Evidence map›Paper›PMID 41776554›Full record

ArticleTrials2026

Building Adaptive School-Based Interventions for Caries (BASICS): study protocol for a Sequential, Multiple Assignment, Randomized Trial.

Ryan Richard Ruff, Tamarinda Barry Godín, Shulamite Huang

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07265830 (The Building Adaptive School-based Interventions for Caries Study), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

NCT07265830 phase3not yet recruitingnot on this map

The Building Adaptive School-based Interventions for Caries Study (BASICS): A Phase III Sequential, Multiple-Assignment, Randomized Trial of Minimally Invasive Therapies to Reduce Treatment Nonresponse

TypeinterventionalSponsorUniversity of PennsylvaniaRan2026 to 2030Enrolled1,200ConditionsDental CariesArmsSilver Diamine Fluoride (38%), Glass Ionomer Sealant, Fluoride Varnishes, Hygiene Intervention
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Ryan Richard RuffDivision of Community Oral Health, University of Pennsylvania School of Dental Medicine, 220 S. 40th Street, Philadelphia, PA, 19104, USA. ryanruff@upenn.edu.ORCID http://orcid.org/0000-0003-0731-5614
Tamarinda Barry GodínDepartment of Epidemiology & Health Promotion, New York University College of Dentistry, 386 Park Avenue, New York, NY, 10010, USA.
Shulamite HuangDepartment of Epidemiology & Health Promotion, New York University College of Dentistry, 386 Park Avenue, New York, NY, 10010, USA.

Funding

Making caries prevention SMART: Adaptive interventions for precision dental medicine in schoolsR01MD019938 · NIMHD · NEW YORK UNIVERSITY · PI RUFF, RYAN RICHARD · 2025 to 2025
$2.9M
NIMHD NIH HHS R01 MD019938NIMHD NIH HHS R01MD019938
6 · The paper itself

Abstract

backgroundSchool-based caries prevention programs are clinically and cost-effective public health approaches to increase access to essential oral healthcare for high-risk children. However, approximately 1 in 4 children participating in school caries prevention fail to respond to care, remaining at risk for dental caries and related sequela.

methodsThe Building Adaptive School-based Interventions for Caries study (BASICS) will develop and test adaptive preventive interventions using a Sequential, Multiple Assignment, Randomized Trial (SMART) design, reducing treatment nonresponse by incorporating personalized medicine into school caries prevention. Children will receive a first-stage treatment of either silver diamine fluoride or glass ionomer dental sealants and atraumatic restorations. At subsequent observations, the primary outcome of reoccurrence or new presentation of dental caries will be used as a tailoring variable for treatment nonresponse. Nonresponsive participants in either first-stage pathway will subsequently receive either (1) reapplication of initial treatment plus fluoride varnish and receipt of an electronic toothbrush or (2) an intensified Silver Modified Atraumatic Restorative Technique. The targeted enrollment is 1200 children from primarily low-income rural families enrolled in kindergarten through third grades in public primary schools. DISCUSSION: Primary study objectives of BASICS include determining the most effective initial treatment for caries prevention and sequence of treatments to reduce nonresponse, identifying the optimal dynamic treatment regime given patient attributes, and estimating the most cost-efficient allocation of resources for adaptive school-based caries prevention. If successful, BASICS will result in a resource-efficient approach to school dental care that optimizes resources matched to patient needs.

trial registrationClinicalTrials.gov #NCT07265830, Registered on 12/4/25. https://www. CLINICALTRIALS: gov/study/NCT07265830.

Indexed as

Cariostatic AgentsDental Atraumatic Restorative TreatmentDental CariesPit and Fissure SealantsQuaternary Ammonium CompoundsSchool DentistrySchool Health ServicesAdaptive Clinical Trials as TopicChildChild, PreschoolFluorides, TopicalFluoride TreatmentGlass Ionomer CementsHumansPrecision MedicineRandomized Controlled Trials as TopicCariostatic AgentsFluorides, TopicalGlass Ionomer CementsPit and Fissure SealantsQuaternary Ammonium CompoundsSilver Compoundssilver diamine fluorideAdaptive interventionsCaries preventionDynamic treatment regimesMinimally invasive dentistrySchool healthSMART

Identifiers

PMID41776554
PMCPMC13067704

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Registered trials

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.