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Community Water Fluoridation: Caveats to Implement Justice in Public Oral Health.

Youngha Song1,2, Junhewk Kim3

  • 1Department of Preventive and Social Dentistry, School of Dentistry, Seoul National University, Seoul 03080, Korea.

International Journal of Environmental Research and Public Health
|April 3, 2021
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Summary

Community water fluoridation (CWF) is a public health intervention requiring ethical justification. Applying public health ethics, procedural justice, social contexts, and trust are crucial for CWF

Keywords:
community water fluoridationoral preventionprocedural justicepublic dentistrypublic health ethics

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Area of Science:

  • Public Health Ethics
  • Health Policy Analysis
  • Dental Public Health

Background:

  • Community water fluoridation (CWF) is a long-standing public health measure.
  • Justifying CWF involves ethical considerations regarding oral health as a social responsibility.
  • Dental caries is recognized as a significant public health issue.

Purpose of the Study:

  • To explore the ethical justification of community water fluoridation.
  • To apply public health ethics rather than clinical ethics to CWF.
  • To propose a framework for the public justification of CWF.

Main Methods:

  • Ethical analysis of CWF as a public health policy.
  • Examination of pro- and anti-fluoridationist arguments.
  • Introduction of 'accountability for reasonableness' as a justification framework.

Main Results:

  • CWF necessitates ethical justification beyond simple utility.
  • Key ethical considerations include procedural justice, social contexts, and trust.
  • Participatory decision-making, transparency, and pluralistic democracy are vital for CWF justification.

Conclusions:

  • Ethical justification for CWF requires a robust framework.
  • Maintaining public trust in oral healthcare systems is paramount.
  • Accountability for reasonableness offers a comprehensive approach to justifying CWF implementation.