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A Study Assessing the Effects of an Experimental Dentifrice in Maintaining Tooth Color Following Tooth Bleaching

A Randomized, Controlled, Single-Blind Clinical Study Assessing the Effects of an Experimental Dentifrice in Maintaining Tooth Color Following Tooth Bleaching

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT06150573
Enrollment
160
Registered
2023-11-29
Start date
2023-11-27
Completion date
2024-07-18
Last updated
2025-07-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Dentin Sensitivity, Oral Hygiene

Brief summary

The main aim of this study is to investigate the ability of an experimental dentifrice containing 5 percent (%) potassium nitrate (KNO3), 1% alumina and 5% sodium tripolyphosphate (STP), to maintain tooth color and reduce extrinsic dental stain accumulation following peroxide tooth bleaching compared to a regular fluoride dentifrice.

Detailed description

This will be a randomized, single-blind, single-center, controlled, two arm, stratified (clinically diagnosed dentine hypersensitivity \[DH\] \[Yes/No\]), parallel group study to evaluate the efficacy of an experimental dentifrice containing 5% KNO3, 1% alumina and 5% STP, to maintain tooth color and reduce the accumulation of extrinsic tooth stain following peroxide tooth bleaching compared to a regular fluoride-containing dentifrice. The study will recruit generally healthy participants who wish to undergo peroxide tooth bleaching. Sufficient participants will be screened to randomize approximately 160 participants to study treatment to ensure approximately 128 evaluable participants complete the study.

Interventions

Dentifrice containing 5% weight by weight (w/w) KNO3, 1% alumina, 5% STP and 1150 ppm fluoride as sodium fluoride.

DRUGReference Dentifrice (Aquafresh Cavity Protection)

Dentifrice containing 1150 ppm fluoride as sodium fluoride.

Sponsors

HALEON
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
Yes

Inclusion criteria

* Participant provision of a signed and dated informed consent document indicating that the participant has been informed of all pertinent aspects of the study before any assessment is performed. * Participant is of either sex and any gender who, at the time of screening, is between the ages of 18-65 years, inclusive. * Participant is willing and able to comply with scheduled visits, and other study procedures and restrictions. * Participant in good general and mental health with, in the opinion of the investigator or medically qualified designee, no clinically significant or relevant abnormalities in medical history (for example, a medical condition confirmed to be causing xerostomia), or upon oral examination, that would impact the participant's safety, wellbeing or the outcomes of the study, if they were to participate in the study, or affect the participant's ability to understand and follow study procedures and requirements. * Participant who is willing and able to undergo at-home tooth bleaching with peroxide containing treatment unsupervised. * Participant with generally good oral health that fulfil all of the following: 1. Teeth suitable for peroxide bleaching and gradable for tooth color and suitable for MLSI evaluation with no significant defects, calculus, restorations, crowns or veneers that could impact peroxide tooth bleaching performance or study evaluations as judged by the clinical examiner. 2. Facial surfaces of maxillary anterior 6 teeth (tooth numbers 6-11) \[Universal tooth number system\] with mean Vita Bleached guide shade greater than or equal to (\>=)13 at Visits 1 and 2. 3. Having no lesions of the teeth or oral cavity that could interfere with the study evaluations. 4. Having a minimum of 16 natural teeth.

Exclusion criteria

* Participant who is an employee of the investigational site, either directly involved in the conduct of the study or a member of their immediate family; or an employee of the investigational site otherwise supervised by the investigator; or, a Haleon employee directly involved in the conduct of the study or a member of their immediate family. * Participant who has participated in other studies (including non-medicinal studies) involving investigational product(s) within 60 days prior to study entry and/or during study participation. * Participant with, in the opinion of the investigator or medically qualified designee, an acute or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with study participation or investigational product administration or may interfere with the interpretation of study results and, in the judgment of the investigator or medically qualified designee, would make the participant inappropriate for entry into this study. * Participant who is pregnant (self-reported) or intending to become pregnant over the duration of the study or who is breastfeeding. * Participant with known or suspected intolerance or hypersensitivity to the study materials \[including the peroxide bleaching treatment\] (or closely related compounds) or any of their stated ingredients. * Participant who, in the opinion of the investigator or medically qualified designee, has a condition that would impact on their safety or wellbeing or affect their ability to understand and follow study procedures and requirements or who should not participate in the study for other reasons. * Participant unwilling or unable to comply with the Lifestyle Considerations described in this protocol. * Participant with a recent history (within the last year) of alcohol or other substance abuse. * Participant with gross periodontal disease or who has had treatment for periodontal disease (including surgery) within 12 months of Screening or who has had scaling or root planning within 3 months of Screening. * Participant who has had a peroxide tooth bleaching procedure (either professionally dispensed or at-home \[including peroxide-containing dentifrices\]) within 12 months of Screening. * Participant who has had a dental prophylaxis within 8 weeks of screening. * Participant who has used tooth desensitizing treatment (for example dentifrice, mouthwash et cetera) within 2 weeks of screening. * Participant with a fixed or removable partial prosthesis, multiple dental implants or orthodontic braces/bands or fixed retainer or togue/lip piercing which, in the opinion of the investigator, could impact study outcomes. * During the study period, participant taking daily doses of medication/treatments which, in the opinion of the investigator or medically qualified designee, could interfere with their perception of tooth sensitivity (examples of such medications include analgesics, anticonvulsants, antihistamines that cause marked or moderate sedation, sedatives, tranquillizers, antidepressants, mood-altering and anti-inflammatory drugs). Participant will be allowed to use analgesics ad hoc to manage pain. * Participant who has tooth abnormalities such as cracking or gross caries lesions that may, in the opinion of the investigator, impact the ability to evaluate tooth sensitivity. * Participant who has previously been enrolled in this study.

Design outcomes

Primary

MeasureTime frameDescription
Adjusted Mean VITA Shade Score at 24 Weeks After Tooth BleachingAt Week 24 after tooth bleachingTooth color of the facial surfaces of the six anterior maxillary teeth was assessed by a single, trained clinical examiner using the VITA Bleachedguide 3D-MASTER. It consisted of a value-ranked ordered scale from 1 (the lightest) to 29 (the darkest). The shade level of each tooth surface was scored visually by the clinical examiner with reference to the Bleachedguide, where lower score indicated improvement.

Secondary

MeasureTime frameDescription
Adjusted Mean VITA Shade Score at 12 Weeks After Tooth BleachingAt Week 12 after tooth bleachingTooth color of the facial surfaces of the six anterior maxillary teeth was assessed by a single, trained clinical examiner using the VITA Bleachedguide 3D-MASTER. It consisted of value-ranked ordered scale from 1 (the lightest) to 29 (the darkest). The shade level of each tooth surface was scored visually by the clinical examiner with reference to the Bleachedguide, where lower score indicated improvement.
Adjusted Mean Total Modified Lobene Stain Index (MLSI) Score at 12 and 24 Weeks After Tooth BleachingAt Week 12 and Week 24 after tooth bleachingExtrinsic dental stain was assessed on the facial surfaces of the 6 maxillary anterior teeth using the MLSI. Area (A) and intensity (I) of extrinsic dental stain were scored separately for each tooth on the scale of 0 to 3 and the mean total score was presented, where 0=area with no stain, 1=Stain covering up to one third of area and light intensity stain, 2=Stain covering up to two thirds of area and moderate intensity stain, 3=Stain covering more than two thirds of area and heavy intensity stain. Total MLSI score = Area score multiplied by Intensity score and ranged from 0 to 9, where lower score indicated improvement.
Adjusted Mean MLSI Score at 12 and 24 Weeks After Tooth Bleaching in Gingival Sites, Interproximal Sites and Body SitesAt Week 12 and Week 24 after tooth bleachingExtrinsic dental stain was assessed on the facial surfaces of the 6 maxillary anterior teeth using the MLSI. The facial surface of each assessable tooth was divided into individual sites. The gingival site was defined as a crescent-shaped band, approximately 2 millimeters wide, adjacent to the free margin of the gingiva and extending to the crest of the interdental papillae of the adjacent teeth. The remainder of the tooth surface was called as body site. Area (A) and intensity (I) of extrinsic dental stain were scored separately for each tooth on the scale of 0 to 3 and the mean score was presented, where 0=area with no stain, 1=Stain covering up to one third of area and light intensity stain, 2=Stain covering up to two thirds of area and moderate intensity stain, 3=Stain covering more than two thirds of area and heavy intensity stain. Total MLSI score = Area score multiplied by Intensity score and ranged from 0 to 9, where lower score indicated improvement.
Adjusted Mean MLSI (Area) Score at 12 and 24 Weeks After Tooth BleachingAt Week 12 and Week 24 after tooth bleachingExtrinsic dental stain was assessed on the facial surfaces of the 6 maxillary anterior teeth using the MLSI. Area (A) of extrinsic dental stain was scored separately for each tooth on the scale of 0 to 3, where 0=area with no stain, 1=Stain covering up to one third of area, 2=Stain covering up to two thirds of area, 3=Stain covering more than two thirds of area. Total score ranged from 0 to 3, where lower score indicated improvement.
Adjusted Mean MLSI (Intensity) Score at 12 and 24 Weeks After Tooth BleachingAt Week 12 and Week 24 after tooth bleachingExtrinsic dental stain was assessed on the facial surfaces of the 6 maxillary anterior teeth using the MLSI. Intensity (I) of extrinsic dental stain was scored separately for each tooth on the scale of 0 to 3, where 0=no stain, 1=light intensity stain, 2=moderate intensity stain, 3=heavy intensity stain. Total score ranged from 0 to 3, where lower score indicated improvement.

Countries

United States

Participant flow

Recruitment details

This study was conducted at a single center in the United States.

Pre-assignment details

A total of 178 participants were screened into the study, 160 participants were enrolled and randomized to treatment (79 participants in the test dentifrice group and 81 participants in the reference dentifrice group). A total of 154 randomized participants completed the study.

Participants by arm

ArmCount
Test Dentifrice
Participants dosed the toothbrush provided with a strip of test dentifrice (5% KNO3, 1% alumina, 5% STP and 1150 ppm fluoride as sodium fluoride) and brushed for two timed minutes twice daily (morning and evening) for up to 27 weeks (dentifrice was used for 2 weeks pre peroxide, 1 week during peroxide and 24 weeks post peroxide application). At Week 3, participants performed the first application of peroxide tooth bleaching as per the instructions provided and continued the application daily for up to 7 days.
79
Reference Dentifrice
Participants dosed the toothbrush provided with a strip of reference dentifrice (dentifrice containing 1150 ppm fluoride as sodium fluoride) and brushed for two timed minutes twice daily (morning and evening) for up to 27 weeks (dentifrice was used for 2 weeks pre peroxide, 1 week during peroxide and 24 weeks post peroxide application). At Week 3, participants performed the first application of peroxide tooth bleaching as per the instructions provided and continued the application daily for up to 7 days.
81
Total160

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event10
Overall StudyDid not meet study criteria10
Overall StudyLost to Follow-up01
Overall StudyProtocol Violation01
Overall StudyWithdrawal by Subject20

Baseline characteristics

CharacteristicTest DentifriceTotalReference Dentifrice
Age, Continuous42.0 years
STANDARD_DEVIATION 11.91
39.8 years
STANDARD_DEVIATION 12.65
37.6 years
STANDARD_DEVIATION 13.04
Ethnicity (NIH/OMB)
Hispanic or Latino
22 Participants43 Participants21 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
57 Participants117 Participants60 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
African American/African Heritage
13 Participants26 Participants13 Participants
Race/Ethnicity, Customized
Asian - East Asian Heritage
1 Participants2 Participants1 Participants
Race/Ethnicity, Customized
Asian - Japanese Heritage
1 Participants1 Participants0 Participants
Race/Ethnicity, Customized
Asian - South East Asian Heritage
7 Participants12 Participants5 Participants
Race/Ethnicity, Customized
Multiple
7 Participants19 Participants12 Participants
Race/Ethnicity, Customized
Native Hawaiian or Other Pacific Islander
4 Participants10 Participants6 Participants
Race/Ethnicity, Customized
White - Arabic/North African Heritage
4 Participants7 Participants3 Participants
Race/Ethnicity, Customized
White - White/Caucasian/European Heritage
42 Participants83 Participants41 Participants
Sex: Female, Male
Female
47 Participants92 Participants45 Participants
Sex: Female, Male
Male
32 Participants68 Participants36 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 790 / 81
other
Total, other adverse events
39 / 7942 / 81
serious
Total, serious adverse events
1 / 791 / 81

Outcome results

Primary

Adjusted Mean VITA Shade Score at 24 Weeks After Tooth Bleaching

Tooth color of the facial surfaces of the six anterior maxillary teeth was assessed by a single, trained clinical examiner using the VITA Bleachedguide 3D-MASTER. It consisted of a value-ranked ordered scale from 1 (the lightest) to 29 (the darkest). The shade level of each tooth surface was scored visually by the clinical examiner with reference to the Bleachedguide, where lower score indicated improvement.

Time frame: At Week 24 after tooth bleaching

Population: The modified Intent-To-Treat (mITT) population included all randomized participants who completed at least one use of study product and had at least one assessment of tooth color after the bleaching period. Only those participants with data available at the specified time point were analyzed.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Test DentifriceAdjusted Mean VITA Shade Score at 24 Weeks After Tooth Bleaching12.00 score on a scaleStandard Error 0.355
Reference DentifriceAdjusted Mean VITA Shade Score at 24 Weeks After Tooth Bleaching12.06 score on a scaleStandard Error 0.348
p-value: 0.914195% CI: [-1.04, 0.93]ANOVA
Secondary

Adjusted Mean MLSI (Area) Score at 12 and 24 Weeks After Tooth Bleaching

Extrinsic dental stain was assessed on the facial surfaces of the 6 maxillary anterior teeth using the MLSI. Area (A) of extrinsic dental stain was scored separately for each tooth on the scale of 0 to 3, where 0=area with no stain, 1=Stain covering up to one third of area, 2=Stain covering up to two thirds of area, 3=Stain covering more than two thirds of area. Total score ranged from 0 to 3, where lower score indicated improvement.

Time frame: At Week 12 and Week 24 after tooth bleaching

Population: The mITT population. Only those participants with data available at the specified time points were analyzed.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Test DentifriceAdjusted Mean MLSI (Area) Score at 12 and 24 Weeks After Tooth BleachingWeek 120.55 score on a scaleStandard Error 0.025
Test DentifriceAdjusted Mean MLSI (Area) Score at 12 and 24 Weeks After Tooth BleachingWeek 240.57 score on a scaleStandard Error 0.027
Reference DentifriceAdjusted Mean MLSI (Area) Score at 12 and 24 Weeks After Tooth BleachingWeek 120.69 score on a scaleStandard Error 0.024
Reference DentifriceAdjusted Mean MLSI (Area) Score at 12 and 24 Weeks After Tooth BleachingWeek 240.74 score on a scaleStandard Error 0.027
Comparison: Week 12p-value: <0.000195% CI: [-0.21, -0.07]ANOVA
Comparison: Week 24p-value: <0.000195% CI: [-0.25, -0.1]ANOVA
Secondary

Adjusted Mean MLSI (Intensity) Score at 12 and 24 Weeks After Tooth Bleaching

Extrinsic dental stain was assessed on the facial surfaces of the 6 maxillary anterior teeth using the MLSI. Intensity (I) of extrinsic dental stain was scored separately for each tooth on the scale of 0 to 3, where 0=no stain, 1=light intensity stain, 2=moderate intensity stain, 3=heavy intensity stain. Total score ranged from 0 to 3, where lower score indicated improvement.

Time frame: At Week 12 and Week 24 after tooth bleaching

Population: The mITT population. Only those participants with data available at the specified time points were analyzed.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Test DentifriceAdjusted Mean MLSI (Intensity) Score at 12 and 24 Weeks After Tooth BleachingWeek 120.46 score on a scaleStandard Error 0.023
Test DentifriceAdjusted Mean MLSI (Intensity) Score at 12 and 24 Weeks After Tooth BleachingWeek 240.48 score on a scaleStandard Error 0.027
Reference DentifriceAdjusted Mean MLSI (Intensity) Score at 12 and 24 Weeks After Tooth BleachingWeek 120.52 score on a scaleStandard Error 0.023
Reference DentifriceAdjusted Mean MLSI (Intensity) Score at 12 and 24 Weeks After Tooth BleachingWeek 240.60 score on a scaleStandard Error 0.026
Comparison: Week 12p-value: 0.0495% CI: [-0.13, 0]ANOVA
Comparison: Week 24p-value: 0.00195% CI: [-0.2, -0.05]ANOVA
Secondary

Adjusted Mean MLSI Score at 12 and 24 Weeks After Tooth Bleaching in Gingival Sites, Interproximal Sites and Body Sites

Extrinsic dental stain was assessed on the facial surfaces of the 6 maxillary anterior teeth using the MLSI. The facial surface of each assessable tooth was divided into individual sites. The gingival site was defined as a crescent-shaped band, approximately 2 millimeters wide, adjacent to the free margin of the gingiva and extending to the crest of the interdental papillae of the adjacent teeth. The remainder of the tooth surface was called as body site. Area (A) and intensity (I) of extrinsic dental stain were scored separately for each tooth on the scale of 0 to 3 and the mean score was presented, where 0=area with no stain, 1=Stain covering up to one third of area and light intensity stain, 2=Stain covering up to two thirds of area and moderate intensity stain, 3=Stain covering more than two thirds of area and heavy intensity stain. Total MLSI score = Area score multiplied by Intensity score and ranged from 0 to 9, where lower score indicated improvement.

Time frame: At Week 12 and Week 24 after tooth bleaching

Population: The mITT population. Only those participants with data available at the specified time points were analyzed.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Test DentifriceAdjusted Mean MLSI Score at 12 and 24 Weeks After Tooth Bleaching in Gingival Sites, Interproximal Sites and Body SitesMean Gingival MLSI, Week 120.02 score on a scaleStandard Error 0.012
Test DentifriceAdjusted Mean MLSI Score at 12 and 24 Weeks After Tooth Bleaching in Gingival Sites, Interproximal Sites and Body SitesMean Interproximal MLSI, Week 121.37 score on a scaleStandard Error 0.088
Test DentifriceAdjusted Mean MLSI Score at 12 and 24 Weeks After Tooth Bleaching in Gingival Sites, Interproximal Sites and Body SitesMean Interproximal MLSI, Week 241.44 score on a scaleStandard Error 0.105
Test DentifriceAdjusted Mean MLSI Score at 12 and 24 Weeks After Tooth Bleaching in Gingival Sites, Interproximal Sites and Body SitesMean Body MLSI, Week 120.00 score on a scaleStandard Error 0.007
Test DentifriceAdjusted Mean MLSI Score at 12 and 24 Weeks After Tooth Bleaching in Gingival Sites, Interproximal Sites and Body SitesMean Gingival MLSI, Week 240.01 score on a scaleStandard Error 0.014
Test DentifriceAdjusted Mean MLSI Score at 12 and 24 Weeks After Tooth Bleaching in Gingival Sites, Interproximal Sites and Body SitesMean Body MLSI, Week 240.00 score on a scaleStandard Error 0.005
Reference DentifriceAdjusted Mean MLSI Score at 12 and 24 Weeks After Tooth Bleaching in Gingival Sites, Interproximal Sites and Body SitesMean Gingival MLSI, Week 240.05 score on a scaleStandard Error 0.014
Reference DentifriceAdjusted Mean MLSI Score at 12 and 24 Weeks After Tooth Bleaching in Gingival Sites, Interproximal Sites and Body SitesMean Interproximal MLSI, Week 242.04 score on a scaleStandard Error 0.103
Reference DentifriceAdjusted Mean MLSI Score at 12 and 24 Weeks After Tooth Bleaching in Gingival Sites, Interproximal Sites and Body SitesMean Body MLSI, Week 240.01 score on a scaleStandard Error 0.004
Reference DentifriceAdjusted Mean MLSI Score at 12 and 24 Weeks After Tooth Bleaching in Gingival Sites, Interproximal Sites and Body SitesMean Gingival MLSI, Week 120.03 score on a scaleStandard Error 0.011
Reference DentifriceAdjusted Mean MLSI Score at 12 and 24 Weeks After Tooth Bleaching in Gingival Sites, Interproximal Sites and Body SitesMean Interproximal MLSI, Week 121.71 score on a scaleStandard Error 0.086
Reference DentifriceAdjusted Mean MLSI Score at 12 and 24 Weeks After Tooth Bleaching in Gingival Sites, Interproximal Sites and Body SitesMean Body MLSI, Week 120.01 score on a scaleStandard Error 0.007
Comparison: Mean Gingival MLSI, Week 12p-value: 0.247895% CI: [-0.05, 0.01]ANOVA
Comparison: Mean Gingival MLSI, Week 24p-value: 0.095795% CI: [-0.07, 0.01]ANOVA
Comparison: Mean Interproximal MLSI, Week 12p-value: 0.006395% CI: [-0.58, -0.1]ANOVA
Comparison: Mean Interproximal MLSI, Week 24p-value: <0.000195% CI: [-0.89, -0.31]ANOVA
Comparison: Mean Body MLSI, Week 12p-value: 0.153695% CI: [-0.03, 0.01]ANOVA
Comparison: Mean Body MLSI, Week 24p-value: 0.116695% CI: [-0.02, 0]ANOVA
Secondary

Adjusted Mean Total Modified Lobene Stain Index (MLSI) Score at 12 and 24 Weeks After Tooth Bleaching

Extrinsic dental stain was assessed on the facial surfaces of the 6 maxillary anterior teeth using the MLSI. Area (A) and intensity (I) of extrinsic dental stain were scored separately for each tooth on the scale of 0 to 3 and the mean total score was presented, where 0=area with no stain, 1=Stain covering up to one third of area and light intensity stain, 2=Stain covering up to two thirds of area and moderate intensity stain, 3=Stain covering more than two thirds of area and heavy intensity stain. Total MLSI score = Area score multiplied by Intensity score and ranged from 0 to 9, where lower score indicated improvement.

Time frame: At Week 12 and Week 24 after tooth bleaching

Population: The mITT population. Only those participants with data available at the specified time points were analyzed.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Test DentifriceAdjusted Mean Total Modified Lobene Stain Index (MLSI) Score at 12 and 24 Weeks After Tooth BleachingWeek 120.69 score on a scaleStandard Error 0.044
Test DentifriceAdjusted Mean Total Modified Lobene Stain Index (MLSI) Score at 12 and 24 Weeks After Tooth BleachingWeek 240.72 score on a scaleStandard Error 0.053
Reference DentifriceAdjusted Mean Total Modified Lobene Stain Index (MLSI) Score at 12 and 24 Weeks After Tooth BleachingWeek 120.87 score on a scaleStandard Error 0.043
Reference DentifriceAdjusted Mean Total Modified Lobene Stain Index (MLSI) Score at 12 and 24 Weeks After Tooth BleachingWeek 241.03 score on a scaleStandard Error 0.052
Comparison: Week 12p-value: 0.004295% CI: [-0.3, -0.06]ANOVA
Comparison: Week 24p-value: <0.000195% CI: [-0.46, -0.17]ANOVA
Secondary

Adjusted Mean VITA Shade Score at 12 Weeks After Tooth Bleaching

Tooth color of the facial surfaces of the six anterior maxillary teeth was assessed by a single, trained clinical examiner using the VITA Bleachedguide 3D-MASTER. It consisted of value-ranked ordered scale from 1 (the lightest) to 29 (the darkest). The shade level of each tooth surface was scored visually by the clinical examiner with reference to the Bleachedguide, where lower score indicated improvement.

Time frame: At Week 12 after tooth bleaching

Population: The mITT population. Only those participants with data available at the specified time point were analyzed.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Test DentifriceAdjusted Mean VITA Shade Score at 12 Weeks After Tooth Bleaching12.08 score on a scaleStandard Error 0.353
Reference DentifriceAdjusted Mean VITA Shade Score at 12 Weeks After Tooth Bleaching11.71 score on a scaleStandard Error 0.346
p-value: 0.458395% CI: [-0.61, 1.34]ANOVA

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026