Evidence map›Paper›PMID 27056513›Full record

ArticleBritish dental journal2016

Critique of the review of 'Water fluoridation for the prevention of dental caries' published by the Cochrane Collaboration in 2015.

A J Rugg-Gunn, A J Spencer, H P Whelton, C Jones, J F Beal, P Castle, P V Cooney, J Johnson, M P Kelly, M A Lennon and 7 more

Abstract read
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In one paragraph

Article in British dental journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Water fluoridation for the prevention of dental caries.The Cochrane database of systematic reviews · 2024
    Pooled it
  2. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

A J Rugg-GunnNewcastle University.
A J SpencerUniversity of Adelaide.
H P WheltonSchool of Dentistry, University of Leeds.
C JonesNHS Health Scotland, Edinburgh.
J F BealDental Public Health, University of Leeds.
P Castle
P V CooneyFaculty of Dentistry, University of Toronto.
J JohnsonAmerican Fluoridation Society.
M P KellyInstitute of Public Health, University of Cambridge.
M A LennonUniversity of Sheffield.
J McGinleyAmerican Dental Association, Chicago.
D O'MullaneUniversity College Cork.
H D Sgan-CohenHebrew University, Hadassah, Jerusalem.
P P SharmaOntario Association of Public Health Dentistry.
W M ThomsonUniversity of Otago.
S M WoodwardThe Borrow Foundation.
S P ZusmanMinistry of Health, Jerusalem.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Cochrane Review on water fluoridation for the prevention of dental caries was published in 2015 and attracted considerable interest and comment, especially in countries with extensive water fluoridation programmes. The Review had two objectives: (i) to evaluate the effects of water fluoridation (artificial or natural) on the prevention of dental caries, and (ii) to evaluate the effects of water fluoridation (artificial or natural) on dental fluorosis. The authors concluded, inter alia, that there was very little contemporary evidence, meeting the Review's inclusion criteria, that evaluated the effectiveness of water fluoridation for the prevention of dental caries. The purpose of this critique is to examine the conduct of the above Review, and to put it into context in the wider body of evidence regarding the effectiveness of water fluoridation. While the overall conclusion that water fluoridation is effective in caries prevention agrees with previous reviews, many important public health questions could not be answered by the Review because of the restrictive criteria used to judge adequacy of study design and risk of bias. The potential benefits of using wider criteria in order to achieve a fuller understanding of the effectiveness of water fluoridation are discussed.

Indexed as

FluoridationDental CariesFluorosis, DentalHumansProgram EvaluationQuality Assurance, Health Care

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.