{"id":210,"date":"2019-06-26T14:22:33","date_gmt":"2019-06-26T14:22:33","guid":{"rendered":"https:\/\/www.simmonsyoung.com\/PediatricDentalBlog\/?p=210"},"modified":"2019-06-26T14:23:03","modified_gmt":"2019-06-26T14:23:03","slug":"water-fluoridation-to-drink-or-not-to-drink","status":"publish","type":"post","link":"https:\/\/www.simmonsyoung.com\/PediatricDentalBlog\/water-fluoridation-to-drink-or-not-to-drink\/","title":{"rendered":"Water Fluoridation: To Drink or Not to Drink"},"content":{"rendered":"\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"476\" src=\"https:\/\/www.simmonsyoung.com\/PediatricDentalBlog\/wp-content\/uploads\/2019\/06\/AdobeStock_136205614-1024x476.jpeg\" alt=\"\" class=\"wp-image-211\" srcset=\"https:\/\/www.simmonsyoung.com\/PediatricDentalBlog\/wp-content\/uploads\/2019\/06\/AdobeStock_136205614-1024x476.jpeg 1024w, https:\/\/www.simmonsyoung.com\/PediatricDentalBlog\/wp-content\/uploads\/2019\/06\/AdobeStock_136205614-300x139.jpeg 300w, https:\/\/www.simmonsyoung.com\/PediatricDentalBlog\/wp-content\/uploads\/2019\/06\/AdobeStock_136205614-768x357.jpeg 768w, https:\/\/www.simmonsyoung.com\/PediatricDentalBlog\/wp-content\/uploads\/2019\/06\/AdobeStock_136205614-1536x713.jpeg 1536w, https:\/\/www.simmonsyoung.com\/PediatricDentalBlog\/wp-content\/uploads\/2019\/06\/AdobeStock_136205614-2048x951.jpeg 2048w, https:\/\/www.simmonsyoung.com\/PediatricDentalBlog\/wp-content\/uploads\/2019\/06\/AdobeStock_136205614-800x371.jpeg 800w, https:\/\/www.simmonsyoung.com\/PediatricDentalBlog\/wp-content\/uploads\/2019\/06\/AdobeStock_136205614-1200x557.jpeg 1200w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">In my last post, <a href=\"https:\/\/www.simmonsyoung.com\/PediatricDentalBlog\/what-is-fluoride\/\">What Is Fluoride<\/a>, I discussed what fluoride is and how it affects our enamel.&nbsp; It aids in remineralizing enamel and prevents the demineralization of enamel.&nbsp; It can also prevent bacteria from producing cavity enhancing acid.&nbsp; <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Community water fluoridation began in the 40s because\nstudies showed that residents with higher naturally fluoridated water had fewer\ndental cavities.&nbsp; To this day, it is\ntouted as the most equitable and cost-effective method of delivering fluoride\nto all members of most communities.&nbsp; Over\nthe years, a significant decrease in dental cavities has been seen.&nbsp; In the United States, the amount of fluoride\nin the water is from a range of 0.7-1.2 mg fluoride ion\/L part per million\n(ppm).&nbsp; <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">There are several classes of people that I run into:<\/p>\n\n\n\n<ol class=\"wp-block-list\"><li>Those that believe fluoride works and is\nbeneficial<\/li><li>Those that think fluoride is toxic and harmful<\/li><li>And people who do not care either way<\/li><\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">I get asked on a regular basis if I actually believe in\nfluoride.&nbsp; It\u2019s almost the same as if someone\nasked me if I believed apples came from apple trees.&nbsp; Through my four years of college, I learned\nabout the how fluoride effects our teeth at an atomic level.&nbsp; During my four years of dental school, I read\ncountless articles that have undergone meta-analysis and systematic reviews\n(highest level of validated research).&nbsp;\nAnd during my two years of pediatric dental residency, I have seen how\nfluoride has been beneficial to one of the poorest and most underprivileged\ncommunities in the nation.&nbsp; I believe in\nfluoride because I have seen its benefits first-hand.&nbsp; But I do understand that not everyone has had\nthe same experiences I have had so it is normal to be skeptical.&nbsp; Is it possible that I live in the Truman Show\nand everything I have learned is a big hoax?&nbsp;\nI sure hope not!<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">To the people who believe that fluoride is toxic and\nharmful, all I can say is, \u201cYou are absolutely right.\u201d&nbsp; Just about anything in excess is not good for\nyou.&nbsp; Even drinking too much bottled\nwater when drunk too fast at a large amount can cause your sodium levels in\nyour blood to drop and be fatal.&nbsp; It is\nwell known that when a small child ingests too much fluoride (typically by\neating toothpaste from a full tube), the side effects can affect their gastrointestinal\nsystem by causing nausea, vomiting, diarrhea, and abdominal pain.&nbsp; If a very large amount is ingested, it can\naffect the central nervous system and symptoms of convulsions, numbness, and\npossible cardiovascular collapse.&nbsp; So,\nyes, I would say it is toxic and can be harmful when used outside of its\nrecommended guidelines.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A few years back, a study came out of Harvard University called\n<em>Developmental Fluoride Neurotoxicity: A Systematic Review and\nMeta-Analysis.&nbsp; <\/em>I have provided the\nlink below for your reading pleasure.&nbsp;\nThis paper collected studies from around the world that compared\nchildren\u2019s water fluoridation levels and their IQ.&nbsp; \u201cThe results supported the possibility of an\nadverse effect of high fluoride exposure on children\u2019s neurodevelopment.&nbsp; Future research should include detailed\nindividual-level information on prenatal exposure, neurobehavioral performance,\nand covariates for adjustment\u201d (Choi 2012).&nbsp;\nI reviewed the studies that were listed and the fluoride levels that are\npresent in many of the studies are 3-4 times higher than the amount used in the\nUnited States water fluoridation. &nbsp;It is\nvery interesting that these studies are evaluating a long-term effect of\nfluoride on children\u2019s brains.&nbsp; This\nresearch paper was well conducted by a highly prestigious university and is\nsomething to be cognizant of.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">With all of this said, it does not make a difference to me\nif someone \u201cbelieves in fluoride.\u201d&nbsp; I do\nfind it important that my patients are well informed so they can decide what is\nright for their family.&nbsp; Fluoride is not\nessential to having healthy teeth, but it is a tool that can be helpful if\nthere is an imbalance in the oral cavity where cavities are forming.&nbsp; If you feel fluoride could be helpful for\nyour child, drinking fluoridated water and brushing your child\u2019s teeth with\nfluoridated toothpaste is a good place to start.&nbsp; If you do not wish to have your child exposed\nto fluoride, drinking bottled or distilled water is always an option.&nbsp; Newer refrigerators have reverse osmosis\nfiltration systems which utilizes tap water but removes fluoride, as well as,\nother things like lead and chlorine.&nbsp; <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">I hope this post was helpful in deciding what is right for\nyour family.&nbsp; And for those people who do\nnot care one way or another if their water is fluoridated, keep doing what you\nare doing and thanks for reading!<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">References:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.aapd.org\/media\/Policies_Guidelines\/BP_FluorideTherapy.pdf\">https:\/\/www.aapd.org\/media\/Policies_Guidelines\/BP_FluorideTherapy.pdf<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/jada.ada.org\/article\/S0002-8177(85)02022-0\/pdf\">https:\/\/jada.ada.org\/article\/S0002-8177(85)02022-0\/pdf<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Developmental Fluoride Neurotoxicity: A Systematic Review\nand Meta-Analysis: <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3491930\/\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3491930\/<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Link to Check Your Water Fluoridation Level:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/nccd.cdc.gov\/DOH_MWF\/Default\/WaterSystemList.aspx\">https:\/\/nccd.cdc.gov\/DOH_MWF\/Default\/WaterSystemList.aspx<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>In my last post, What Is Fluoride, I discussed what fluoride is and how it affects our enamel.&nbsp; It aids in remineralizing enamel and prevents the demineralization of enamel.&nbsp; It can also prevent bacteria from producing cavity enhancing acid.&nbsp; Community&#8230;<\/p>\n<p><a class=\"more-link\" href=\"https:\/\/www.simmonsyoung.com\/PediatricDentalBlog\/water-fluoridation-to-drink-or-not-to-drink\/\">Read More<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"categories":[4],"tags":[],"class_list":["post-210","post","type-post","status-publish","format-standard","category-childrens-oral-health","entry","has-post-thumbnail"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Water Fluoridation: To Drink or Not to Drink - Milling Pediatric Dentistry<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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