Evidence map›Paper›PMID 30280326›Full record

Trial reportClinical oral investigations2019

Influence of different thickeners in at-home tooth bleaching: a randomized clinical trial study.

Juliana do Carmo Públio, Marília Zeczkowski, Jonny Burga-Sánchez, Gláucia Maria Bovi Ambrosano, Franscico Carlos Groppo, Flávio Henrique Baggio Aguiar, Débora Alves Nunes Leite Lima

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Clinical oral investigations, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.5field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 19 citations in OpenAlex.

  1. Trial
  2. Influence of Thickener and Mineral Supplementation of Bleaching Gels on Enamel Demineralization.Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.] · 2025
    Article
  3. Article
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  7. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Juliana do Carmo PúblioDepartment of Restorative Dentistry, Piracicaba Dental School, University of Campinas, Av. Limeira, 901, P.O. BOX 52, Piracicaba, SP, 13414-903, Brazil.
Marília ZeczkowskiDepartment of Restorative Dentistry, Piracicaba Dental School, University of Campinas, Av. Limeira, 901, P.O. BOX 52, Piracicaba, SP, 13414-903, Brazil.
Jonny Burga-SánchezDepartment of Physiological Sciences, Piracicaba Dental School, University of Campinas, Av. Limeira, 901, Piracicaba, SP, 13414-903, Brazil.
Gláucia Maria Bovi AmbrosanoDepartment of Social Dentistry, Piracicaba Dental School, University of Campinas, Av. Limeira, 901, Piracicaba, SP, 13414-903, Brazil.
Franscico Carlos GroppoDepartment of Physiological Sciences, Piracicaba Dental School, University of Campinas, Av. Limeira, 901, Piracicaba, SP, 13414-903, Brazil.
Flávio Henrique Baggio AguiarDepartment of Restorative Dentistry, Piracicaba Dental School, University of Campinas, Av. Limeira, 901, P.O. BOX 52, Piracicaba, SP, 13414-903, Brazil.
Débora Alves Nunes Leite LimaDepartment of Restorative Dentistry, Piracicaba Dental School, University of Campinas, Av. Limeira, 901, P.O. BOX 52, Piracicaba, SP, 13414-903, Brazil. dalima@unicamp.br.
Universidade Estadual de Campinas (UNICAMP) · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate the effects of 10% carbamide peroxide (CP) with two different thickeners, carbopol (CPc) and natrosol (CPn), on color variation (CV), tooth sensitivity (TS), and cytotoxicity (CC).

methodsSeventy subjects were distributed into the CPc or CPn groups (n = 35), in a parallel group, randomized, controlled, single-blind clinical trial. Bleaching gels were used by volunteers for 4 h daily for 2 weeks. Color evaluation was performed using a reflectance spectrophotometer, before bleaching treatment (BT), immediately after the first and second weeks of BT, and 1 week and 1 month after BT ended. TS was evaluated using two pain scales, before, during, and after BT. CC was evaluated using MTT after exposure of MDPC-23 cells to the bleaching gels for 4 h. Epoxy replicas of the subjects teeth were made before and after BT and analyzed using a scanning electronic microscope. The data was analyzed using statistical methods.

resultsCV and TS showed similar variation between both bleaching gels (p ≤ 0.05). None of the protocols affected cellular metabolism or the surface morphology of enamel.

conclusionsBleaching gels with carbopol and natrosol as thickening agents produced similarly effective tooth bleaching and TS, but did not cause cytotoxicity. CLINICAL RELEVANCE: Natrosol could be an alternative as a thickener used in bleaching gels due to its similar bleaching effect and TS when compared with Carbopol.

Indexed as

Dentin SensitivityTooth BleachingAcrylic ResinsAnimalsCarbamide PeroxideCell LineColorFemaleGelsHumansMaleMicePeroxidesSingle-Blind MethodTooth Bleaching AgentsYoung AdultAcrylic ResinsCarbamide PeroxidecarboxypolymethyleneGelsPeroxidesTooth Bleaching AgentsCarbamide peroxideCarboxypolymethyleneHydroxyethylcelluloseTooth bleachingTooth sensitivityToxicity tests

Identifiers

PMID30280326
OpenAlexW2894564856

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.