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Trial registered on ANZCTR
Registration number
ACTRN12623000547640
Ethics application status
Approved
Date submitted
20/03/2023
Date registered
22/05/2023
Date last updated
28/04/2024
Date data sharing statement initially provided
22/05/2023
Date results provided
28/04/2024
Type of registration
Prospectively registered
Titles & IDs
Public title
Evaluating the effect of age on effectiveness, gingival irritation, and sensitivity following at home bleaching.
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Scientific title
Evaluating the effect of age on effectiveness, gingival irritation, and sensitivity following at home bleaching using 10% carbamide peroxide 2 hours a day for 3 weeks.
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Secondary ID [1]
308629
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Nil known
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Universal Trial Number (UTN)
U1111-1289-9543
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Teeth discoloration
328532
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Condition category
Condition code
Oral and Gastrointestinal
325551
325551
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0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
At home tooth bleaching with 10% carbamide peroxide applied for 2 hours a day for 3 weeks, the patients were instructed to apply the material at the same time every day
The patients will be divided to three groups depending on their age as follows: 14-18 years old age group, 20-40 years old age group, 50 years old or higher group.
The carbamide peroxide will be applied to the facial surface of the upper six anterior teeth via individual trays made with 1 mm thick ethylene-vinyl acetate.
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Intervention code [1]
325086
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Treatment: Drugs
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Intervention code [2]
326039
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Treatment: Other
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Comparator / control treatment
This study is investigating the effect of at home bleaching on different age groups. so the patients in the 20-40 age group is considered the control as the effect of tooth bleaching on patients in this age group had been thoroughly studied in other trials.
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Control group
Active
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Outcomes
Primary outcome [1]
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Whitening efficacy.
The whitening efficacy will be assessed by using a spectrophotometer device (Vita Easy shade) at every follow up session.
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Assessment method [1]
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Timepoint [1]
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3 Weeks post intervention
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Secondary outcome [1]
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teeth sensitivity
the sensitivity will be assessed by asking the patients to fill a daily survey (Visual analog scale) for every day of the intervention.
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Assessment method [1]
417089
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Timepoint [1]
417089
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for every day of the intervention.
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Secondary outcome [2]
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Gingival irritation.
gingival irritation will be measured for every day of the intervention by asking the patients to fill a daily survey indicating if they felt any gingival irritaion during the intervention.
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Assessment method [2]
417090
0
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Timepoint [2]
417090
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for every day of the intervention.
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Secondary outcome [3]
421668
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gingival index
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Assessment method [3]
421668
0
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Timepoint [3]
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3 weeks post treatment.
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Eligibility
Key inclusion criteria
Healthy patients with at least 6 maxillary anterior sound teeth.
The canine must have a shade of A2 or darker according to the vita classic shade guide.
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Minimum age
14
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Patients with the 6 maxillary anterior teeth having active carious lesions, or crowns, or large restorations.
Smoking or heavy drinking patients.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people analysing the results/data
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Intervention assignment
Other
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Other design features
All the patients will be receiving the same treatment, but they will be assigned to one of three groups according to thier age.
Patients aged 14-18 years will be assigned to a group.
Patients aged 20-40 years will be assigned to another group.
Patients aged 50 years old or higher will be assigned to another group as well.
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Phase
Phase 3 / Phase 4
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
Sample size was calculated using G-Power program, a similar study using the same concentraion and application time of carbamide peroxide was used to evaluate the sample size.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/10/2023
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Actual
1/10/2023
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Date of last participant enrolment
Anticipated
3/12/2023
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Actual
3/12/2023
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Date of last data collection
Anticipated
1/04/2024
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Actual
1/01/2024
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Sample size
Target
30
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Accrual to date
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Final
30
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Recruitment outside Australia
Country [1]
25327
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Syrian Arab Republic
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State/province [1]
25327
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Damascus
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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Damascus University
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Address [1]
312868
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Syria, Damascus, Mazzeh highway
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Country [1]
312868
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Syrian Arab Republic
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Primary sponsor type
University
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Name
Damascus universtiy
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Address
Syria, Damascus, Mazzeh highway
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Country
Syrian Arab Republic
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Secondary sponsor category [1]
315206
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None
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Name [1]
315206
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Address [1]
315206
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Country [1]
315206
0
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
312145
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The ethics committee of Damascus University
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Ethics committee address [1]
312145
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Damascus, mazzeh highway.
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Ethics committee country [1]
312145
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Syrian Arab Republic
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Date submitted for ethics approval [1]
312145
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13/04/2022
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Approval date [1]
312145
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09/05/2022
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Ethics approval number [1]
312145
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2600
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Summary
Brief summary
The mechanism of bleaching using oxidizing agents have been thoroughly disscussed in the literature, and it has been suggested that hydrogen peroxide particles can difusse through dentin tubules to reach and break the rings of the pigmenting molecules, converting them to carbon chanis which are assumed to be lighter in color. This mechanism renders the tooth whiter, but could also cause tooth sensitivity due to the irritation of the pulp by hydrogen peroxide paricles. In addition, gingival tissue might get damaged if came in contact with the whitening solution. It has been also stated that the diameter of dentin tubles decreases with age, and the blood supply of the gingival tissue decreases as well. These changes may hamper the progression of hydrogen peroxide paricles through dentin and into the pulp tissue and render the gingval tissue more susceptible to inflammation. Based on these statements, we made the hypothesis that the effectivness and post sensitivity of tooth bleaching will decrease with age and gingival irritation during tooth bleaching will increase. So this study will be evaluating the effect of age difference on the whitening efficacy and side effects of at home bleaching using carbamide peroxide. Patients will be assigned to one of three groups depending on thier age, group 1 (14-18 years old), group 2 (20-40 years old), group 3 (5o years old or higher), and a bleaching procedure using carbamide peroxide 10% will be applied to all patients 2 hours a day for 3 weeks. During the procedure, tooth shade, sensitivity, and gingival irritation will be recorded weekly. Tooth sahde will be measured using a spectrophotometer device (Vita Easy sahde), tooth sensitivity will be measured using a daily visual analog scale (VAS), and for gingival irritation, patients will fill a daily survey indicating if they felt any discomfort or irritation in thier gingiva, and gingival index will be recorded for the upper arch every week during the procedure.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Ahmad Alkiwan
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Address
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Syria, Damascus, western mazzeh
work organisation address : Syria, Damascus, Mazzeh, Fayez Mansour street.
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Country
123642
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Syrian Arab Republic
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Phone
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+963945042858
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Fax
123642
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Email
123642
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[email protected]
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Contact person for public queries
Name
123643
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Ahmad Alkiwan
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Address
123643
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Syria, Damascus, western mazzeh
work organisation address : Syria, Damascus, Mazzeh, Fayez Mansour street.
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Country
123643
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Syrian Arab Republic
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Phone
123643
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+963945042858
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Fax
123643
0
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Email
123643
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[email protected]
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Contact person for scientific queries
Name
123644
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Ahmad Alkiwan
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Address
123644
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Syria, Damascus, western mazzeh
work organisation address : Syria, Damascus, Mazzeh, Fayez Mansour street.
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Country
123644
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Syrian Arab Republic
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Phone
123644
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+963945042858
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Fax
123644
0
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Email
123644
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
age of the patients.
teeth shades during all folllow up appointments.
tooth sensitivity and gingval irritation surveys and gingval index for all follow up appointments.
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When will data be available (start and end dates)?
Immediately following publication and will be available for 5 years after publication.
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Available to whom?
anyone who wishes to access it.
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Available for what types of analyses?
any purpose.
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How or where can data be obtained?
The data can be obtanied by contacting the corresponding author via the following email address :
[email protected]
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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