Vipeholm experiments: Difference between revisions

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== Introduction ==
{{Infobox research project
This experiment was conducted by Gustafsson et al. in 1954. It was a 5 year investigation of 436 adult inmates in a mental institution at ''Vipeholm'' Hospital near Lund, Sweden. The main purpose of the study was to investigate how the caries activity is influenced by:
| name = Vipeholm Experiments
* By ingestion at meals refined sugar (non-sticky form)
| image = [[File:Gymnasieskolan Vipan.jpg|thumb|Vipeholm School, the site of the experiments]]
* By ingestion at meals of sugar (sticky form)
| location = [[Lund]], [[Sweden]]
* By ingestion between meals of sugar (sticky form)
| start_date = 1945
| end_date = 1955
| participants = Patients at Vipeholm Hospital
| type = [[Dental caries]] research
}}


== Study Design ==
The '''Vipeholm experiments''' were a series of [[dental caries]] research studies conducted in [[Sweden]] between 1945 and 1955. These experiments were carried out at the Vipeholm Hospital, a state institution for individuals with intellectual disabilities, located in [[Lund]]. The primary aim of the experiments was to investigate the effects of sugar consumption on the development of dental caries.
The design of the study divided the inmates in 7 groups:
# A control group.
# A sucrose group (300gms of sucrose given in solution, but reduced to 75gms during the last 2 years).
# A bread group (345gms of sweet bread containing 50gms of sugar daily).
# A chocolate group (65gms of milk chocolate daily between meals during last 2 years).
# A caramel group (22 caramels = 70gms of sugar in 4 portions between meals).
# An 8 toffee group (8 sticky toffees = 60gms of sugar daily for 3 years).
# A 24 toffee group (24 sticky toffees = 120gms of sugar for 18 months).


== Conclusion ==
==Background==
* An increase in carbohydrate (mainly sugar) definitely increases the caries activity.
During the 1940s, the Swedish government was interested in understanding the causes of dental caries, which was a significant public health issue at the time. The Vipeholm experiments were initiated to explore the relationship between sugar intake and tooth decay. The study was funded by the Swedish government and the sugar industry, which had a vested interest in the outcomes.
* The risk of sugar increasing caries is greater if the sugar is consumed between meals.
* The risk of sugar increasing caries is greater if the sugar is consumed in a form that will be retained on the surfaces of the teeth.
* The increase in caries activity varies widely between individuals.
* Upon withdrawal of caries rich foods, the increased caries activity rapidly disappears.
* Caries lesions may continue to appear despite the avoidance of refined sugar and maximum restrictions of natural sugars dietary carbohydrates.
* A high concentration of sugar in solution and its prolonged retention on tooth surfaces leads to increased caries activity.
* The clearance time of sugar correlates closely with caries activity.
* The study showed that the physical form is much more important in cariogenicity than the total amount of sugar ingested.


{{stub}}
==Methodology==
{{dictionary-stub1}}
The experiments involved feeding the patients at Vipeholm Hospital various diets with differing sugar content. The patients were divided into groups, each receiving different types of sugar-rich foods, such as chocolate, caramel, and toffee, at different times of the day. The researchers meticulously recorded the incidence of dental caries in each group over several years.
 
==Ethical Concerns==
The Vipeholm experiments have been criticized for their ethical implications. The patients at Vipeholm Hospital were not able to give informed consent, and the experiments were conducted without their understanding or agreement. The use of vulnerable individuals in such experiments has been widely condemned in retrospect.
 
==Findings==
The experiments demonstrated a clear link between sugar consumption and the development of dental caries. It was found that the frequency of sugar intake was more critical than the total amount consumed. Sticky and sugary foods that adhered to the teeth were particularly cariogenic.
 
==Impact==
The results of the Vipeholm experiments had a significant impact on dental health policies in Sweden and internationally. They contributed to the understanding of the role of sugar in dental caries and influenced dietary recommendations and public health campaigns aimed at reducing sugar consumption.
 
==Legacy==
Despite their controversial nature, the Vipeholm experiments provided valuable data that helped shape modern dental health practices. However, they also serve as a reminder of the importance of ethical standards in research.
 
==Also see==
* [[Dental caries]]
* [[Ethics in medical research]]
* [[History of dentistry]]
* [[Informed consent]]
 
{{Dental health}}
{{Human experimentation}}
 
[[Category:Dental research]]
[[Category:Human experimentation in Sweden]]
[[Category:Ethics in medical research]]

Latest revision as of 02:52, 11 December 2024


The Vipeholm experiments were a series of dental caries research studies conducted in Sweden between 1945 and 1955. These experiments were carried out at the Vipeholm Hospital, a state institution for individuals with intellectual disabilities, located in Lund. The primary aim of the experiments was to investigate the effects of sugar consumption on the development of dental caries.

Background[edit]

During the 1940s, the Swedish government was interested in understanding the causes of dental caries, which was a significant public health issue at the time. The Vipeholm experiments were initiated to explore the relationship between sugar intake and tooth decay. The study was funded by the Swedish government and the sugar industry, which had a vested interest in the outcomes.

Methodology[edit]

The experiments involved feeding the patients at Vipeholm Hospital various diets with differing sugar content. The patients were divided into groups, each receiving different types of sugar-rich foods, such as chocolate, caramel, and toffee, at different times of the day. The researchers meticulously recorded the incidence of dental caries in each group over several years.

Ethical Concerns[edit]

The Vipeholm experiments have been criticized for their ethical implications. The patients at Vipeholm Hospital were not able to give informed consent, and the experiments were conducted without their understanding or agreement. The use of vulnerable individuals in such experiments has been widely condemned in retrospect.

Findings[edit]

The experiments demonstrated a clear link between sugar consumption and the development of dental caries. It was found that the frequency of sugar intake was more critical than the total amount consumed. Sticky and sugary foods that adhered to the teeth were particularly cariogenic.

Impact[edit]

The results of the Vipeholm experiments had a significant impact on dental health policies in Sweden and internationally. They contributed to the understanding of the role of sugar in dental caries and influenced dietary recommendations and public health campaigns aimed at reducing sugar consumption.

Legacy[edit]

Despite their controversial nature, the Vipeholm experiments provided valuable data that helped shape modern dental health practices. However, they also serve as a reminder of the importance of ethical standards in research.

Also see[edit]

Template:Dental health Template:Human experimentation