Skip to main content
. 2018 Dec 18;2018(12):CD006202. doi: 10.1002/14651858.CD006202.pub2

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
Participants Participants: adults
Total number: 40
Inclusion criteria:
  • shade darker than B65

  • no sensitive teeth

  • not used a bleaching material in 5 years

  • no restorations in their maxillary anterior teeth


Exclusion criteria:
  • unable to meet the time requirements

  • reported cold‐sensitive teeth

  • pregnant or nursing


Number randomised: 40
Method of randomisation: not mentioned
Method of allocation concealment: not mentioned
Method of blinding: not reported
Number evaluated: 40
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
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
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
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