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The AADOCR Position Statement on Community Water Fluoridation
R Moffat1, M K S Charles-Ayinde2, M Fontana3
1Roseman College of Dental Medicine, South Jordan, UT, USA.
Journal of Dental Research
|October 18, 2025
Summary
Community water fluoridation (CWF) remains a safe and effective public health strategy for preventing tooth decay. The American Association for Dental, Oral, and Craniofacial Research (AADOCR) supports CWF for equitable oral health and reducing disparities.
Area of Science:
- Public Health
- Dental Research
- Epidemiology
Background:
- Community water fluoridation (CWF) is a cornerstone public health initiative.
- CWF has demonstrably reduced the global prevalence of dental caries.
- Oral health disparities persist, necessitating effective interventions.
Purpose of the Study:
- Reaffirm the American Association for Dental, Oral, and Craniofacial Research (AADOCR) stance on CWF.
- Synthesize evidence supporting CWF's safety, efficacy, and equity.
- Highlight CWF's role in mitigating oral health inequalities.
Main Methods:
- Comprehensive review of scientific literature spanning nearly eight decades.
- Analysis of national surveillance data on CWF and oral health outcomes.
- Expert consensus building on the benefits and implementation of CWF.
Main Results:
- CWF is a safe, evidence-based, and cost-effective method for caries prevention.
- Fluoridation effectively reduces oral health disparities across populations.
- Optimal fluoride concentration for CWF is confirmed at 0.7 mg/L.
Conclusions:
- AADOCR strongly supports the continuation of community water fluoridation.
- Sustained monitoring, enhanced public communication, and further research are recommended.
- CWF is crucial for promoting equitable oral health and preventing dental caries.
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