Evidence map›Paper›PMID 41362574›Full record

ReviewCureus2025

Effectiveness of Various Fluoride Varnishes in Preventing Dental Caries in Children and Adolescents: A Systematic Review of Evidence From Educational Settings.

Amjad S Almalki, Omar S Alshahrani, Fetoon A Aljoaid, Melaf A Alrwiali, Rnda A Alrais, Alanoud B Alfuhigi, Raghad A Alfehaid, Reham M Daghriri, Abdulmajeed N Alwably, Ghadah M Alenazi and 1 more

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

1 citing paper in PubMed.

  1. Article
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

11 authors.

Amjad S AlmalkiPediatric Dentistry, Dental Center, Prince Sultan Military Medical City, Riyadh, SAU.
Omar S AlshahraniPediatric Dentistry, Armed Forces Hospital Southern Region, Khamis Mushait, SAU.
Fetoon A AljoaidPediatric Dentistry, Al-Baha University, Al-Baha, SAU.
Melaf A AlrwialiCollege of Dentistry, Al Jouf University, Sakakah, SAU.
Rnda A AlraisCollege of Dentistry, Al Jouf University, Sakakah, SAU.
Alanoud B AlfuhigiCollege of Dentistry, Al Jouf University, Sakakah, SAU.
Raghad A AlfehaidGeneral Dentistry, King Saud University, Riyadh, SAU.
Reham M DaghririGeneral Dentistry, Jazan University, Jazan, SAU.
Abdulmajeed N AlwablyCollege of Dentistry, Qassim University, Buraydah, SAU.
Ghadah M AlenaziPediatric Dentistry, Riyadh Second Health Cluster, Health Holding Company, Riyadh, SAU.
Ahmed A AlasmariOrthodontics and Dentofacial Orthopaedics, Armed Forces Hospital Southern Region, Khamis Mushait, SAU.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Dental caries is a chronic oral disease that affects children and adolescents worldwide, significantly impacting oral health and quality of life. Fluoride varnish (FV) application is an effective preventive intervention to reduce the incidence and increment of caries, particularly when delivered within educational settings. This systematic review collates evidence from 14 randomized controlled trials (RCTs) conducted across diverse geographic and socioeconomic contexts. The primary objective is to assess the efficacy of various fluoride interventions delivered in educational settings. PubMed, Cochrane Controlled Register of Trials (CENTRAL), and Google Scholar databases were searched for studies that met the inclusion criteria of focusing on FV application in children in educational settings with a minimum six-month follow-up. The Risk of Bias 2 (RoB 2; Cochrane, London, United Kingdom) tool was used to evaluate methodological quality, and Review Manager (RevMan), Version 7.12.0 (2024; Cochrane) was used for quantitative synthesis. The combined data from more than 13,000 children who received FV showed a consistently lower risk of dental caries than that of the controls, with risk ratios strongly supporting the intervention. School-based FV delivery systems are feasible, and their economic value appears to vary depending on program design and local resources. The preventive impact of FV was strong, despite differences in study designs, caries evaluation techniques, and follow-up times. However, to maximize policy implementation, long-term assessments using standardized outcomes such as child-level caries incidence, DMFT (Decayed, Missing, and Filled Teeth) increments, and Dental Fear Survey (DFS) scores reported at common time points are needed. In summary, this review offers compelling data supporting the use of FV as a safe and successful method for preventing dental cavities in children and adolescents in educational settings. The results support the widespread inclusion of FV in school-based health services worldwide and reaffirm its importance as a component of comprehensive oral health promotion programs.

Indexed as

children’s dental careoral health preventionpreventive interventionspublic health dentistryschool based fluoride delivery

Identifiers

PMID41362574
PMCPMC12682349

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.