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

Garcia‐Godoy 2004.

Methods Title: placebo‐controlled, 6‐week clinical trial on the safety and efficacy of a low‐gel, 14% hydrogen‐peroxide whitening strip
Trial design: parallel‐group, double‐blinded, randomised controlled trial
Location: not reported
Language: English
Number of centres: 1
Recruitment period: not reported
Funding source: Procter & Gamble
Participants Participants: consenting adults, mean age: 32.1 years
Total number: 39
Inclusion criteria:
  • A2 or darker shade

  • healthy adults with no sensitivity


Exclusion criteria:
  • previous bleaching

  • restoration


Number randomised: 39
Method of randomisation: not reported
Method of allocation concealment: not reported
Method of blinding: not reported
Number evaluated: 35. 4 dropouts, 2 from each group
Interventions Total number of intervention groups: 2
Experiment: 14% hydrogen peroxide
Control: placebo
Duration of treatment: 3 weeks
Outcomes Improvement in tooth colour
b*: decreased b* indicates reduced yellowness
ΔL: increased ΔL is increased brightness
ΔW: negative W indicates colour closer to white
Notes Sample size calculation: not reported
Adverse effects: tooth sensitivity and oral irritation
Health‐related quality of life: not reported
Key conclusions of the study authors: "Twice‐daily use of Crest Whitestrips Supreme resulted in a highly significant improvement in tooth colour after 3 weeks, with colour improvement continuing over 6 weeks"
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Quote: "randomised double‐blinded parallel‐group clinical trial. Eligible subjects were randomised to a low gel 14% ...or placebo group." However, method of randomisation is not mentioned
Allocation concealment (selection bias) Unclear risk Not mentioned
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Quote: "randomised double‐blinded parallel‐group clinical trial." However, method of blinding is not mentioned
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Quote: "randomised double‐blinded parallel‐group clinical trial." However, method of blinding is not mentioned
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Quote: "2 subjects 1 in each group discontinued treatment because of a treatment related adverse event"
Comment: missing outcome data balanced in numbers across intervention groups
Selective reporting (reporting bias) Low risk All outcomes described were reported. Conclusions are in accordance with the results
Other bias Low risk None