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

Slack 1971.

Methods Random allocation; double‐blind ('A'); placebo‐controlled; 33% drop‐out rate after 3 years (study duration = 3 years). Main reasons for drop out: moved away, left school, away on examination day, disliked toothpaste taste, brown staining of teeth; no differential group losses.
Participants 1110 children analysed at 3 years (available at final examination).
 Age range at start: 11‐12 years. Surfaces affected at start: 11.6 DMFS. 
 Background exposure to fluoride: none reported.
 Year study began: 1965.
 Location: UK.
Interventions FT (3 groups) versus 'PL' 
 (Both SnF2 groups = 1000 ppm F, APF group = 1000 ppm F).
Home use/unsupervised, daily frequency assumed.
 Abrasive system: IMP in one SnF2 toothpaste and in APF toothpaste, dicalcium pyrophosphate in another SnF2 toothpaste; control toothpaste abrasive NR.
Outcomes 3yCrudeDMFS increment ‐ (CA)cl+(ER)xr.
 Reported at 3 years follow up.
Notes Participants randomised (N = 1665).
 Baseline characteristics (age, gender, DMFS, previous F toothpaste use) 'balanced'.
 Clinical (VT) caries assessment by one examiner; diagnostic threshold = CA; state of tooth eruption included = NR. Radiographic assessment (2 postBW) by one examiner; diagnostic threshold = ER. Consistency of clinical diagnosis revealed by 10% sample checks at each examination.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment (selection bias) Unclear risk B ‐ Unclear
HHS Vulnerability Disclosure