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

Segal 1967.

Methods Stratified random allocation; double‐blind (A); placebo‐controlled; 23% drop out after 2 years (study duration = 2 years). Reasons for attrition NR; differential group losses.
Participants 648 children analysed at 2 years (available at final examination).
 Age range at start: 7‐12 years. Surfaces affected at start: NR. 
 Background exposure to fluoride: none reported.
 Year study began: in/before 1964.
 Location: USA.
Interventions FT versus PL 
 (SnF2 group = 1000 ppm F).
School use/supervised, daily, (appropriate toothpastes also provided for home use).
 Abrasive system: IMP (mainly).
Outcomes 2yDFS increment ‐ (CA)cl+xr.
 Reported at 1 and 2 years follow ups.
DFS (U).
Notes Participants randomised (N = 845).
 Baseline characteristics (SAR) 'balanced'.
 Clinical (VT) caries assessment by two examiners, diagnostic threshold = CA. Radiographic assessment as a supplementary aid; diagnostic threshold = NR. State of tooth eruption included E/U. Inter‐ and intra‐examiner reproducibility checks done.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment (selection bias) Unclear risk B ‐ Unclear
HHS Vulnerability Disclosure