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

Torell 1965.

Methods Random allocation; double‐blind (A); placebo‐controlled; 13% drop‐out rate after 2 years (study duration = 2 years). Natural losses mainly; no differential group losses.
Participants 668 children analysed at 2 years (available at final examination).
 Average age at start: 10 years. Surfaces affected at start: 14.5 DMFS (from sample randomised).
 Background exposure to fluoride: none reported.
 Year study began: 1962.
 Location: Sweden.
Interventions FT (2 groups) versus PL(2 groups) (SnF2 group = 1000 ppm F, NaF group = 1100 ppm F).
Home use/unsupervised, twice a day instructed but daily frequency assumed, post‐brushing water rinse instructed.
 Abrasive system: Ca pyrophosphate in SnF2 toothpaste and its placebo, Na bicarbonate in NaF toothpaste and its placebo.
Outcomes 2yDMFS increment ‐ (CA)cl. 
 Reported at 1 and 2 years follow ups.
MD‐DMFS.
 FS.
Proportion of children with new carious lesions (U)xr.
Notes Participants randomised (N = 766).
 Baseline characteristics (DMFS, MD‐DMFS) 'balanced'.
 Clinical (VT) caries assessment by two examiners, diagnostic threshold = CA; radiographic assessment (BW) by two examiners; diagnostic threshold = DR. State of tooth eruption included NR. Inter‐ and intra‐examiner reproducibility checks done for clinical caries in 4 and 2% sample respectively; duplicate examination of x‐rays records done and any discrepancies discussed before final diagnosis.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment (selection bias) Unclear risk B ‐ Unclear
HHS Vulnerability Disclosure