Gallo 2009.
Methods | Title: evaluation of 30% carbamide peroxide at‐home bleaching gels with and without potassium nitrate Trial design: double‐blinded, randomised controlled trial Location: not reported Language: English Number of centres: 1 Recruitment period: not reported Funding source: Dent Mat |
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Participants | Participants: adults Total number: 40 Inclusion criteria:
Exclusion criteria:
Number randomised: 40 Method of randomisation: not mentioned Method of allocation concealment: not mentioned Method of blinding: not reported Number evaluated: 40 |
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Interventions | Total number of intervention groups: 2 30% carbamide peroxide with 5% potassium nitrate in tray 30% carbamide peroxide in tray Duration of treatment: 1 hour per day for 10 days |
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Outcomes | Change in tooth shade: Bioform Colour Ordered Shade Guide System: B85 darkest (1) to B59 lightest (24) Sensitivity of tooth: 0 to 10 scale (0: no pain, 10: severe) Gingival irritation: 0 normal, 1 mild, 2 moderate, 3 severe |
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Notes | Sample size calculation: not reported Adverse effects: sensitivity and gingiva irritation Health‐related quality of life: not reported Key conclusions of the study authors: "30% carbamide bleaching gels effectively whiten teeth without causing a significant increase in tooth sensitivity or changes in gingival condition. Potassium nitrate has little effect in sensitivity when treatment time is short" Correspondence required: no Contact: Dr John Gallo; jgallo@lsuhsc.edu |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Quote: "this double‐blinded, randomised clinical study evaluated the effectiveness..." However, method of randomisation not reported |
Allocation concealment (selection bias) | Unclear risk | Not mentioned |
Blinding of participants and personnel (performance bias) All outcomes | Unclear risk | Quote: "Neither subjects nor evaluators knew which bleaching gel (treatment A….. was used.." However, method of blinding not reported |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | Quote: "Neither subjects nor evaluators knew which bleaching gel (treatment A….. was used.." However, method of blinding not reported |
Incomplete outcome data (attrition bias) All outcomes | Low risk | No mention of dropouts |
Selective reporting (reporting bias) | Low risk | All outcomes described were reported. Conclusions are in accordance with the results |
Other bias | Low risk | None |