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 in drinking water to a level recommended for preventing 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.
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. 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 2016, nearly 73% 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 75 years, CDC named community water fluoridation as 1 of 10 great public health achievements of the 20th century.
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