Evidence map›Paper›PMID 41460823›Full record

Trial reportJournal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.]2026

Efficacy and Tooth Sensitivity of Low- Versus High-Concentration Hydrogen Peroxide for In-Office Bleaching: A Randomized Clinical Trial.

Gabrielle Gomes Centenaro, Michael Willian Favoreto, Taynara de Souza Carneiro, Deisy Cristina Ferreira Cordeiro, Alessandro D Loguercio

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.], 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

5 authors.

Gabrielle Gomes CentenaroDepartment of Restorative Dentistry, State University of Ponta Grossa, Paraná, Brazil.
Michael Willian FavoretoDepartment of Restorative Dentistry, Tuiuti University of Paraná, Paraná, Brazil.ORCID https://orcid.org/0000-0002-0800-7915
Taynara de Souza CarneiroDepartment of Restorative Dentistry, State University of Ponta Grossa, Paraná, Brazil.ORCID https://orcid.org/0000-0001-5796-014X
Deisy Cristina Ferreira CordeiroDepartment of Restorative Dentistry, State University of Ponta Grossa, Paraná, Brazil.ORCID https://orcid.org/0000-0003-4024-4037
Alessandro D LoguercioDepartment of Restorative Dentistry, State University of Ponta Grossa, Paraná, Brazil.ORCID https://orcid.org/0000-0001-9880-4856

Funding

Conselho Nacional de Desenvolvimento Científico e Tecnológico 304444/2025-1Coordenação de Aperfeiçoamento de Pessoal de Nível Superior 001
6 · The paper itself

Abstract

objectiveThis randomized, parallel, double-blind clinical trial aimed to evaluate the equivalence in bleaching efficacy (BE), as well as the risk and intensity of tooth sensitivity (TS), in participants undergoing in-office dental bleaching with low (6%) versus high-concentration (35%) hydrogen peroxide. MATERIAL AND

methodsA total of 140 participants were randomly assigned to one of the two groups according to the bleaching gel concentration used: 6% hydrogen peroxide (Automixx 6%, FGM) or 35% hydrogen peroxide (Automixx Plus 35%, FGM), the bleaching procedure was performed for 50 min in three sessions, with 1-week interval. The bleaching procedure was performed for 50 min in three sessions, with a 1-week interval. BE was evaluated using a Vita Easyshade spectrophotometer (ΔE

resultsNonequivalent bleaching outcomes were observed between the groups across all instruments and time points (p > 0.05). The 35% hydrogen peroxide group showed significantly greater efficacy than the 6% group (MD in ΔE

conclusionsIn-office dental bleaching with 6% and 35% hydrogen peroxide resulted in significant tooth whitening; however, the outcomes were not equivalent across all evaluation time points, with the 35% concentration demonstrating superior efficacy throughout the study. In contrast, TS was significantly higher in the 35% group compared with the 6% group. CLINICAL RELEVANCE: While 35% hydrogen peroxide delivers more effective tooth whitening in-office, it is also associated with a higher risk and intensity of TS. Lower concentrations like 6% offer a safer alternative with reduced sensitivity but less whitening efficacy.

Indexed as

Dentin SensitivityHydrogen PeroxideTooth BleachingTooth Bleaching AgentsAdultDouble-Blind MethodFemaleHumansMaleMiddle AgedTreatment OutcomeYoung AdultHydrogen PeroxideTooth Bleaching Agentsbleaching agentsclinical trialcolor bleachinghydrogen peroxidetooth bleachingtooth sensitivity

Identifiers

PMID41460823
PMCPMC13069188

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Registered trials

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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.