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. 2004 Jan 26;2004(1):CD002781. doi: 10.1002/14651858.CD002781.pub2

Blinkhorn 1983.

Methods Stratified random allocation; double‐blind (A); placebo‐controlled; 9% drop out after 3 years (study duration = 3 years). 
 Reasons for attrition described with respective total numbers; no differential group losses.
Participants 567 children analysed at 3 years (available at final examination). 
 Age range at start: 11‐12 years. 
 Surfaces affected at start: 8.4 DMFS. 
 Exposure to other fluoride: no. 
 Year study began: 1972. 
 Location: UK.
Interventions FR+PLT versus FR+FT versus FT+PLR.
FR = NaF 230 ppm F. 
 School mouthrinsing/supervised, daily, for 0.5 min (after toothbrushing with appropriate toothpaste at school).
FT = SMFP 1000 ppm F. 
 School toothbrushing/supervised, daily, for 1 min (followed by mouthrinsing with appropriate solution); appropriate toothpaste provided for home use. 
 Abrasive system: IMP (main abrasive).
Outcomes 3yNetDFS increment ‐ (E+U)(CA)cl+(DR)xr. 
 Reported at 3 years follow up.
PF‐DFS. 
 MD‐BL‐DFS. 
 MD‐DFS. 
 postMD‐DFS. 
 DMFT (E/U). 
 anterior DMFT. 
 posterior DMFT. 
 DFS (U).
Drop out.
Notes Participants randomized (N = 621). 
 Baseline characteristics (DMFS, DMFT, SAR) 'balanced' (DFS baseline data NR). 
 Clinical (V) caries assessment by one examiner, diagnostic threshold = CA. Radiographic assessment (1 postBW) by one examiner; diagnostic threshold = DR. State of tooth eruption included = E/U. Intra‐examiner reproducibility checks for incremental clinical and radiographic caries data in 10% sample (icc score 0.9).
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Unclear risk B ‐ Unclear