
Environmental Encyclopedia 3
Fluoridation
dation however, such as Citizens for Health and the Fluoride
Action Metwork, maintain that the role fluoridation in the
decline of tooth decay is in serious doubt and that more
research is required before placing a compound in water
reservoirs that could cause
cancer
, brittle bones, and neuro-
logical problems.
Fluoride is any compound that contains fluorine, a
corrosive, greenish-yellow element. Tooth enamel contains
small amounts of fluoride. In addition, fluoride is found in
varying amounts in water and in all food and beverages,
according to the ADA.
A Colorado dentist discovered the effects of fluoride
on teeth in the 1900s. When Frederick McKay began prac-
ticing in Colorado Springs, he established a connection be-
tween a substance in the water and the condition of residents’
teeth. People did not have cavities, but their teeth were
stained brown. Dental research started on the substance that
was identified as fluoride during the 1930s. Researchers
concluded that a concentration of fluoride in drinking water
at a ratio of 1 part per million (ppm) prevented tooth decay
without staining teeth. In 2000, the ADA stated that a
fluoride concentration ranging from 0.7 ppm to 1.2 ppm
was sufficient to fight tooth decay.
The first community to try fluoridation was Grand
Rapids, Michigan. The city fluoridated the community water
supply in 1945. Ten years later, Grand Rapids reported that
incidents of tooth decay had declined by 60% in the children
raised on fluoridated water. During the 1950s, Chicago,
Philadelphia, and San Francisco also started to fluoridate
their water supply. Cities including New York and Detroit
opted for fluoridation during the 1960s. However, not all
Americans advocated fluoridation. During the 1950s and
1960s, members of the John Birch Society maintained that
fluoridation was a form of mass medication by the govern-
ment. Some members charged that fluoridation was part of
a Communist plot to take over the country. In the decades
that followed, fluoridation was no longer associated with
conspiracy theories. However, opinion about fluoridation
was divided at the close of the twentieth century. By 2000,
public water systems served 246.1 million Americans, ac-
cording to the federal CDC. Of that amount, 65.8% of
Americans used fluoridated water.
In Washington D.C., 100% of the water is fluoridated,
according to a CDC report on the percentage of state popula-
tions with fluoridated public water systems in 2000. The top
10 on the list were: Minnesota (98.2%), Kentucky (96.1%),
North Dakota (95.4%), Indiana (95.3%), Tennessee (94.5%),
Illinois (93.4%), Virginia (93.4%), Georgia (92.9%), Iowa
(91.3%), and South Carolina (91.2%). At the other end of
the spectrum in terms of fluoridated public water usage were:
Louisiana (53.2%), Mississippi (46%), Idaho (45.4%), New
Hampshire (43%), Wyoming (30.3%), California (28.7%),
569
Oregon (22.7%), Montana (22.2%), New Jersey (15.5%),
Hawaii (9%), and Utah (2%). The CDC estimated the cost
of fluoridation at 50 cents per year in communities of more
than 20,000 residents. The annual cost was estimated at $1 in
communities of 10,000 to 20,000 residents. In communities
numbering less than 5,000 people, the yearly cost was esti-
mated at $3.
The CDC reported in 2000 that extensive research
during the previous 50 years proved that fluoridation was
safe. Fluoridation was also endorsed by groups including the
American Medical Association, the American Academy of
Pediatrics, the National PTA, and the American Cancer
Society. Advocates of fluoridation state that it especially
benefits people who may not be able to afford dental care.
Opponents however, counter that toothpaste with fluoride
is available for people who believe that fluoride fights tooth
decay. Furthermore, opponents point out that toothpaste
with fluoride contains a warning label advising users to “seek
professional assistance or contact a poison control center” if
they accidentally swallow more than the amount used for
brushing teeth. Lastly, their question the research methodol-
ogy used to conclude that fluoridation is responsible for
decreased tooth decay. Fluoridation critics include consumer
advocates
Ralph Nader
and Jim Turner. Turner chairs the
board of Citizens for Health, a grassroots organization that
is asking Congress to hold hearings and review fluoridation
policy. Citizens for Health belongs to the groups that believe
more research is required to determine the risks and benefits
of fluoridation.
[Liz Swain]
R
ESOURCES
B
OOKS
American Water Works Association. Water Fluoridation Principles and
Practices. Denver: AWWA, 1996.
Health Research Staff. Facts You Should Know About Fluoridation. Pomeroy,
WA: Health Research Books, 1996.
Martin, Brian. Scientific Knowledge in Controversy: The Social Dynamics of
the Fluoridation Debate (Science, Technology and Society). Albany, NY: SUNY
Press, 1991.
O
RGANIZATIONS
American Dental Association, 211 E. Chicago Avenue, Chicago, IL USA
60611 (312) 440-2500, Fax: (312) 440-2800, Email: publicinfo@ada.org,
<http://www.ada.org>
Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta,
GA USA 30333 (404) 639-3534, Toll Free: (800) 311-3435, , <http://
www.cdc.gov>
Citizens for Health, 5 Thomas Circle, NW, Suite 500, Washington, D.C.
USA 20005 (202) 483-1652, Fax: (202) 483-7369, Email: cfh@citizens.org,
<http://www.citizens.org>
National Center for Fluroridation Policy and Research (NCFPR) at the
University of Buffalo, 315 Squire Hall, Buffalo, NY USA 14214 (716)
829-2056 , Fax: (716) 833-3517, Email: mweasley@buffalo.edu, <http://
fluoride.oralhealth.org>