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

Murray 1980.

Methods Stratified random allocation; double‐blind (A); placebo‐controlled; 23% drop out after 3 years (study duration = 3 years). Natural losses; exclusions based on presence in all follow‐up examinations; no differential group losses.
Participants 1106 children analysed at 3 years (present for all examinations).
 Age range at start: 11‐13 years (average = 11.9). Surfaces affected at start: 9.9 DMFS.
 Background exposure to fluoride: data not available for fluoridation status of site.
 Year study began: 1974.
 Location: UK.
Interventions FT (2 groups) versus PL 
 (both SMFP groups = 1000 ppm F).
Home use/unsupervised, daily frequency assumed.
 Abrasive system: Al oxide trihydrate (low and normal abrasivity).
Outcomes 3yNetDMFS increment ‐ cl+ xr.
 Reported at 3 years follow up.
DMFS (U).
Notes Participants randomised (N = 1431).
 Baseline characteristics (age, DMFS, TAR) 'balanced'.
 Clinical (VT) caries assessment by two examiners; diagnostic threshold = NR; radiographic assessment (2 postBW) by two examiners; diagnostic threshold = NR; state of tooth eruption included = E/U.
 Reproducibility ratios were less than 0.23 for intra‐examiner reproducibility for clinical caries diagnosis and less than 0.16 for radiographic caries diagnosis; inter‐examiner reproducibility ratios was 0.26 and 0.1 respectively.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment (selection bias) Low risk A ‐ Adequate
HHS Vulnerability Disclosure