407910

Brief Summary

The increasing demand for whitening teeth necessitates requirements and guidelines to ensure the efficacy of products and bleaching techniques. So far there is no comparative study to evaluate the effectiveness of pre-operative air-powder polishing device (APD) and rubber-cup prophylaxis on tooth bleaching in-office. Office-bleaching has some advantages such as avoiding soft tissue irritation, preventing the use of excess material and producing immediate esthetic results. The aim this study is to compare the effects of pre-operative air-powder polishing and rubber-cup prophylaxis on tooth bleaching outcomes. The null hypothesis of this research was that there would be no difference in the change in according to the type of prophylaxis on tooth-bleaching outcomes.△L,△a,△b,△E and △SGU. The results of the study show that both rubber cup prophylaxis and APD devices can be equally used before bleaching treatment as there were no statistical differences in color change.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
23

participants targeted

Target at below P25 for phase_4

Timeline
Completed

Started Sep 2018

Shorter than P25 for phase_4

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

September 10, 2018

Completed
6 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 18, 2019

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

May 17, 2019

Completed
1 year until next milestone

First Submitted

Initial submission to the registry

May 19, 2020

Completed
10 days until next milestone

First Posted

Study publicly available on registry

May 29, 2020

Completed
Last Updated

May 29, 2020

Status Verified

May 1, 2020

Enrollment Period

6 months

First QC Date

May 19, 2020

Last Update Submit

May 26, 2020

Conditions

Keywords

Tooth BleachingProphylaxisDental Materials

Outcome Measures

Primary Outcomes (1)

  • ΔE

    Delta E is a metric for understanding how the human eye perceives color difference

    1 week

Study Arms (2)

Air-powder polishing device

EXPERIMENTAL
Combination Product: AIRFLOW® Master device +Opalescence Xtra Boost.Combination Product: rubber-cup+Opalescence Xtra Boost.

Rubber-cup+paste

EXPERIMENTAL
Combination Product: AIRFLOW® Master device +Opalescence Xtra Boost.Combination Product: rubber-cup+Opalescence Xtra Boost.

Interventions

Prophylaxis techniques for pre-bleaching treatment

Air-powder polishing deviceRubber-cup+paste

Prophylaxis techniques for pre-bleaching treatment

Air-powder polishing deviceRubber-cup+paste

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • \- being at least 18 years of age
  • having minimum of 20 natural teeth (including incisors, canines, and premolars in both arches)
  • having good oral hygiene (Plaque index \<1, Gingival index \<1)

You may not qualify if:

  • having restorations or active caries on the anterior teeth of either arch
  • presence of tetracycline staining or fluorosis
  • general hypersensitivity
  • gingival recession or periodontal disease
  • smokers
  • pregnant or lactating women
  • history of prior bleaching treatment

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Zeliha Gonca Bek Kürklü

Adana, Sarıcam, 01120, Turkey (Türkiye)

Location

Related Publications (19)

  • Sulieman M. An overview of tooth discoloration: extrinsic, intrinsic and internalized stains. Dent Update. 2005 Oct;32(8):463-4, 466-8, 471. doi: 10.12968/denu.2005.32.8.463.

    PMID: 16262034BACKGROUND
  • Watts A, Addy M. Tooth discolouration and staining: a review of the literature. Br Dent J. 2001 Mar 24;190(6):309-16. doi: 10.1038/sj.bdj.4800959.

    PMID: 11325156BACKGROUND
  • Kihn PW. Vital tooth whitening. Dent Clin North Am. 2007 Apr;51(2):319-31, viii. doi: 10.1016/j.cden.2006.12.001.

    PMID: 17532915BACKGROUND
  • Gallagher A, Maggio B, Bowman J, Borden L, Mason S, Felix H. Clinical study to compare two in-office (chairside) whitening systems. J Clin Dent. 2002;13(6):219-24.

    PMID: 12518494BACKGROUND
  • Joiner A. The bleaching of teeth: a review of the literature. J Dent. 2006 Aug;34(7):412-9. doi: 10.1016/j.jdent.2006.02.002. Epub 2006 Mar 29.

    PMID: 16569473BACKGROUND
  • Seghi RR, Denry I. Effects of external bleaching on indentation and abrasion characteristics of human enamel in vitro. J Dent Res. 1992 Jun;71(6):1340-4. doi: 10.1177/00220345920710061201.

    PMID: 1613185BACKGROUND
  • Patil SS, Rakhewar PS, Limaye PS, Chaudhari NP. A comparative evaluation of plaque-removing efficacy of air polishing and rubber-cup, bristle brush with paste polishing on oral hygiene status: A clinical study. J Int Soc Prev Community Dent. 2015 Nov-Dec;5(6):457-62. doi: 10.4103/2231-0762.167723.

    PMID: 26759798BACKGROUND
  • Bernardon JK, Ferrari P, Baratieri LN, Rauber GB. Comparison of treatment time versus patient satisfaction in at-home and in-office tooth bleaching therapy. J Prosthet Dent. 2015 Dec;114(6):826-30. doi: 10.1016/j.prosdent.2015.05.014. Epub 2015 Sep 12.

    PMID: 26372629BACKGROUND
  • Sawai MA, Bhardwaj A, Jafri Z, Sultan N, Daing A. Tooth polishing: The current status. J Indian Soc Periodontol. 2015 Jul-Aug;19(4):375-80. doi: 10.4103/0972-124X.154170.

    PMID: 26392683BACKGROUND
  • Bernardon JK, Sartori N, Ballarin A, Perdigao J, Lopes GC, Baratieri LN. Clinical performance of vital bleaching techniques. Oper Dent. 2010 Jan-Feb;35(1):3-10. doi: 10.2341/09-008CR.

    PMID: 20166405BACKGROUND
  • Chowdhary Z, Mohan R. Efficiency of three different polishing methods on enamel and cementum: A scanning electron microscope study. J Indian Soc Periodontol. 2018 Jan-Feb;22(1):18-24. doi: 10.4103/jisp.jisp_40_17.

    PMID: 29568167BACKGROUND
  • Wiegand A, Drebenstedt S, Roos M, Magalhaes AC, Attin T. 12-month color stability of enamel, dentine, and enamel-dentine samples after bleaching. Clin Oral Investig. 2008 Dec;12(4):303-10. doi: 10.1007/s00784-008-0195-7. Epub 2008 Mar 28.

    PMID: 18369668BACKGROUND
  • Giachetti L, Bertini F, Bambi C, Nieri M, Scaminaci Russo D. A randomized clinical trial comparing at-home and in-office tooth whitening techniques: A nine-month follow-up. J Am Dent Assoc. 2010 Nov;141(11):1357-64. doi: 10.14219/jada.archive.2010.0081.

    PMID: 21037194BACKGROUND
  • Barry TN, Bailey CW, Ashcraft-Olmscheid D, Vandewalle KS. Effect of a New Bleaching Gel on Tooth Whitening. Oper Dent. 2017 Sep/Oct;42(5):559-566. doi: 10.2341/16-200-L.

    PMID: 28829933BACKGROUND
  • Nakamura T, Saito O, Ko T, Maruyama T. The effects of polishing and bleaching on the colour of discoloured teeth in vivo. J Oral Rehabil. 2001 Nov;28(11):1080-4. doi: 10.1046/j.1365-2842.2001.00762.x.

    PMID: 11722726BACKGROUND
  • Petersilka GJ, Ehmke B, Flemmig TF. Antimicrobial effects of mechanical debridement. Periodontol 2000. 2002;28:56-71. doi: 10.1034/j.1600-0757.2002.280103.x.

    PMID: 12013348BACKGROUND
  • Muzzin KB, King TB, Berry CW. Assessing the clinical effectiveness of an aerosol reduction device for the air polisher. J Am Dent Assoc. 1999 Sep;130(9):1354-9. doi: 10.14219/jada.archive.1999.0407.

    PMID: 10492544BACKGROUND
  • Goldberg M, Grootveld M, Lynch E. Undesirable and adverse effects of tooth-whitening products: a review. Clin Oral Investig. 2010 Feb;14(1):1-10. doi: 10.1007/s00784-009-0302-4. Epub 2009 Jun 20.

    PMID: 19543926BACKGROUND
  • Kurklu ZGB, Ozcan M. Effects of preoperative air-powder polishing and rubber-cup prophylaxis on tooth bleaching: randomized controlled split-mouth clinical study. Clin Oral Investig. 2021 Oct;25(10):6007-6014. doi: 10.1007/s00784-021-04023-2. Epub 2021 Jun 18.

Related Links

MeSH Terms

Conditions

Tooth Discoloration

Condition Hierarchy (Ancestors)

Tooth DiseasesStomatognathic Diseases

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Masking Details
Single blind participant
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: We have two groups applied to split-mouth experimental units. Left side of maxillary have received rubber-cup and right side of maxillary of each subject.have APD prophylaxis respectively.
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
assistant professor

Study Record Dates

First Submitted

May 19, 2020

First Posted

May 29, 2020

Study Start

September 10, 2018

Primary Completion

March 18, 2019

Study Completion

May 17, 2019

Last Updated

May 29, 2020

Record last verified: 2020-05

Locations