NCT05605834

Brief Summary

Assessment of peroxide level in saliva during teeth bleaching with 9.5% hydrogen peroxide gel using a tray with reservoir versus a tray without reservoir. A randomized clinical trial

Trial Health

87
On Track

Trial Health Score

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

Enrollment
34

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Jan 2023

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

First Submitted

Initial submission to the registry

October 29, 2022

Completed
6 days until next milestone

First Posted

Study publicly available on registry

November 4, 2022

Completed
2 months until next milestone

Study Start

First participant enrolled

January 10, 2023

Completed
1.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 20, 2024

Completed
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

May 8, 2024

Completed
Last Updated

January 3, 2025

Status Verified

January 1, 2025

Enrollment Period

1.1 years

First QC Date

October 29, 2022

Last Update Submit

January 2, 2025

Conditions

Keywords

hydrogen peroxidereservoirperoxide levelsalivaassessmentnon reservoir

Outcome Measures

Primary Outcomes (4)

  • Peroxide level in saliva

    Peroxide concentration in saliva (mg/ml)

    T0: 1 min after beginning of the bleaching procedure and application of the tray

  • Peroxide level in saliva

    Peroxide concentration in saliva (mg/ml)

    T1: 5 min after tray application

  • Peroxide level in saliva

    Peroxide concentration in saliva (mg/ml)

    T2: 10 min after tray application

  • Peroxide level in saliva

    Peroxide concentration in saliva (mg/ml)

    T3: 30 min after tray application

Study Arms (2)

Hydrogen peroxide 9.5% bleaching using a tray with reservoir.

EXPERIMENTAL

9.5% hydrogen peroxide bleaching (POLA DAY advanced tooth whitening system, SDI) using a tray with reservoir.

Other: 9.5% hydrogen peroxide bleaching (POLA DAY advanced tooth whitening system, SDI) using a tray with reservoir

Hydrogen peroxide 9.5% bleaching using a tray without reservoir.

ACTIVE COMPARATOR

9.5% hydrogen peroxide bleaching (POLA DAY advanced tooth whitening system, SDI) using a tray without reservoir.

Other: 9.5% hydrogen peroxide bleaching (POLA DAY advanced tooth whitening system, SDI) using a tray without reservoir.

Interventions

Patients will be randomly divided into two groups. Alginate impressions of maxillary dental arches of patients will be taken to obtain casts and produce the customized trays. Reservoirs 1 mm thick will be created on the facial surfaces of anterior teeth, including the first premolars in the arches, applying a light-cured resin on the casts. The resin layer thickness will be standardized using a thickness gauge (1.5 mm thickness). Then, customized trays will be fabricated with 0.9-mm-thick vinyl acetate sheets using the thermoforming process. Trays will be precisely trimmed completely involving tooth surface (1 mm incisal or occlusal to gingival margin), and the adaptation will be verified on the casts. The trays will be placed over teeth to verify the adaptation in the patients' mouth.

Hydrogen peroxide 9.5% bleaching using a tray with reservoir.

Alginate impressions of maxillary dental arches of patients will be taken to obtain casts to produce the customized trays. Then, customized trays will be fabricated with no space for reservoir, with 0.9-mm-thick vinyl acetate sheets using the thermoforming process applying a light-cured resin on the casts. Trays will be precisely trimmed completely involving tooth surface (1 mm incisal or occlusal to gingival margin), and the adaptation will be verified on the casts. The trays will be placed over teeth to verify the adaptation in the participants' mouths.

Hydrogen peroxide 9.5% bleaching using a tray without reservoir.

Eligibility Criteria

Age18 Years - 40 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • participants:
  • Good general health.
  • Adult patients aged 18-40 years.
  • Absence of non-carious cervical lesions, active caries, gingival recession, or periodontal disease.
  • Do not use orthodontics appliance or removable prosthesis.
  • teeth:
  • Maxillary anterior teeth without caries, restorations and/or endodontic treatment.
  • Mild generalized staining.

You may not qualify if:

  • participants:
  • Smoking or alcohol dependent patients.
  • Pregnancy and lactating women.
  • Parafunctional habits or pathologies.
  • Periapical alterations.
  • Use of medicaments that alter salivary flow.
  • Patients who had already undergone tooth bleaching
  • Patients with severe internal tooth discoloration as tetracycline stain, fluorosis or endodontic treatment.
  • teeth:
  • Tooth hypersensitivity.
  • Presence of cracks or fractures.
  • Periodontal affection sign and symptoms.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Faculty of dentistry

Cairo, 002, Egypt

Location

Related Publications (26)

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    PMID: 25408594BACKGROUND
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    PMID: 15853099BACKGROUND
  • 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.

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    PMID: 21221681BACKGROUND
  • Geisinger S, Kwon SR, Qian F. Employment of Reservoirs in At-Home Whitening Trays: Efficacy and Efficiency in Tooth Whitening. J Contemp Dent Pract. 2015 May 1;16(5):383-8. doi: 10.5005/jp-journals-10024-1694.

    PMID: 26162258BACKGROUND
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    PMID: 19543926BACKGROUND
  • Hannig C, Zech R, Henze E, Dorr-Tolui R, Attin T. Determination of peroxides in saliva--kinetics of peroxide release into saliva during home-bleaching with Whitestrips and Vivastyle. Arch Oral Biol. 2003 Aug;48(8):559-66. doi: 10.1016/s0003-9969(03)00102-x.

    PMID: 12828984BACKGROUND
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    PMID: 15810475BACKGROUND
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    PMID: 16774513BACKGROUND
  • Haywood VB. History, safety, and effectiveness of current bleaching techniques and applications of the nightguard vital bleaching technique. Quintessence Int. 1992 Jul;23(7):471-88.

    PMID: 1410249BACKGROUND
  • Haywood VB, Leonard RH, Nelson CF, Brunson WD. Effectiveness, side effects and long-term status of nightguard vital bleaching. J Am Dent Assoc. 1994 Sep;125(9):1219-26. doi: 10.14219/jada.archive.1994.0154.

    PMID: 7930184BACKGROUND
  • Haywood VB, Sword RJ. Tray bleaching status and insights. J Esthet Restor Dent. 2021 Jan;33(1):27-38. doi: 10.1111/jerd.12688. Epub 2020 Dec 5.

    PMID: 33277968BACKGROUND
  • Javaheri DS, Janis JN. The efficacy of reservoirs in bleaching trays. Oper Dent. 2000 May-Jun;25(3):149-51.

    PMID: 11203808BACKGROUND
  • 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
  • Kirsten GA, Freire A, de Lima AA, Ignacio SA, Souza EM. Effect of reservoirs on gingival inflammation after home dental bleaching. Quintessence Int. 2009 Mar;40(3):195-202.

    PMID: 19417883BACKGROUND
  • Kose C, Calixto AL, Bauer JR, Reis A, Loguercio AD. Comparison of the Effects of In-office Bleaching Times on Whitening and Tooth Sensitivity: A Single Blind, Randomized Clinical Trial. Oper Dent. 2016 Mar-Apr;41(2):138-45. doi: 10.2341/15-085-C. Epub 2015 Oct 28.

    PMID: 26509229BACKGROUND
  • Li Y. Safety controversies in tooth bleaching. Dent Clin North Am. 2011 Apr;55(2):255-63, viii. doi: 10.1016/j.cden.2011.01.003.

    PMID: 21473992BACKGROUND
  • Mailart MC, Sakassegawa PA, Torres C, Palo RM, Borges AB. Assessment of Peroxide in Saliva During and After At-home Bleaching With 10% Carbamide and Hydrogen Peroxide Gels: A Clinical Crossover Trial. Oper Dent. 2020 Jul 1;45(4):368-376. doi: 10.2341/19-127-C.

    PMID: 32216723BACKGROUND
  • Martini EC, Favoreto MW, Coppla FM, Loguercio AD, Reis A. Evaluation of reservoirs in bleaching trays for at-home bleaching: a split-mouth single-blind randomized controlled equivalence trial. J Appl Oral Sci. 2020;28:e20200332. doi: 10.1590/1678-7757-2020-0332. Epub 2020 Aug 17.

    PMID: 32813842BACKGROUND
  • Martini EC, Favoreto MW, de Andrade HF, Coppla FM, Loguercio AD, Reis A. One-year follow-up evaluation of reservoirs in bleaching trays for at-home bleaching. J Esthet Restor Dent. 2021 Oct;33(7):992-998. doi: 10.1111/jerd.12797. Epub 2021 Jul 1.

    PMID: 34212493BACKGROUND
  • Matis BA, Hamdan YS, Cochran MA, Eckert GJ. A clinical evaluation of a bleaching agent used with and without reservoirs. Oper Dent. 2002 Jan-Feb;27(1):5-11.

    PMID: 11817468BACKGROUND
  • Matis BA, Yousef M, Cochran MA, Eckert GJ. Degradation of bleaching gels in vivo as a function of tray design and carbamide peroxide concentration. Oper Dent. 2002 Jan-Feb;27(1):12-8.

    PMID: 11817465BACKGROUND
  • Sulieman MA. An overview of tooth-bleaching techniques: chemistry, safety and efficacy. Periodontol 2000. 2008;48:148-69. doi: 10.1111/j.1600-0757.2008.00258.x. No abstract available.

    PMID: 18715362BACKGROUND
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    PMID: 15298493BACKGROUND
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    PMID: 10942322BACKGROUND

Study Officials

  • Iman Ibrahim El Sayad, prof

    Cairo University

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, OUTCOMES ASSESSOR
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
bachelor

Study Record Dates

First Submitted

October 29, 2022

First Posted

November 4, 2022

Study Start

January 10, 2023

Primary Completion

February 20, 2024

Study Completion

May 8, 2024

Last Updated

January 3, 2025

Record last verified: 2025-01

Locations