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

Gerlach 2002b.

Methods Title: comparative response of whitening strips to a low peroxide and potassium nitrate bleaching gel
Trial design: randomised, examiner‐blinded clinical trial. 2 arms
Location: not reported
Language: English
Number of centres: 1
Recruitment period: not reported
Funding source: Procter & Gamble
Participants Participants: mean age of 37 years
Total number: 34
Inclusion criteria: be willing to have their teeth whitened
Exclusion criteria:
  • patients who has undergone bleaching or restoration of the maxillary anterior dentition

  • patients with ongoing tooth sensitivity


Number randomised: 34
Method of randomisation: not reported
Method of allocation concealment: not reported
Method of blinding: not repeated
Number evaluated: 32
Interventions Total number of intervention groups: 2
5% carbamide peroxide bleaching gel + potassium nitrate in custom tray: once daily application
6% hydrogen peroxide bleaching strip: twice daily application
Duration of treatment: 7 days
Outcomes Improvement in tooth shade
ΔL, a*, b* were recorded. Increase in ΔL and decrease in b* indicates whitening
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 application of 6% hydrogen peroxide strip resulted in better whitening compared to 1 daily application of 5% carbamide peroxide. Sensitivity was less with 6% hydrogen peroxide"
Contact: gerlach.rw@pg.com
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Quote: "Study subjects were randomly assigned to 1 of 2 groups." However, method is not reported
Allocation concealment (selection bias) Unclear risk Not mentioned
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Quote: "randomised examiner‐blinded clinical study." However, method is not reported
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Quote: "randomised examiner‐blinded clinical study." However, method is not reported
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Quote: "2 subjects missed the day 7 visit"
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