Reference/Features

Evidence-based dentistry and fluoride toothpaste

3 mins read Oral health and mouth cancer Fluoride varnish
Major dental conditions of caries and periodontal disease can both be reduced by regular toothbrushing with fluoride toothpaste. The fluoride in toothpaste serves to prevent, control and arrest caries. In this article, Robin Davies discusses the strength of evidence to support the use of fluoride to

The strength of evidence to support the effectiveness of preventive and therapeutic procedures is graded as follows:

Systematic reviews – highest level

Randomised controlled trials (RCTs)

Observational/reported behaviour

Opinion/traditional reviews.

The Cochrane Oral Health Group, based in Manchester, collates evidence from randomised controlled trials of preventive and therapeutic measures and performs systematic reviews of these. The findings from systematic reviews provide the strongest evidence about how effective treatments are. This article provides a summary of the evidence which supports the advice that should be given to patients by dental professionals.

What is the strength of evidence to demonstrate that fluoride toothpastes are effective in reducing the prevalence, incidence and severity of dental caries?

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