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The US experience with fluoridation

A R Hinman1, G R Sterritt, T G Reeves

  • 1Program Services Branch, National Center for Prevention Services, Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA.

Community Dental Health
|September 1, 1996
PubMed
Summary
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Community water fluoridation in the US began in 1945 and significantly reduces tooth decay. While 62% of the population is reached, further public education and advocacy are needed to expand its benefits globally.

Area of Science:

  • Public Health
  • Preventive Dentistry
  • Epidemiology

Background:

  • Community water fluoridation, the deliberate addition of fluoride to public water supplies, was initiated in the United States in 1945.
  • The primary goal of water fluoridation is the prevention of dental caries (tooth decay).

Purpose of the Study:

  • To review the historical progress and current status of community water fluoridation campaigns in the US.
  • To assess the impact and effectiveness of water fluoridation.
  • To identify key lessons learned from the US experience.

Main Methods:

  • Review of historical data and public health records related to water fluoridation initiatives.
  • Analysis of population coverage and caries reduction statistics.
  • Examination of challenges and successes in implementing and maintaining fluoridation programs.

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Main Results:

  • Currently, 62% of the US population eligible for fluoridated water receives it.
  • A national target of 75% coverage by the year 2000 was met by 20 states and the District of Columbia.
  • An additional 30 million people need access to fluoridated water to achieve national objectives, requiring significant public education and advocacy efforts due to ongoing opposition.

Conclusions:

  • Community water fluoridation is a highly effective public health measure for dramatically reducing dental caries incidence and prevalence.
  • The health benefits of water fluoridation substantially outweigh any associated risks.
  • The expansion of water fluoridation globally is recommended to improve oral health outcomes worldwide.