A comparative clinical evaluation of LED- versus laser-activated in-office tooth whitening

ISRCTN ISRCTN62124700
DOI https://doi.org/10.1186/ISRCTN62124700
Sponsor Grigore T. Popa University of Medicine and Pharmacy
Funder Investigator initiated and funded
Submission date
24/01/2026
Registration date
27/01/2026
Last edited
27/01/2026
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Oral Health
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
This study compares two commonly used professional tooth whitening methods—one activated by LED light and one activated by a diode laser.

Who can participate?
Adult patients with tooth discoloration.

What does the study involve?
Participants were randomly assigned to one of the two treatments. Tooth color changes were measured objectively using a digital device before and after treatment to evaluate and compare the effectiveness of the two systems.

What are the possible benefits and risks of participating?
Benefits and risks not provided at time of registration

Where is the study run from?
Grigore T. Popa University of Medicine and Pharmacy, Romania.

When is the study starting and how long is it expected to run for?
October 2025 to December 2025

Who is funding the study?
Investigator initiated and funded

Who is the main contact?
Dr Amititeloaie Carmen, carmen.amititeloaie@umfiasi.ro

Contact information

Dr Amititeloaie Carmen
Principal investigator, Public, Scientific

Str. Universitatii Nr. 16
Iasi
700115
Romania

Phone +40744357867
Email carmen.amititeloaie@umfiasi.ro

Study information

Primary study designInterventional
AllocationRandomized controlled trial
MaskingBlinded (masking used)
ControlActive
AssignmentParallel
PurposeTreatment
Scientific titleComparative clinical evaluation of LED- versus laser-activated in-office tooth whitening using digital spectrophotometry: a pilot randomized clinical trial
Study objectivesThe objective of this study is to compare the clinical effectiveness of LED-activated and diode laser–activated in-office tooth whitening systems using objective digital spectrophotometric assessment of tooth color changes.
Ethics approval(s)

Approved 28/09/2025, Scientific Research Ethics Committee of the UMF "Grigore T. Popa" Iaşi (Str. Universitatii Nr.16, Iasi, 700115, Romania; +40.232.211.818; eticacercetarii@umfiasi.ro), ref: 643

Health condition(s) or problem(s) studiedTooth discoloration; dental aesthetics
InterventionParticipants were randomly allocated to one of two intervention groups: laser-activated tooth whitening using a diode laser system and LED-activated tooth whitening using an LED light system. Both interventions were performed in a single clinical session under standardized conditions.

The expected total duration of the study visit for each participant was approximately 60–90 minutes, including baseline assessment, intervention, and immediate post-treatment evaluation.
There was no additional follow-up period, as all outcomes were assessed immediately after completion of the whitening procedure.

Method of randomisation:
Participants were randomly allocated in a 1:1 ratio using a computer-generated random allocation sequence (Microsoft Excel). Allocation concealment was ensured using sealed, opaque envelopes, which were opened on the day of treatment.
Intervention typeDevice
PhaseNot Applicable
Drug / device / biological / vaccine name(s)Biolase Epic diode laser (940nm), Philips Zoom WhiteSpeed LED whitening system
Primary outcome measure(s)
  1. Tooth color (ΔE) (color difference (ΔE) is calculated from CIE L*a*b* coordinates) measured using a digital spectrophotometer (VITA Easyshade) at baseline (pre-treatment) and immediately after completion of the whitening procedure (post-treatment)
Key secondary outcome measure(s)
  1. Adverse events measured using clinical observation and patient self-reporting of any adverse events at occurring during or immediately after the whitening procedure
  2. Clinical perceptibility of whitening: The proportion of participants achieving a clinically perceptible color change, defined as ΔE > 3.3, measured using a digital spectrophotometric measurements. at immediately after completion of the whitening procedure, compared with baseline.
Completion date19/12/2025

Eligibility

Participant type(s)
Age groupAdult
Lower age limit18 Years
Upper age limit45 Years
SexAll
Target sample size at registration12
Total final enrolment12
Key inclusion criteria1. Healthy adults aged 18–45 years
2. Extrinsic or mixed-type tooth discoloration (Vita shade A3 or darker)
3. Good oral hygiene
Key exclusion criteria1. Pregnancy or breastfeeding
2. Severe dental hypersensitivity
3. Active carious, periodontal, or oral mucosal lesions
4. Systemic diseases or known allergies to bleaching agents
Date of first enrolment01/10/2025
Date of final enrolment19/12/2025

Locations

Countries of recruitment

  • Romania

Study participating centres

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot expected to be made available
IPD sharing plan

Editorial Notes

26/01/2026: Study’s existence confirmed by the Scientific Research Ethics Committee of the UMF "Grigore T. Popa" Iaşi, Romania.