Fluoride Ion

Image Caption : Fluoride occurs naturally within the body as calcium fluoride. Only trace amounts are present in the body, and the daily dietary requirement for maintaining dental and skeletal health is only a few milligrams per day. Most Americans acquire fluoride through drinking water, though not all states fortify their water supply. Without flouroide, teeth are far more prone to decay. Dental health is not only a cosmetic issue but also important to the earliest stages of food digestion.

Basic Information About Fluoride

The mineral fluoride occurs naturally on earth and is released from rocks into the soil, water, and air. All water contains some fluoride. Usually, the fluoride level in water is not enough to prevent tooth decay; however, some groundwater and natural springs can have naturally high levels of fluoride.

Fluoride has been proven to protect teeth from decay. Bacteria in the mouth produce acid when a person eats sugary foods. This acid eats away minerals from the tooth's surface, making the tooth weaker and increasing the chance of developing cavities. Fluoride helps to rebuild and strengthen the tooth's surface, or enamel. Water fluoridation prevents tooth decay by providing frequent and consistent contact with low levels of fluoride. By keeping the tooth strong and solid, fluoride stops cavities from forming and can even rebuild the tooth's surface.

Community water fluoridation is the process of adjusting the amount of fluoride found in water to achieve optimal prevention of tooth decay.

Although other fluoride-containing products, such as toothpaste, mouth rinses, and dietary supplements are available and contribute to the prevention and control of tooth decay, community water fluoridation has been identified as the most cost-effective method of delivering fluoride to all, reducing tooth decay by 25% in children and adults.1

Benefits: Strong Teeth

Fluoride benefits children and adults throughout their lives. For children younger than age 8, fluoride helps strengthen the adult (permanent) teeth that are developing under the gums. For adults, drinking water with fluoride supports tooth enamel, keeping teeth strong and healthy. The health benefits of fluoride include having:

  • Fewer cavities.
  • Less severe cavities.
  • Less need for fillings and removing teeth.
  • Less pain and suffering because of tooth decay.

History of Fluoride in Water

In the 1930s, scientists examined the relationship between tooth decay in children and naturally occurring fluoride in drinking water. The study found that children who drank water with naturally high levels of fluoride had less tooth decay.2 This discovery was important because during that time most children and adults in the United States were affected by tooth decay. Many suffered from toothaches and painful extractions-often losing permanent teeth, including molars, even as teenagers.

After much scientific research, in 1945, the city of Grand Rapids, Michigan, was the first to add fluoride to its city water system in order to provide residents with the benefits of fluoride. This process of testing the water supply for fluoride and adjusting it to the right amount to prevent cavities is called community water fluoridation.

Since 1945, hundreds of cities have started community water fluoridation and in 2012, nearly 75% of the United States served by community water systems had access to fluoridated water. Because of its contribution to the dramatic decline in tooth decay over the past 70 years, CDC named community water fluoridation as 1 of 10 great public health achievements of the 20th century.

Cost: Saves Money, Saves Teeth

Community water fluoridation has been shown to save money, both for families and the health care system. The return on investment for community water fluoridation varies with size of the community, increasing as the community size increases. Community water fluoridation is cost-saving, even for small communities. The estimated return on investment for community water fluoridation (including productivity losses) ranged from $4 in small communities of 5,000 people or less, to $27 in large communities of 200,000 people or more.

Fluoride in the Water Today

In 2012, more than 210 million people, or 75% of the US population, were served by community water systems that contain enough fluoride to protect their teeth.5 However, approximately 100 million Americans still do not have access to water with fluoride. Because it is so beneficial, the United States has a national goal for 80% of Americans to have water with enough fluoride to prevent tooth decay by 2020.

Division of Oral Health, National Center for Chronic Disease Prevention and Health Promotion

The material on this site is for informational purposes only and is not intended as medical advice. It should not be used to diagnose or treat any medical condition. Consult a licensed medical professional for the diagnosis and treatment of all medical conditions and before starting a new diet or exercise program. If you have a medical emergency, call 911 immediately.