<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE trials [
<!ELEMENT trials (trial+)>

<!ELEMENT trial (main,contacts,countries,criteria,health_condition_code,health_condition_keyword,intervention_code,
          intervention_keyword,primary_outcome,secondary_outcome,secondary_sponsor,secondary_ids,source_support,ethics_reviews)>

<!ELEMENT main (trial_id,utrn?,reg_name,date_registration,primary_sponsor,public_title,acronym?,scientific_title,scientific_acronym?,
          date_enrolment,type_enrolment,target_size,recruitment_status,url?,study_type,study_design,phase,hc_freetext?,i_freetext?,results_actual_enrolment,results_date_completed,results_url_link,results_summary,           results_date_posted,results_date_first_publication,results_baseline_char,results_participant_flow,results_adverse_events,results_outcome_measures,results_url_protocol,results_IPD_plan, results_IPD_description)>
<!ELEMENT trial_id (#PCDATA)>
<!ELEMENT utrn (#PCDATA)>
<!ELEMENT reg_name (#PCDATA)>
<!ELEMENT date_registration (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT primary_sponsor (#PCDATA)>
<!ELEMENT public_title (#PCDATA)>
<!ELEMENT acronym (#PCDATA)>
<!ELEMENT scientific_title (#PCDATA)>
<!ELEMENT scientific_acronym (#PCDATA)>
<!ELEMENT date_enrolment (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT type_enrolment (#PCDATA)>
<!ELEMENT target_size (#PCDATA)>
<!ELEMENT recruitment_status (#PCDATA)><!-- Pending,Recruiting,Suspended,Complete,Other -->
<!ELEMENT url (#PCDATA)>
<!ELEMENT study_type (#PCDATA)><!-- interventional,observational -->
<!ELEMENT study_design (#PCDATA)>
<!ELEMENT phase (#PCDATA)>
<!ELEMENT hc_freetext (#PCDATA)>
<!ELEMENT i_freetext (#PCDATA)>
<!ELEMENT results_actual_enrolment (#PCDATA)>
<!ELEMENT results_date_completed (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_url_link (#PCDATA)>
<!ELEMENT results_summary (#PCDATA)>
<!ELEMENT results_date_posted (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_date_first_publication (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_baseline_char (#PCDATA)>
<!ELEMENT results_participant_flow (#PCDATA)>
<!ELEMENT results_adverse_events (#PCDATA)>
<!ELEMENT results_outcome_measures (#PCDATA)>
<!ELEMENT results_url_protocol (#PCDATA)>
<!ELEMENT results_IPD_plan (#PCDATA)>
<!ELEMENT results_IPD_description (#PCDATA)>


<!ELEMENT contacts (contact+)>
<!ELEMENT contact (type,firstname,middlename,lastname,address,city,country1,zip,telephone,email,affiliation)>
<!ELEMENT type (#PCDATA)><!-- Public,Scientific -->
<!ELEMENT firstname (#PCDATA)>
<!ELEMENT middlename (#PCDATA)>
<!ELEMENT lastname (#PCDATA)>
<!ELEMENT address (#PCDATA)>
<!ELEMENT city (#PCDATA)>
<!ELEMENT country1 (#PCDATA)>
<!ELEMENT zip (#PCDATA)>
<!ELEMENT telephone (#PCDATA)>
<!ELEMENT email (#PCDATA)>
<!ELEMENT affiliation (#PCDATA)>

<!ELEMENT countries (country2+)>
<!ELEMENT country2 (#PCDATA)>

<!ELEMENT criteria (inclusion_criteria,agemin,agemax,gender,exclusion_criteria)>
<!ELEMENT inclusion_criteria (#PCDATA)>
<!ELEMENT agemin (#PCDATA)>
<!ELEMENT agemax (#PCDATA)>
<!ELEMENT gender (#PCDATA)>
<!ELEMENT exclusion_criteria (#PCDATA)>

<!ELEMENT health_condition_code (hc_code+)>
<!ELEMENT hc_code (#PCDATA)>

<!ELEMENT health_condition_keyword (hc_keyword+)>
<!ELEMENT hc_keyword (#PCDATA)>

<!ELEMENT intervention_code (i_code+)>
<!ELEMENT i_code (#PCDATA)>

<!ELEMENT intervention_keyword (i_keyword+)>
<!ELEMENT i_keyword (#PCDATA)>

<!ELEMENT primary_outcome (prim_outcome+)>
<!ELEMENT prim_outcome (#PCDATA)>

<!ELEMENT secondary_outcome (sec_outcome+)>
<!ELEMENT sec_outcome (#PCDATA)>

<!ELEMENT secondary_sponsor (sponsor_name+)>
<!ELEMENT sponsor_name (#PCDATA)>

<!ELEMENT secondary_ids (secondary_id+)>
<!ELEMENT secondary_id (sec_id,issuing_authority)>
<!ELEMENT sec_id (#PCDATA)>
<!ELEMENT issuing_authority (#PCDATA)>

<!ELEMENT source_support (source_name+)>
<!ELEMENT source_name (#PCDATA)>

<!ELEMENT ethics_reviews (ethics_review+)>
<!ELEMENT ethics_review (status,approval_date,contact_name,contact_address,contact_phone,contact_email)>
<!ELEMENT status (#PCDATA)><!-- Not approved,Approved,NA -->
<!ELEMENT approval_date (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT contact_name (#PCDATA)>
<!ELEMENT contact_address (#PCDATA)>
<!ELEMENT contact_phone (#PCDATA)>
<!ELEMENT contact_email (#PCDATA)>
]>
<trials>
  <trial>
    <main>
      <trial_id>IRCT20200906048639N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2021-02-28</date_registration>
      <primary_sponsor>Mashhad University of Medical Sciences</primary_sponsor>
      <public_title>Evaluation of Whitening Effectiveness and Tooth Sensitivity of the Formulated In-Office Bleaching Gel Containing Hydrogen Peroxide and a Remineralizing Agent</public_title>
      <acronym></acronym>
      <scientific_title>Evaluation of Whitening Effectiveness and Tooth Sensitivity of the Formulated In-Office Bleaching Gel Containing 40% Hydrogen Peroxide and a Remineralizing Agent: A Triple Blinded Randomized Clinical Trial</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2021-04-04</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>32</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/50792</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Triple blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: In This Study, the "Simple" Randomization Method Is Used. Sealed Envelopes Are Randomly Given to Each Participant to Determine their Quadrant of Testing and Control. This Is Done by Someone Other than the Evaluator of the Study Parameters, Blinding description: In This Study, the Participants, the Analyzer, and the Statistician Are Unaware of the Allocation of the Groups (Assigning the Right or Left Maxillary Quadrant to the Test or Control Group). In This Way, Inserting the Bleaching Gels into the Test and Control Syringes as well as the Application of Gels on the Teeth by One Person, the Evaluation of the Color and Sensitivity of the Teeth by Another Person and the Statistical Analysis of Data by Another Person Will be Done.</study_design>
      <phase>3</phase>
      <hc_freetext>Tooth Discoloration.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: The Custom Made Bleaching Gel Containing 40% Hydrogen Peroxide and a Remineralizing Agent Is Placed on the Enamel Surface for 45 Minutes (Three 15-Minutes Periods). Intervention 2: Control group: The Custom Made Bleaching Gel Containing 40% Hydrogen Peroxide and Free of Remineralizing Agent Is Placed on the Enamel Surface for 45 Minutes (Three 15-Minutes Periods).</i_freetext>
      <results_actual_enrolment></results_actual_enrolment>
      <results_date_completed></results_date_completed>
      <results_url_link></results_url_link>
      <results_summary></results_summary>
      <results_date_posted></results_date_posted>
      <results_date_first_publication></results_date_first_publication>
      <results_baseline_char></results_baseline_char>
      <results_participant_flow></results_participant_flow>
      <results_adverse_events></results_adverse_events>
      <results_outcome_measures></results_outcome_measures>
      <results_url_protocol></results_url_protocol>
      <results_IPD_plan>Undecided - It is not yet known if there will be a plan to make this available</results_IPD_plan>
      <results_IPD_description>Justification or reason for indecision in sharing IPD is There is no more information</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Mahla Rezaei</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>5th Floor, No. 69, Daneshjoo 17 St., Daneshjoo Blvd.,  Vakilabad Blvd.</address>
        <city>Mashhad</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>9188945981</zip>
        <telephone>+98 51 3865 8162</telephone>
        <email>rezaeiM981@mums.ac.ir</email>
        <affiliation>Mashhad University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Hamideh Sadat Mohammadipour</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>School of Dentistry, in front of Mellat Park, First of Vakilabad Blvd.</address>
        <city>Mashhad</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>9177948959</zip>
        <telephone>+98 51 3882 9501</telephone>
        <email>mohammadipourh@mums.ac.ir</email>
        <affiliation>Mashhad University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Patients for whom Bleaching Treatment Is Indicated, So that the Teeth that Need Bleaching Should be Free of Caries or Previous Restoration on the Labial Surface
Patients in Optimal General and Oral health Conditions
Patients without Complaints of Dental Sensitivity to Touch and to Thermal Stimuli
Patients Aged 18 to 40 Years</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>40 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Patients with a Long History of Illness or Medication
Patients Using Orthodontic Appliances
Patients with Periodontal Disease or Poor Oral Hygiene
Children and Women who Are Breastfeeding or Pregnant
Patients with Conditions of Hypersensitivity such as Dentin Exposure and Non-Carious Cervical Lesions
People who Have a History of Anti-Sensitivity Treatments in the Last Six Months
People who Have Previously Had Bleaching Treatment</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code></hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword></hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Other</i_code>
      <i_code>Placebo</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: The Custom Made Bleaching Gel Containing 40% Hydrogen Peroxide and a Remineralizing Agent Is Placed on the Enamel Surface for 45 Minutes (Three 15-Minutes Periods).</i_keyword>
      <i_keyword>Control group: The Custom Made Bleaching Gel Containing 40% Hydrogen Peroxide and Free of Remineralizing Agent Is Placed on the Enamel Surface for 45 Minutes (Three 15-Minutes Periods).</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Tooth Sensitivity to Cold Stimulus. Timepoint: Before Starting Treatment, Immediately After Treatment, 24 Hours, One Week, One Month, Three Months and Six Months After Treatment. Method of measurement: Using the "Visual Analogue Scale" from Minimum Sensitivity (Score 0) to Unbearable Pain (Score 10): The Cold Stimulus Is Applied to the Surface of the Lateral Tooth in the Cervical Third of the Tooth by Air Force from a Distance of One Centimeter for Three Seconds.</prim_outcome>
      <prim_outcome>Tooth Sensitivity to Touch with Explorer. Timepoint: Before Starting Treatment, Immediately After Treatment, 24 Hours, One Week, One Month, Three Months and Six Months After Treatment. Method of measurement: Using the "Visual Analogue Scale" from Minimum Sensitivity (Score 0) to Unbearable Pain (Score 10): The Touch Stimulus Is Produced by the Tip of a Explorer on the Cervical of the Tooth.</prim_outcome>
      <prim_outcome>Spontaneous Sensitivity Reported by Patients. Timepoint: Before Starting Treatment, Immediately After Treatment, 24 Hours, One Week, One Month, Three Months and Six Months After Treatment. Method of measurement: Using the "Visual Analogue Scale" from Minimum Sensitivity (Score 0) to Unbearable Pain (Score 10): Spontaneous Sensitivity Will be Recorded by Asking Patients.</prim_outcome>
      <prim_outcome>Bleaching Gel Whitening or Discoloration of the Teeth. Timepoint: Before Starting Treatment, Immediately After Treatment, 24 Hours, One Week, One Month, Three Months and Six Months After Treatment. Method of measurement: Tooth Color is Recorded by Spectrophotometer, then the Amount of Total Discoloration Between Each Measurement Step,  Is Calculated by the Formula ΔE = √ (〖(a2-a1)〗 ^ 2 + 〖(b2-b1)〗 ^ 2 + 〖(L2-L1)〗 ^ 2) for Each Tooth.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome></sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name></sponsor_name>
    </secondary_sponsor>
    <secondary_ids>
      <secondary_id>
        <sec_id></sec_id>
        <issuing_authority></issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>Mashhad University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2020-12-22</approval_date>
        <contact_name>Ethics Committee of Mashhad Dental School</contact_name>
        <contact_address>School of Dentistry, in front of Mellat Park, First of Vakilabad Blvd. Mashhad Razavi Khorasan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
