Evidence map›Paper›PMID 38281911›Full record

Trial reportBMC oral health2024

Effect of gingival barrier brands on operator perception, cervical adaptation, and patient comfort during in-office tooth bleaching: a randomized clinical trial.

Tauan Rosa Santana, Paula Fernanda Damasceno Silva, Márcia Luciana Carregosa Santana, Clara Lemos Leal Barata de Mattos, Michael Willian Favoreto, Taynara de Souza Carneiro, Alessandra Reis, Alessandro Dourado Loguércio, Larissa Maria Assad Cavalcante, Luis Felipe Jochims Schneider and 1 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC oral health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
5.2field-weighted citation impact, top 4% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Effects of Ozonized Oil on At-Home Tooth Bleaching: A Double-Blind Randomized Clinical Trial.Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.] · 2026
    Trial
  3. Trial
  4. Trial
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

11 authors at 4 institutions in 1 country.

Tauan Rosa SantanaGraduate Program in Dentistry, Federal University of Sergipe, Rua Cláudio Batista, s/n, Sanatório, Aracaju, SE, 49060-100, Brazil.
Paula Fernanda Damasceno SilvaGraduate Program in Dentistry, Federal University of Sergipe, Rua Cláudio Batista, s/n, Sanatório, Aracaju, SE, 49060-100, Brazil.
Márcia Luciana Carregosa SantanaGraduate Program in Dentistry, Federal University of Sergipe, Rua Cláudio Batista, s/n, Sanatório, Aracaju, SE, 49060-100, Brazil.
Clara Lemos Leal Barata de MattosGraduate Program in Dentistry, Federal University of Sergipe, Rua Cláudio Batista, s/n, Sanatório, Aracaju, SE, 49060-100, Brazil.
Michael Willian FavoretoDepartment of Restorative Dentistry, State University of Ponta Grossa, Avenida Carlos Cavalcanti, 4748, Bloco M, Sala 04, Ponta Grossa, PR, 84030-900, Brazil.
Taynara de Souza CarneiroDepartment of Restorative Dentistry, State University of Ponta Grossa, Avenida Carlos Cavalcanti, 4748, Bloco M, Sala 04, Ponta Grossa, PR, 84030-900, Brazil.
Alessandra ReisDepartment of Restorative Dentistry, State University of Ponta Grossa, Avenida Carlos Cavalcanti, 4748, Bloco M, Sala 04, Ponta Grossa, PR, 84030-900, Brazil.
Alessandro Dourado LoguércioDepartment of Restorative Dentistry, State University of Ponta Grossa, Avenida Carlos Cavalcanti, 4748, Bloco M, Sala 04, Ponta Grossa, PR, 84030-900, Brazil.
Larissa Maria Assad CavalcanteSchool of Dentistry, Federal Fluminense University, R. Mario Santos Braga, 28, Centro, Niterói, RJ, 24020-140, Brazil.
Luis Felipe Jochims SchneiderSchool of Dentistry, Federal Fluminense University, R. Mario Santos Braga, 28, Centro, Niterói, RJ, 24020-140, Brazil.
André Luis Faria-E-SilvaGraduate Program in Dentistry, Federal University of Sergipe, Rua Cláudio Batista, s/n, Sanatório, Aracaju, SE, 49060-100, Brazil. fariaesilva.andre@gmail.com.
Universidade Federal de Sergipe · BRUniversidade Estadual de Ponta Grossa · BRUniversidade Federal Fluminense · BRUniversidade Veiga de Almeida · BR

Funding

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior 001
6 · The paper itself

Abstract

backgroundLight-cured resins are widely used as gingival barriers to protect the gums from highly concentrated peroxides used in tooth bleaching. The impact of barrier brand on clinical outcomes is typically considered negligible. However, there is limited evidence on the effects of different brands on operator experience, barrier adaptation, and patient comfort.

objectiveThis clinical trial assessed the impact of four commercial gingival barrier brands (Opaldam, Topdam, Lysadam, and Maxdam) on operator perception, adaptation quality, and patient comfort.

methodsTwenty-one undergraduate students placed gingival barriers in a randomized sequence using blinded syringes. Photographs of the barriers were taken from frontal and incisal perspectives. After bleaching procedures, operators rated handling features and safety using Likert scale forms. Two experienced evaluators independently assessed barrier adaptation quality on a scale from 1 (perfect) to 5 (unacceptable). The absolute risk of barrier-induced discomfort was recorded. Data were analyzed using Friedman and Chi-square tests (α = 0.05).

resultsOpaldam and Topdam received the highest scores in most handling features, except for removal, which was similar among all brands. No significant difference was observed in barrier adaptation quality between the evaluated brands. Discomforts were mainly reported in the upper dental arch, with Maxdam having the highest absolute risk (35% for this arch and 24% overall).

conclusionsThis study suggests that gingival barrier brands can influence operator perception and patient comfort. Opaldam and Topdam were preferred by operators, but all brands demonstrated comparable adaptation quality. CLINICAL

trial registrationThe study was nested in a randomized clinical trial registered in the Brazilian Clinical Trials Registry under identification number RBR-9gtr9sc.

Indexed as

Dentin SensitivityToothTooth BleachingTooth Bleaching AgentsHumansHydrogen PeroxidePatient ComfortPerceptionTreatment OutcomeHydrogen PeroxideTooth Bleaching AgentsClinical trialGingival barrierPatient-related outcomeTooth bleaching

Identifiers

PMID38281911
PMCPMC10822166
OpenAlexW4391287858

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.