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. 2018 Dec 18;2018(12):CD006202. doi: 10.1002/14651858.CD006202.pub2

Summary of findings 17. CP paint‐on versus HP paint‐on for whitening teeth.

Carbamide peroxide (CP) paint‐on compared to hydrogen peroxide (HP) paint‐on for whitening teeth
Patient or population: adults undergoing bleaching
 Setting: home‐based
 Intervention: CP paint‐on
 Comparison: HP paint‐on
Tooth whitening ‐ assessed by the dentist
Comparison Anticipated absolute effects* (95% CI) Relative effect
 (95% CI) Number of participants
 (studies) Certainty of the evidence
 (GRADE) Comments
Risk with CP paint‐on Risk with HP paint‐on
25% CP paint‐on versus 8.75% HP paint‐on (higher shade indicates whiter) The mean change in shade in 25% CP paint‐on group was 6.54 Mean difference in shade change was 0.16 lower in 8.75% HP paint‐on group
 (1.39 lower to 1.07 higher) 59
 (1 RCT) ⊕⊝⊝⊝
 VERY LOW1, 2
Adverse effects
Not reported
*The risk in the intervention group (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI)
 
 CI: confidence interval; RCT: randomised controlled trial
GRADE Working Group grades of evidenceHigh certainty: we are very confident that the true effect lies close to that of the estimate of the effect
 Moderate certainty: we are moderately confident in the effect estimate: the true effect is likely to be close to the estimate of the effect, but there is a possibility that it is substantially different
 Low certainty: our confidence in the effect estimate is limited: the true effect may be substantially different from the estimate of the effect
 Very low certainty: we have very little confidence in the effect estimate: the true effect is likely to be substantially different from the estimate of effect

1Downgraded for risk of bias ‐ unclear risk of bias due to lack of selection, performance and detection bias.
 2Downgraded for imprecision ‐ single trial, low sample and event rate.