What is REFLECT?

Recent research has found that many more people are keeping their own teeth for longer. Although this is a good thing it also means that when people begin to suffer with decay, the treatments required are more complex and expensive and may be very costly. There is a need to help people keep their own teeth free from decay as long as possible.

Since the 1970’s fluoride toothpaste has been widely used to prevent tooth decay. Standard fluoride toothpaste, available to buy on the high street, contains around 1400 parts per million (ppm) of fluoride. High dose fluoride toothpaste, containing 5000ppm fluoride, is available by prescription from your dentist and is increasingly provided to patients judged to be at risk of decay.

In 2016 prescriptions of high dose fluoride toothpaste cost the NHS over £20 million and these costs are increasing rapidly. However, there is a lack of evidence to demonstrate that this toothpaste benefits patients and is cost-effective for the NHS.

The Reflect study aims to evaluate if prescribing high dose fluoride toothpaste can improve the dental health of older adults who have a high-risk of tooth decay, and reduce costs for both patients and the NHS. The study recruited participants from NHS dental practices across the UK. Follow-up of participants is now complete and results from the study will be reported soon.

Study news

Recruitment

1159/1174

Trial sites

Latest addition to sites:

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                            Woodlands Dental Practice
                        
                            Church Road Dental Practice
                        
                            Remarkable Smiles (Pearl Dental)
                        
                            Glumangate Dental Practice
                        
                            Cottage Dental Practice {my}dentist
                        
                            Hafren House Dental Practice
                        
                            Alyth Dental Care
                        
                            Simply Smiles Dental Surgery
                        
                            Kirkmuirhill Dental Practice
                        
                            Ethos Dental Care
                        
                            Truss Dental
                        
                            Maryhill Smile Care
                        
                            Tarbert Dental Surgery
                        
                            Abbey Dental Clinic
                        
                            Montgomery Street Dental Care
                        
                            Abbey Dental Care
                        
                            PCK Wee Dental Surgery
                        
                            Delicate Dental
                        
                            Sankey Street Dental Practice
                        
                            Clark & Watson Dental Practice
                        
                            The Collegiate Dental Practice
                        
                            Canmore Dental Practice (Lochgelly)
                        
                            Hyland Dental Care
                        
                            Canmore Dental Practice (Dunfermline)
                        
                            Sheil Road Dental Practice
                        
                            The Dental House
                        
                            Rankin Dental
                        
                            Stevenston Cross Dental
                        
                            Craigentinny Dental Practice
                        
                            Harpers Dental Practice
                        
                            Tannochside Dental (mydentist)
                        
                            Dental Bees
                        
                            The Glens Dental Practice
                        
                            Cardonald Dental Practice
                        
                            Livingston Dental Healthcare
                        
                            Blairgowrie Dental Care
                        
                            Camlough Dental Practice
                        
                            Quinn dental
                        
                            L.C. Milton BDS
                        
                            Haugh Dental Care
                        
                            One Dental
                        
                            Discovery Dental Care
                        
                            Montrose Dental Practice
                        
                            Bute Dental Surgery
                        
                            Lossie Dental Practice
                        
                            Kelvingrove Dental Care Ltd
                        
                            Main Street Dental Care
                        
                            Newcastle Family Dental Care
                        
                            The Grange Dental Care
                        
                            Bishop Street Dentalcare
                        
                            Bell & Thom Dental Surgery
                        
                            DJ Maguire & Associates
                        
                            Brownlow Family Dental Care
                        
                            North Street Dental Care
                        
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Contact Us

If you have any questions

North Street Dental Care

Key people:

Investigator:

Mr Christopher Minnis

Address:

42 North Street
Lurgan
BT67 9AH

Brownlow Family Dental Care

Key people:

Investigator:

Ms Catherina Beatty

Address:

5 Legahory Centre
Legahory
Craigavon
BT65 5BE

DJ Maguire & Associates

Key people:

Investigator:

Ms Heather Topping

Address:

83a Bridge Street
Portadown
BT63 5AA

Bell & Thom Dental Surgery

Key people:

Investigator:

Mr Andrew Bell

Address:

17/19 Main Street
Portglenone
Ballymena
BT44 8AA

Bishop Street Dentalcare

Key people:

Investigator:

Mr Gerard Cleary

Address:

21 Bishop Street
Londonderry
BT48 6PR

The Grange Dental Care

Key people:

Investigator:

Mr Paul Grugan

Address:

2 Crevenagh Road
Omagh
Co Tyrone
BT79 0AL

Newcastle Family Dental Care

Key people:

Investigator:

Mr David Knowles

Address:

2 Iveagh Court
Railway Street
Newcastle
BT33 0SP

Main Street Dental Care

Key people:

Investigator:

Mr Hari Shakar Lal

Address:

45a Main Street
Thornliebank
Glasgow
G46 7SF

Kelvingrove Dental Care Ltd

Key people:

Investigator:

Ms Anne Craig

Address:

1180 Argyle Street
Glasgow
G38TE

Lossie Dental Practice

Key people:

Investigator:

Mr Javier Margallo

Address:

2 Clifton Road
Lossiemouth
IV31 6DJ

Bute Dental Surgery

Key people:

Investigator:

Mr Cameron McLarty

Address:

14-16 West Princes Street
Rothesay
Isle of Bute
PA20 9AF

Montrose Dental Practice

Key people:

Investigator:

Ms Lorraine Arnot

Address:

53 John St
Montrose
DD10 8LZ

Discovery Dental Care

Key people:

Investigator:

Ms Avril Aitken

Address:

1 West Bell Street
Dundee
DD1 1EX

One Dental

Key people:

Investigator:

Ms Deirdre Ball

Address:

1 Queen Street
Londonderry
BT48 7EF

Haugh Dental Care

Key people:

Investigator:

Mr Andrew Haugh

Address:

3-5 Newcastle St. Kilkeel
Newry
County Down
BT34 4AF

L.C. Milton BDS

Key people:

Investigator:

Mr Lindsay Milton

Address:

1356 Barhead Rd
Glasgow
G53 7DE

Quinn dental

Key people:

Investigator:

Mr Liam Quinn

Address:

53 Main Street
Randalstown
Antrim
BT41 3BB

Camlough Dental Practice

Key people:

Investigator:

Mr Billy Campbell

Address:

27 Main Street
Camlough
Newry
County Down
BT35 7JG

Blairgowrie Dental Care

Key people:

Investigator:

Mr Stewart McLean

Address:

64 High Street
Blairgowrie
PH10 6DF

Livingston Dental Healthcare

Key people:

Investigator:

Mr Ross Livingston

Address:

38 Hamilton Road
Bangor
BT20 4LE

Cardonald Dental Practice

Key people:

Investigator:

Ms Helen Price

Address:

5 Lamington Road
Cardonald
Glasgow
G52 2SF

The Glens Dental Practice

Key people:

Investigator:

Mr Mark Morris

Address:

2 Gortaclee Road
Cushendall
BT44 0TE

Dental Bees

Key people:

Investigator:

Ms Lina Petrauskyte

Address:

1 St. Andrew Street
Castle Douglas
DG7 1DE

Tannochside Dental (mydentist)

Key people:

Investigator:

Ms Maureen Henderson

Address:

499 Old Edinburgh Road
Tannochside
Glasgow
G71 6PL

Harpers Dental Practice

Key people:

Investigator:

Mr David Harper

Address:

32 Bradford Street
Bolton
BL2 1JJ

Craigentinny Dental Practice

Key people:

Investigator:

Ms Miriam Figge

Address:

57 Duddingston Crescent
Edinburgh
EH15 3AY

Stevenston Cross Dental

Key people:

Investigator:

Ms Alison Livingston

Address:

14 Fullarton Place
Stevenston
Ayrshire
KA20 3EH

Rankin Dental

Key people:

Investigator:

Mr Stephen Rankin

Address:

30 Ellon Road
Bridge of Don
Aberdeen
AB23 8BX

The Dental House

Key people:

Investigator:

Mr Stuart Garton

Address:

6-10 Derby Lane
Old Swan
Liverpool
L13 3DL

Sheil Road Dental Practice

Key people:

Investigator:

Mr Steven Korb

Address:

74 Sheil Road
Liverpool
L6 3AF

Canmore Dental Practice (Dunfermline)

Key people:

Investigator:

Ms Aleks Wasiak

Address:

8 Abbey Park Place
Dunfermline
KY12 7PD

Hyland Dental Care

Key people:

Investigator:

Mr John Hyland

Address:

6 Park Road
Hamilton
ML3 6PD

Canmore Dental Practice (Lochgelly)

Key people:

Investigator:

Mr Alan Torgersen

Address:

126 Main Street
Lochgelly
KY5 9AA

The Collegiate Dental Practice

Key people:

Investigator:

Mr Michael Somerville

Address:

76 Brideoak Street
Cheetham Hill
Manchester
M8 0AB

Clark & Watson Dental Practice

Key people:

Investigator:

Mr Alan Marshall

Address:

27 Newmarket Street
Falkirk
FK1 1JJ

Sankey Street Dental Practice

Key people:

Investigator:

Ms Mary Samuel

Address:

61a Sankey Street
Warrington
WA1 1SL

Delicate Dental

Key people:

Investigator:

Ms Monica O'Reilly

Address:

106 Main Street
Lisnaskea
County Fermanagh
BT920JD

PCK Wee Dental Surgery

Key people:

Investigator:

Mr Philip Wee

Address:

102a Cricklewood Broadway
London
NW2 3E5

Abbey Dental Care

Key people:

Investigator:

Ms Hazel Pahnke

Address:

47 Causeyside Street
Paisley
PA1 1YN

Montgomery Street Dental Care

Key people:

Investigator:

Mr Alex Coakley

Address:

96 Montgomery Street
Edinburgh
EH7 5HE

Abbey Dental Clinic

Key people:

Investigator:

Ms Jane O'Dowd

Address:

620-630 Shore Road
Newtonabbey
BT37 0ST

Tarbert Dental Surgery

Key people:

Investigator:

Ms Veronica Smith

Address:

Harbour Street
Tarbert
PA29 6UQ

Maryhill Smile Care

Key people:

Investigator:

Ms Sunita Lagoo

Address:

283 Maryhill Road
Maryhill
Glasgow
G20 7YA

Truss Dental

Key people:

Investigator:

Mr Richard Truss

Address:

85 East Road
Irvine
KA12 0AA

Ethos Dental Care

Key people:

Investigator:

Mr Simon Li

Address:

126 Wellington Road
Stockport
Cheshire
SK4 2LL

Kirkmuirhill Dental Practice

Key people:

Investigator:

Mr Piotr Prosowski

Address:

14a Thornton Road
Kirkmuirhill
ML11 9QE

Simply Smiles Dental Surgery

Key people:

Investigator:

Ms Sharon Benton

Address:

35 Holden Road
Salford
M& 4LR

Alyth Dental Care

Key people:

Investigator:

Ms Amy Anderson

Address:

20 Commercial Street
Alyth
PH11 8AF

Hafren House Dental Practice

Key people:

Investigator:

Mr Bhupinder Dawett

Address:

1 Cressy Road
Alfreton
Derbyshire
DE55 7BR

Cottage Dental Practice {my}dentist

Key people:

Investigator:

Ms Wendy Thompson

Address:

6-8 Chapel Lane
Kirby Lonsdale
Carnforth
LA6 2AL

Glumangate Dental Practice

Key people:

Investigator:

Mr Rami Khatib

Address:

46 Glumangate
Chesterfield
S40 1TX

Remarkable Smiles (Pearl Dental)

Key people:

Investigator:

Mr Amit Koshal

Address:

1242 London Road
Alvaston
Derby
DE24 8QH

Church Road Dental Practice

Key people:

Investigator:

Ms Nicola Keogh

Address:

66 Church Road
Bebington
Wirral
CH63 3EB

Woodlands Dental Practice

Key people:

Investigator:

Mr James Ashley

Address:

493 Old Chester Road
Rock Ferry
Wirral
CH42 4NG

Key facts about the study and documents

Recruitment of participants to the REFLECT study finished in March 2020 and the study is now in follow-up. There are 60 dental practices across Scotland, Northern Ireland and England taking part in REFLECT and 1161 participants recruited to the study. Thank you to all who took part.

People who took part in REFLECT were randomised to receive either a prescription for 5000ppm fluoride toothpaste or to receive the usual care and advice on buying and using standard fluoride toothpaste.

People who took part were followed up in the study for 3 years and completed questionnaires and their dentist collected data about routine follow-up appointments.

Now that the study has finished, those people who took part in the study should continue to attend their dental practice for regular check-ups.

All information collected during the course of the REFLECT study will be kept confidential. The results will be used to make recommendations about treatments for patients with a risk of tooth decay and published in scientific journals.

We welcome any feedback or questions about the REFLECT study by emailing the coordinating team at REFLECT@dundee.ac.uk.

You can find out more information about REFLECT here:

The 'REFECT' study

Download documents:

PIL England and NI (V1.1)

PIL Scotland ( V1.1)

Key contacts

Click on cards to find out more

Organisation

The Reflect study is funded by the National Institute for Health Research (NIHR) Health Technology Assessment (HTA) programme (project: 16/23/01) . For more information please visit www.nets.nihr.ac.uk.

General Data Protection Regulation (GDPR)
Participant Information

Manchester University NHS Foundation Trust is the sponsor for this study based in the United Kingdom. We will be using information from you and your dental records in order to undertake this study and will act as the data controller for this study. This means that we are responsible for looking after your information and using it properly.

This information will include your name, contact details, date of birth, NHS number and CHI number (Scottish participants only). People will use this information to do the research or to check your records to make sure that the research is being done properly.

We will collect relevant data (e.g fluoride toothpaste prescription information) via NHS central registers. The reason for this is to make sure that we have the correct information about all the participants taking part in this study and ensure that the results are as accurate as possible. In order to do this, we will securely send the NHS central registers some information about you (e.g. date of birth, hospital number, name, address, CHI number (Scottish participants only). They will then match this information to their records and use your study number to securely send any relevant data back to the REFLECT Study Office.

People who do not need to know who you are will not be able to see your name or contact details. Your data will have a code number instead. We will follow ethical and legal practice and all information which is collected about you for the purpose of this research study will be handled in strict confidence and securely stored by the University of Aberdeen.

Once we have finished the study, we will keep some of the data so we can check the results. We will write our reports in a way that no-one can work out that you took part in the study. Manchester University NHS Foundation Trust will keep identifiable information about you for up to 15 years after the study has finished.

Your rights to access, change or move your information are limited, as we need to manage your information in specific ways in order for the research to be reliable and accurate. If you withdraw from the study, we will keep the information about you that we have already obtained. To safeguard your rights, we will use the minimum personally-identifiable information possible.

You can find out more about how we use your information:

at www.hra.nhs.uk/information-about-patients/
by asking one of the research team
by sending an email to information.governance@mft.nhs.uk or
by ringing us on 0345 456 6000

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WELCOME TO REFLECT

A Randomised controlled trial to Evaluate the effectiveness and cost benefit of prescribing high dose FLuoride toothpaste in preventing and treating dEntal Caries in high-risk older adulTs

What is REFLECT?

Study news

Recruitment

Trial sites

Latest addition to sites:

Contact Us

If you have any questions

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