In response to COVID-19, the study team are working from home. We are continuing to keep in touch with participants in the study. It may be that we are in touch with you by a different method than usual (for example we may telephone you to complete questionnaires, rather than send them by post). If you have any questions about the study, please get in touch on 01224 438134 (and leave a message) or email. firstname.lastname@example.org.
If you are a patient and require medical attention or advice, please contact your GP or NHS-111/NHS-24 (by dialling 111).
You can also find information about COVID-19 from the NHS websites in England ,Scotland, Wales and Northern Ireland.
There is also information about COVID-19 on the UK government website.
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.
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 have agreed to take part.
When you consented to take part in REFLECT you 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.
You should continue to attend your dental practice for regular check-ups as usual during the 3-year follow up, where your dentist will examine your teeth and gums, record information about your dental health and prescribe high dose fluoride toothpaste for those participants that were randomised to receive this as part of the study. You will also be asked to complete confidential questionnaires each time you attend your dental practice and sent annually to your home address.
Your contribution to the study is valuable for the integrity of the study and important for the results of REFLECT. Both groups of participants (those prescribed high fluoride toothpaste and those not) will be followed up for 3 years so that at the end of the study any difference in dental health and the costs of dental care between the 2 groups can be compared. All information collected about you during the course of the research 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.
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.
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. 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 by contacting email@example.com.