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Updated: Jul 26, 2025

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Analysis of Fluoride-Free Content on Twitter: Topic Modeling Study.

Matheus Lotto1,2, Irfhana Zakir Hussain2,3, Jasleen Kaur2

  • 1Department of Pediatric Dentistry, Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo, Bauru, Brazil.

Journal of Medical Internet Research
|June 20, 2023
PubMed
Summary

Concerns about healthy lifestyles and natural products drive increased "fluoride-free" social media discussions. Public health officials must monitor this trend to counter potential health misinformation.

Keywords:
Twitterfluoridehealth informationhealthy lifestylehygieneinfodemiologyinfoveillancemisinformationoral caresocial media

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Area of Science:

  • Infodemiology and Infoveillance
  • Social Media Analysis
  • Public Health Communication

Background:

  • Social media can spread health misinformation but also reveal social factors behind negative beliefs.
  • Data mining is crucial in infodemiology for combating misinformation.
  • Limited research exists on fluoride misinformation specifically on Twitter, despite concerns about fluoridated products.

Purpose of the Study:

  • To analyze the topics and temporal frequency of "fluoride-free" tweets.
  • To understand the drivers and nature of antifluoridation discourse online.

Main Methods:

  • Utilized Twitter API to collect 21,169 "fluoride-free" tweets (May 2016-May 2022).
  • Applied Latent Dirichlet Allocation (LDA) topic modeling to identify key themes.
  • Analyzed topic similarity, manually reviewed representative tweets, and visualized temporal trends using Elastic Stack.

Main Results:

  • Identified three main topics: "healthy lifestyle," "natural/organic oral care products," and "recommendations for fluoride-free alternatives."
  • Topic 1 focused on health concerns and fluoride toxicity; Topic 2 on natural product preferences; Topic 3 on promoting fluoride-free products and water.
  • Tweet volume decreased from 2016-2019, then increased from 2020 onwards, correlating with health and natural product trends.

Conclusions:

  • Increased "fluoride-free" tweets are motivated by healthy lifestyle concerns and adoption of natural products, potentially fueled by misinformation.
  • Public health authorities, professionals, and policymakers need to address the spread of fluoride-free content online to mitigate potential population health risks.