For approximately 60 years water fluoridation has been a controversial public health intervention to control dental caries. With regards to the mass amounts of research put in over the six decades, one might think that researches have concluded a clear answer to the question, do the benefits out weight the possible consequences? Scholarly sources suggest that fluoridation of public water does, in fact, significantly lower dental caries in both adolescents and adults, but also suggest this is not the only, nor the most globally beneficial, solution to the problem. Though fluoridation of public water sources is supported by major organizations such as the World Health Organization (WHO), it is abandoned and neglected by citizens who fear its potential side effects.
History and Background By ingesting fluoride through the consumption of an everyday necessity, communities are able
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According to the author Sally- Ann Botchey, in 1956 the first fluoridated tooth paste was released in Cincinnati, Ohio with the trade mark name, Crest. The release of this product benefitted countries immensely. “In countries that do not fluoridate drinking water, such as Denmark and Italy, fluoridated toothpastes account for more than 90% of the sales of toothpaste products” (Botchey, 48). Author Andrew W. Campbell supports fluoridated toothpaste as the most successful form of fluoridation based off the conclusions stated in the National Research Council’s 2006 study on fluoride and the following statement made by the Dental Clinics of North America. “Current evidence strongly suggests that fluorides work primarily by topical means through direct action on the teeth and dental plaque. Thus ingestion of fluoride is not essential for caries prevention” (Campbell, 9). Concluding his argument he states that “it is becoming increasingly clear, fluoridating public water supplies is outdated and unnecessary...” (Campbell,
Another issue of controversy is the safety of the chemicals used to fluoridate water. The most commonly used additives are silicofluorides, not the fluoride salts used in dental products (such as sodium fluoride and stannous fluoride). Silicofluorides are one of the by-products from the manufacture of phosphate fertilizers. The toxicity database on silicofluorides is sparse and questions have been raised about the assumption that they completely dissociate in water and, therefore, have toxicity similar to the fluoride salts tested in laboratory studies and used in consumer products (Coplan and Masters 2001). It also has been maintained that, because of individual variations in exposure to fluoride, it is difficult to ensure that the right individual dose to protect against dental caries is provided through large-scale water fluoridation. In addition, a body of information has developed that indicates the major anticaries benefit of fluoride is topical and not systemic (Zero et al. 1992; Rölla and Ekstrand 1996; Featherstone 1999; Limeback 1999a; Clarkson and McLoughlin 2000; CDC 2001; Fejerskov
Fluoride in drinking water has been a hot topic in the past decade. Some communities are all for it and some are completely against it. With such a range of opinions on the matter some organizations have took it upon themselves to present the pros and cons of the fluoride to the public so they can make informed decisions. Often times these surveys are bias to one side or the other, so I shall be giving information on both sides of the issue, the future outlook, and my personal opinion in order to help inform you to decide on your own.
Fluoridation of group drinking water is a main consideration in charge of the decrease in dental caries (tooth rot) . The historical backdrop of water fluoridation is a great case of clinical perception prompting epidemiologic examination and group based general wellbeing intercession. Albeit other fluoride-containing items are accessible, water fluoridation remains the most fair and practical strategy for conveying fluoride to all individuals from most groups, paying little respect to age, instructive achievement, or wage level.
In United States Department of Health and Human Services (HHS), Healthy People 2020 (2011), the report talks about how many improvements have occurred in oral health but there is still a lot more improvement needed. The report further explains how water fluoridation has been one of the most efficient ways to reduce decay across the nation. Mostly everyone has access to water and if the water is fluoridated, then those with little or no access to dental care are getting preventative dental care in the form of a fluoride regimen in their daily water intake. (HHS, Healthy People 2020, 2011) Given this, it would only make sense that the government would employ a dental professional to assess the water fluoridation in every state.
According to World Health Organization data obtained from a study on 12 year old’s levels of tooth decay, fluoride has had very little effect, if any at all, on tooth decay. Countries such as Japan, Italy, and Iceland, who are non-fluoridated countries, actually have about the same level of tooth decay decrease as countries that have fluoridated water. Fluoride is considered a drug, according to the FDA, which means that it is a medical treatment. Medical treatments are not to be given unless the patient agrees to the treatment, therefore, placing fluoride into the public water supply violates informed consent seeing as how citizens are not given the opportunity to vote on the matter. Even if people could vote on the situation, not all people are going to agree with and since it is considered a drug, it
Fluoridation of drinking water addresses the health issue of tooth decay and the related dental problems associated with it.1 Fluoride is associated with this health issue since fluoride has been recognized as an important nutrient for healthy teeth.1
The U.S. Department of Health and Human Services recommendation for the optimal fluoride level in drinking water to prevent tooth decay have changed from 0.7 -1.2 milligrams per liter stablished in 1962 to 0.7 milligrams of fluoride per liter of water. This change was the result of a systematic reviews of the scientific evidence related community water fluoridation since it was incorporated in 1945. As a result of community water fluoridation there was an increase in the percentage of children who were caries-free and a significant decreases in the number of teeth or tooth surfaces with caries in both children and adult. The main reason to lower the recommendation was because Americans nowadays have more sources of fluoride than the ones
In those case the person have to control the levels of fluorides because in most cases the levels are greater than FDA/CDC recommend but most people don't treat their water to lower the amount of fluoridation. In the case cities water systems fluoridation is monitored and adjusted to meet certain standards, low enough not to cause harm yet high enough to aid in preventing tooth decay. Tooth decay is a big health problem if not controlled. Which one the the water supply systems did you read about that was causing the health
The current data suggests that water fluoridation disproportionately harms low-income and minority communities. In 2005, the Centers for Disease Control released the results of a national survey of dental fluorosis, which was conducted between 1999 and 2002. According to the results, in the U.S., African American children have significantly higher rates of dental fluorosis.2 Same observation has been made in other studies as well. Another study conduced in Indianapolis, Indiana, shows that “the prevalence of dental fluorosis in African American children (80.1%) was significantly higher than in Whites (62.5%). 3
Research has been showed that such an improvement is due to many factors that combined together. One of these factors is systemic water fluoridation, which has been announced to have a substantial impact on children dental health, alongside with topical fluoride that can be found in mouthwash, toothpaste, and fluoride supplements. In addition to better nutrition, rising standards of living, and better access to dental care 76.
population that are on public water systems have access to fluoridated water. In order to truly make a change and improve the overall oral health of American citizens, each state needs to raise this number to 100%. The CDC estimates that the return 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. Nearly everyone would enjoy the benefits of the community water fluoridation which include having to deal with fewer cavities that are less severe, less need for fillings, and a greater chance for teeth not reaching such an unhealthy state that they need to be removed. It’s no wonder why community water fluoridation is recommended by the American Dental Association, American Academy of Pediatrics, US Public Health Service, and World Health
Fluoridation of drinking water serving communities of more than 5000 people is now the law. The anti-fluoridation advocates, continue to as they have done in the past, fight fluoridation tooth and nail. This is an ongoing conflict.
According to Oral Health in America: A Report of the Surgeon General, “ Epidemiological studies carried out during the last five decades provide strong evidence supporting the effectiveness of water fluoridation in preventing coronal and root caries in children and adults.” (USDHHS, 2000) This initiative, while beneficial, must be monitored to ensure that optimal levels of fluoride are present to minimize the risks, most notably fluorosis, which can occur. In a University of York study on fluoridation levels, it was found that at fluoride levels of only 1.0ppm, fluorosis levels in the public were nearly 48% (McDonagh et. al., 2000). Through doing its job by evaluating, reporting, and potentially working to improve its results, the water districts are working to both maximize the benefit of the public, and also minimize the potential risks associated with
While toothpaste is the most common vehicle to carry fluoride, as more than 95% of the population in more economically developed countries use a fluoridated toothpaste, there are other options that can serve the same purpose, so that fluoride can be brought into the mouth at times other than tooth brushing20. Mouthrinse is a widely used oral health product that contain a much simpler formulation compared to dentifrice, and it can lead to higher level oral fluoride retention than fluoride dentifrice, depending on behavioral practices after toothbrushing. However, despite its popularity, indicated by the number of users in countries such as the United States that reach 120 million, fluoride mouthrinse only represent 7% within the mouthrinse
iii. The Story of Fluoridation states, “In 1945, Grand Rapids became the first city in the world to fluoridate its drinking water” after it was discovered that fluoride could help reduce the rate of tooth decay and cavities. This program would be the first step in fluoridating most of America 's tap water.