Evidence map›Paper›PMID 24354454›Full record

Trial reportCommunity dentistry and oral epidemiology2014

High-fluoride toothpaste: a multicenter randomized controlled trial in adults.

Murali Srinivasan, Martin Schimmel, Martine Riesen, Alexander Ilgner, Michael J Wicht, Michael Warncke, Roger P Ellwood, Ina Nitschke, Frauke Müller, Michael J Noack

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Community dentistry and oral epidemiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Dental Caries in Older Adults: A Narrative Review for Non-Dental Providers.International journal of environmental research and public health · 2026
    Review
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  9. Review
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  14. Relationship Between Receipt of 5,000 Ppm Sodium Fluoride Dentifrice Prescription and Time to First Dental Restoration among Older Adults: A Retrospective Cohort Study.Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Murali SrinivasanDivision of Gerodontology and Removable Prosthodontics, School of Dental Medicine, University of Geneva, Geneva, Switzerland.
Martin Schimmel
Martine Riesen
Alexander Ilgner
Michael J Wicht
Michael Warncke
Roger P Ellwood
Ina Nitschke
Frauke Müller
Michael J Noack

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this single - blind, multicenter, parallel, randomized controlled trial was to evaluate the effectiveness of the application of a high-fluoride toothpaste on root caries in adults.

methodsAdult patients (n = 130, ♂ = 74, ♀ = 56; mean age ± SD: 56.9 ± 12.9) from three participating centers, diagnosed with root caries, were randomly allocated into two groups: Test (n = 64, ♂ = 37, ♀ = 27; lesions = 144; mean age: 59.0 ± 12.1; intervention: high-fluoride toothpaste with 5000 ppm F), and Control (n = 66, ♂ = 37, ♀ = 29; lesions = 160; mean age: 54.8 ± 13.5; intervention: regular-fluoride toothpaste with 1350 ppm F) groups. Clinical examinations and surface hardness scoring of the carious lesions were performed for each subject at specified time intervals (T0 - at baseline before intervention, T1 - at 3 months and T2 - at 6 months after intervention). Mean surface hardness scores (HS) were calculated for each patient. Statistical analyses comprised of two-way analysis of variance and post hoc comparisons using the Bonferroni-Dunn correction.

resultsAt T0 , there was no statistical difference between the two groups with regard to gender (P = 0.0682, unpaired t-test), or age (P = 0.9786, chi-squared test), and for the overall HS (Test group: HS = 3.4 ± 0.61; CONTROL GROUP: HS = 3.4 ± 0.66; P = 0.8757, unpaired t-test). The anova revealed significantly better HS for the test group than for the control groups (T1 : Test group: HS = 2.9 ± 0.67; CONTROL GROUP: HS = 3.1 ± 0.75; T2 : Test group: HS = 2.4 ± 0.81; CONTROL GROUP: HS = 2.8 ± 0.79; P < 0.0001). However, the interaction term time-point*group was not significant.

conclusionsThe application of a high-fluoride containing dentifrice (5000 ppm F) in adults, twice daily, significantly improves the surface hardness of otherwise untreated root caries lesions when compared with the use of regular fluoride containing (1350 ppm F) toothpastes.

Indexed as

AdolescentAdultAgedCariostatic AgentsDental CariesFemaleFluorides, TopicalGermanyHardnessHumansMaleMiddle AgedSingle-Blind MethodSodium FluorideSurface PropertiesToothpastesCariostatic AgentsFluorides, TopicalSodium Fluoridesodium fluoride topical preparationToothpastesadultdental cariesDuraphat 5000 ppm Fhigh-fluoride toothpasteoral healthpreventionrandomized controlled trialroot cariessodium fluoride

Identifiers

PMID24354454
PMCPMC4282025

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.