ClinicalTrials.gg
Not yet recruitingNCT06802614Updated Jan 31, 2025

Efficacy and Safety Assessment of Experimental Bleaching Agents

An interventional study of BLEACHING GEL A and 5% NF_TiO2 in Tooth Discoloration, Dentin Sensitivity and Patient Satisfaction, sponsored by University of Oklahoma. Not yet recruiting at 1 site in United States. Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-01-31.

Sponsored by University of Oklahoma · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Jul 2025, 1 year 3 months ago, but the record still lists the study as not yet recruiting.
Phase
Not applicable
Study type
Interventional
Enrollment
240
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

Tooth bleaching is widely used to treat the colors of teeth. This study compares the efficiency of two experimental bleaching gels, with and without nanoparticles, and with and without light activation versus two commercial bleaching products of low and high concentrations. The objective is to evaluate tooth color change, sensitivity, and patient satisfaction in patients with moderate yellowing of their teeth. Methods: This is a randomized controlled trial that will include 120 participants aged 18-65 years. Participants will be randomly assigned to one of 12 treatment groups: Gel A (with or without nanoparticles, with or without light), Gel B (with or without nanoparticles, with or without light), Whiteness HP 35% (with or without light) and Whiteness Automixx 6% (with or without light). The primary outcome is tooth color change, measured using a commercially-available equipment. Secondary outcomes will include tooth sensitivity and patient satisfaction. Randomization will be computer-generated. Results: The study is expected to show differences in color change between the experimental and commercial gels. Tooth sensitivity and patient satisfaction will be evaluated to determine the overall effectiveness and safety of the treatments. Conclusions: This trial will provide information into the whitening efficacy of two experimental gels compared to two widely used commercial products.

Read the detailed description

Tooth whitening treatments are widely used to address dental discoloration. This study compares the efficacy of two experimental bleaching gels, Gel A (Carbomer 940 + 6% Hydrogen Peroxide) and Gel B (Hyaluronic Acid + 6% Hydrogen Peroxide), with and without 5% of NF_TiO₂ nanoparticles, and with and without light activation (405 nm, 30 min) versus a control bleaching product (Whiteness HP 35%, FGM). The aim is to evaluate tooth color change, sensitivity, and patient satisfaction in patients with baseline tooth discoloration ranging from shades A3 to C4 on the Vita Classical Shade Guide. Methods: This is a randomized controlled trial that will include 200 participants aged 18-65 years with mild to moderate tooth discoloration. Participants will be randomly assigned to one of 10 treatment groups: Gel A (with or without nanoparticles, with or without light), Gel B (with or without nanoparticles, with or without light), Whiteness HP 35% (with or without light) and Whiteness Automixx 6% (with or without light). The primary outcome is tooth color change, measured using the Vita EasyShade V system to assess ΔE, ΔE00, and Whiteness Index for Dentistry (WiD). Secondary outcomes will include tooth sensitivity (measured with a Visual Analog Scale) and patient satisfaction (assessed via post-treatment questionnaire). Randomization will be computer-generated, and the study will be double-blinded for evaluators. Results: The study is expected to detect significant differences in color change between the experimental gels and Whiteness HP 35%, with or without nanoparticles and light activation. Tooth sensitivity and patient satisfaction will be evaluated to determine the overall effectiveness and safety of the treatments. Conclusions: This trial will provide insights into the whitening efficacy of two experimental gels compared to a widely used commercial product. The inclusion of nanoparticles and light activation as variables will help determine the optimal conditions for effective tooth bleaching in patients with moderate discoloration. The results will contribute to evidence-based recommendations for aesthetic dental treatments.

02

Conditions studied

  • Tooth Discoloration
  • Dentin Sensitivity
  • Patient Satisfaction

Keywords

  • Tooth Whitenining
  • Dental Bleaching
  • Hydrogen Peroxide
  • Titanium Dioxide Nanoparticles
03

In context

Tooth Discoloration

105 studies on the registry are indexed under Tooth Discoloration; 19 are open to participants now.

This study's planned enrollment of 240 is above the median of 48 across 97 interventional studies indexed under Tooth Discoloration.

Browse Tooth Discoloration studies →

Lead sponsor

University of Oklahoma is the lead sponsor of 432 studies on the registry; 100 are open to participants now.

Of its 42 completed or terminated interventional studies of FDA-regulated products, 16 (38%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age: 18-65 years old.
  • Healthy periodontal tissues.
  • Willingness to participate and follow the post-treatment protocols.
  • Ability to provide .
  • Teeth having baseline colors ranging from shade A2 to C4

Exclusion criteria

Exclusion Criteria:

  • Pregnant or breastfeeding women.
  • Teeth with restorations.
  • History of dentin .
  • Active caries, periodontal disease or endodontically treated teeth.
  • Use of substances that could affect tooth color during the trial, such as smoking and vaping.
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
240 participants (estimated)

Study arms

  • Experimental
    1. Gel A with nanoparticles, no light.

    An experimental Bleaching Gel composed of Carbomer 940 hydrogel + 6% Hydrogen Peroxide + 5% nanoparticles (NF_TiO₂) will be applied for 50 minutes.

    Device: BLEACHING GEL A · Device: 5% NF_TiO2

  • Experimental
    2. Gel A with nanoparticles, with light.

    An experimental Bleaching Gel composed of Carbomer 940 hydrogel + 6% Hydrogen Peroxide + 5% nanoparticles (NF_TiO₂) + 405 nm violet LED light will be applied for 50 minutes after the gel is applied.

    Device: BLEACHING GEL A · Device: 5% NF_TiO2 · Radiation: VISIBLE LIGHT IRRADIATION

  • Experimental
    3. Gel A without nanoparticles, no light.

    An experimental Bleaching Gel composed of Carbomer 940 hydrogel + 6% Hydrogen Peroxide will be applied for 50 minutes.

    Device: BLEACHING GEL A

  • Experimental
    4. Gel A without nanoparticles, with light.

    An experimental Bleaching Gel composed of Carbomer 940 hydrogel + 6% Hydrogen Peroxide + 405 nm violet LED light applied for 50 minutes.

    Device: BLEACHING GEL A · Radiation: VISIBLE LIGHT IRRADIATION

  • Experimental
    5. Gel B with nanoparticles, no light.

    Hyaluronic Acid hydrogel + 6% Hydrogen Peroxide + 5% nanoparticles (NF_TiO₂) applied for 50 minutes.

    Device: 5% NF_TiO2 · Device: BLEACHING GEL B

  • Experimental
    6. Gel B with nanoparticles, with light.

    Hyaluronic Acid hydrogel + 6% Hydrogen Peroxide + 5% nanoparticles (NF_TiO₂) + 405 nm violet LED light applied for 50 minutes.

    Device: 5% NF_TiO2 · Device: BLEACHING GEL B · Radiation: VISIBLE LIGHT IRRADIATION

  • Experimental
    7. Gel B without nanoparticles, no light.

    Hyaluronic Acid hydrogel + 6% Hydrogen Peroxide applied for 50 minutes.

    Device: BLEACHING GEL B

  • Experimental
    8. Gel B without nanoparticles, with light.

    Hyaluronic Acid hydrogel + 6% Hydrogen Peroxide + 405 nm violet LED light applied for 50 minutes.

    Device: BLEACHING GEL B · Radiation: VISIBLE LIGHT IRRADIATION

  • Active comparator
    9. Whiteness HP 35% no light (control).

    Whiteness HP 35% applied for 30 minutes.

    Device: Whiteness HP 35%

  • Active comparator
    10. Whiteness HP 35% with light (control).

    Whiteness HP 35% + 405 nm violet LED light applied for 30 minutes.

    Radiation: VISIBLE LIGHT IRRADIATION · Device: Whiteness HP 35%

  • Active comparator
    11. Whiteness HP AutoMixx 6% no light (control)

    Whiteness HP AutoMixx 6% applied for 30 minutes.

    Device: Whiteness HP Automixx 6%

  • Active comparator
    12. Whiteness HP AutoMixx 6% with light (control)

    Whiteness HP 6% + 405 nm violet LED light applied for 30 minutes.

    Radiation: VISIBLE LIGHT IRRADIATION · Device: Whiteness HP Automixx 6%

Interventions

  • DeviceBLEACHING GEL A

    Carbomer 940 hydrogel + 6% Hydrogen Peroxide

  • Device5% NF_TiO2

    Bioactive nanoparticles

  • DeviceBLEACHING GEL B

    Hyaluronic Acid hydrogel + 6% Hydrogen Peroxide

  • RadiationVISIBLE LIGHT IRRADIATION

    Low intensity visible light irradiation (405 nm)

  • DeviceWhiteness HP 35%

    Commercially available bleaching gel

  • DeviceWhiteness HP Automixx 6%

    Commercially available bleaching gel

06

What researchers measure

Primary outcomes

  1. Tooth Color - Delta E

    Delta E ; This outcome measure is dimensionless and will be extracted from L\*, a\* and b\* values.

    Time frame: At baseline (T0), after each clinical session (T1, T2 and T3; 7 days interval between sessions) and at T4 (14 days after T3)

  2. Tooth Color - Delta E00

    Delta E00; This outcome measure is dimensionless and will be extracted from L\*, a\* and b\* values.

    Time frame: At baseline (T0), after each clinical session (T1, T2 and T3; 7 days interval between sessions) and at T4 (14 days after T3)

  3. Tooth Color - WiD

    WiD; This outcome measure is dimensionless and will be extracted from L\*, a\* and b\* values.

    Time frame: At baseline (T0), after each clinical session (T1, T2 and T3; 7 days interval between sessions) and at T4 (14 days after T3)

Secondary outcomes

  1. Tooth sensitivity

    Visual Analog Scale (VAS). The scale will vary from 0 (no pain) to 10 (worst pain possible). In this outcome measure, higher scores reflect outcomes that are worse in nature

    Time frame: At baseline (T0), after each clinical session (T1, T2 and T3; 7 days interval between sessions) and at T4 (14 days after T3)

  2. Patient Satisfaction

    Post-treatment questionnaire.

    Time frame: at T4 (14 days after T3)

07

Study locations

1 site
  • The University of Oklahoma Health Sciences Center College of Dentistry
    Oklahoma City, Oklahoma 73117, United States
08

References and documents

Publications

  • Kury M, Hiers RD, Zhao YD, Picolo MZD, Hsieh J, Khajotia SS, Esteban Florez FL, Cavalli V. Novel Experimental In-Office Bleaching Gels Containing Co-Doped Titanium Dioxide Nanoparticles. Nanomaterials (Basel). 2022 Aug 30;12(17):2995. doi: 10.3390/nano12172995. PubMed 36080033 ↗
  • Matos ICRT, Kury M, de Melo PBG, de Souza LVS, Esteban Florez FL, Cavalli V. Effects of experimental bleaching gels containing co-doped titanium dioxide and niobium pentoxide combined with violet light. Clin Oral Investig. 2023 Aug;27(8):4827-4841. doi: 10.1007/s00784-023-05113-z. Epub 2023 Jun 28. PubMed 37369816 ↗
  • Kury M, Esteban Florez FL, Tabchoury CPM, Cavalli V. Effects of experimental in-office bleaching gels incorporated with co-doped titanium dioxide nanoparticles on dental enamel physical properties. Odontology. 2025 Jan;113(1):318-330. doi: 10.1007/s10266-024-00976-4. Epub 2024 Jul 4. PubMed 38963521 ↗
  • Kury M, de Oliveira Ribeiro RA, de Souza Costa CA, Florez FLE, Cavalli V. Co-doped titanium dioxide nanoparticles decrease the cytotoxicity of experimental hydrogen peroxide gels for in-office tooth bleaching. Clin Oral Investig. 2024 Sep 25;28(10):550. doi: 10.1007/s00784-024-05916-8. PubMed 39320486 ↗

Individual participant data

Plan to share: No — We will not share individual data. We plan on sharing data that have been statistically analyzed. The sharing of this data will occur via peer-reviewed publications and conferences such as the annual meetings of the American Association for Dental, Oral and Craniofacial Research, the International Association for Dental Research and the annual meeting of the Academy of Dental Materials.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 31, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06802614
Responsible party
Sponsor
First posted
Jan 31, 2025
Start date
Mar 1, 2025 (estimated)
Primary completion
Jul 31, 2025 (estimated)
Completion
Sep 30, 2025 (estimated)
Last update
Jan 31, 2025

Study contacts

Fernando L Esteban Florez, D.D.S., M.S., Ph.D.
Contact
fernando-esteban-florez@ouhsc.edu
(405)271-6545 ext. 48646
Fernando L Esteban Florez, D.D.S., M.S., Ph.D.
principal investigator · The University of Oklahoma Health Sciences Center College of Dentistry

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Jan 2025. You cannot join it, but the record below documents what was studied.

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