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. 2003 Jan 20;2003(1):CD002278. doi: 10.1002/14651858.CD002278

Marthaler 1974.

Methods Random allocation; double‐blind (A); placebo‐controlled; 32% drop out after 6 years (study duration = 6 years). Exclusions based on presence in all follow‐up examinations; no differential group losses.
Participants 109 children analysed at 6* years (present for all examinations).
 Age range at start: 6‐9 years (average = 7.5).
 Surfaces affected at start: 2.6 DMFS.
 Background exposure to fluoride: in solution/salt (suboptimal).
 Year study began: 1966.
 Location: Switzerland.
Interventions FT versus PL 
 (AmF group = 1250 ppm F).
Home use/unsupervised, daily frequency assumed.
 Abrasive system: IMP.
Outcomes 6y*NetDFS increment ‐ (E) (CA)cl+(DR)xr.
 Reported at 2 and 6 years follow ups.
PF‐DFS. 
 postMD‐DFS.
 antMD‐B‐DFS.
 DFT.
Proportion of children with new DFS.
Notes Participants randomised (N = 161).
 Baseline characteristics (DMFS, DMFT, FS, FT, TAR) 'balanced' (DFS baseline data NR).
 Clinical (V) caries assessment by two examiners; diagnostic threshold = CA and NCA; state of tooth eruption included = E. Radiographic assessment (2 postBW) by two examiners; diagnostic threshold = DR and ER; partial recording. "Sufficient agreement of examiners known from earlier work".
 *Results at 6 years follow up chosen (reported for all outcomes).
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment (selection bias) Unclear risk B ‐ Unclear
HHS Vulnerability Disclosure