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CompletedNCT07886255Updated Oct 21, 2026

Color Stability of Darkly Discolored Arrested Caries Lesions Following Bleaching Treatment

An observational study in Dental Caries and Tooth Discoloration, sponsored by Selcuk University. Completed at 1 site in Turkey (Türkiye). Open to participants aged 18 Years to 55 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-10-21.

Sponsored by Selcuk University · Observational

Updated Oct 21, 2026Newly registeredGo to Updates ↓
Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
27
Ages
18 Years to 55 Years
Sex
All
01

Study summary

This observational study evaluated the color stability of darkly discolored arrested caries lesions (DDACL) on anterior teeth following in-office bleaching with 40% hydrogen peroxide, in comparison with healthy teeth. Tooth color (spectrophotometer, CIELAB, CIEDE2000), laser fluorescence (DIAGNODent Pen), ICDAS II codes, and patient and clinician color satisfaction were assessed at baseline, immediately after bleaching, and at 1 week and 3 months.

Read the detailed description

A total of 105 teeth with DDACL (21 patients) and 96 healthy teeth (6 patients) were treated with in-office bleaching using 40% hydrogen peroxide (Opalescence Boost) following the routine clinical protocol of the Department of Restorative Dentistry, Selçuk University. All procedures and evaluations were performed by a single clinician. Color was measured with a Vita Easyshade spectrophotometer (L*, a*, b*), and color differences were calculated with the CIEDE2000 formula. Laser fluorescence was measured with DIAGNODent Pen, and caries status was recorded with ICDAS II. Evaluations were performed at baseline (T1), immediately after bleaching (T2), 1 week (T3), and 3 months (T4).

02

Conditions studied

  • Dental Caries
  • Tooth Discoloration

Keywords

  • Arrested caries
  • Bleaching
  • Color stability
  • Laser fluorescence
03

In context

Dental Caries

1,137 studies on the registry are indexed under Dental Caries; 201 are open to participants now.

This study's enrollment of 27 is below the median of 178 across 185 observational studies indexed under Dental Caries.

Browse Dental Caries studies →

Lead sponsor

Selcuk University is the lead sponsor of 255 studies on the registry; 66 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 55 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Adult patients (18-55 years) attending the Department of Restorative Dentistry, Faculty of Dentistry, Selçuk University, with darkly discolored arrested caries lesions on anterior teeth or with healthy anterior teeth, who were scheduled for in-office bleaching.

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

  • Aged between 18 and 55 years
  • No missing maxillary or mandibular anterior and premolar teeth
  • No restorations, cavitations, or active caries on the facial surface of these teeth
  • Able to attend regular follow-up appointments

Exclusion criteria

Exclusion Criteria:

  • Medically compromised patients
  • History of previous bleaching treatment
  • Poor oral hygiene
  • Cavitated or active caries lesions or restorations on the facial surface of the target teeth
05

Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
27 participants (actual)
Patient registry
No

Groups and cohorts

  • DDACL group

    Patients with darkly discolored arrested caries lesions (DDACL) on anterior teeth who underwent in-office bleaching with 40% hydrogen peroxide.

  • Healthy teeth group

    Patients with healthy anterior teeth who underwent in-office bleaching with 40% hydrogen peroxide.

06

What researchers measure

Primary outcomes

  1. Color change (CIEDE2000 ΔE00) from baseline to 3 months after bleaching

    Tooth color was measured with a Vita Easyshade spectrophotometer (CIELAB L\*, a\*, b\*), and color differences were calculated with the CIEDE2000 formula (ΔE00) between baseline and each follow-up time point (immediately after bleaching, 1 week, and 3 months), separately for DDACL and healthy teeth.

    Time frame: 3 months

Secondary outcomes

  1. Change in laser fluorescence (DIAGNODent Pen) values from baseline to 3 months

    Laser fluorescence values measured with the DIAGNODent Pen on the facial surface of the teeth; higher values indicate greater fluorescence associated with demineralization or discoloration.Measurements were taken at baseline, immediately after bleaching, 1 week, and 3 months.

    Time frame: 3 months

  2. Change in ICDAS II codes of DDACL teeth from baseline to 3 months

    Caries status of DDACL teeth scored according to the International Caries Detection and Assessment System (ICDAS II). Codes were recorded at baseline, immediately after bleaching, 1 week, and 3 months.

    Time frame: 3 months

  3. Change in participant and clinician color satisfaction score (1-10) from baseline to 3 months

    Participant and clinician satisfaction with tooth color, rated on a numerical scale from 1 to 10. Scores were recorded at baseline and at 3 months after bleaching.

    Time frame: 3 months

07

Study locations

1 site
  • Selçuk University Faculty of Dentistry
    Konya, Turkey (Türkiye)
08

References and documents

Individual participant data

Plan to share: No — Individual participant data will not be shared publicly in order to protect patient privacy. Aggregate results are reported in the published article.

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Oct 21, 2026
Show all 1 update
  1. Oct 21, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07886255
Lead sponsor
Selcuk University
Responsible party
Merve Albakir Yiğit (Specialist in Restorative Dentistry, Selcuk University) — Principal investigator
First posted
Oct 21, 2026
Start date
Feb 10, 2023
Primary completion
Sep 21, 2023
Completion
Sep 21, 2023
Last update
Oct 21, 2026

Study contacts

Merve Albakır Yiğit, DDS, Specialist
principal investigator · Selçuk University Faculty of Dentistry
Nevin Çobanoğlu, Prof
study director · Selçuk University Faculty of Dentistry

Oversight

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

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This study is completed, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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