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Fluoride in Vermont: A Public Health Success
Community water fluoridation has been around for 80 years and is considered one of the top ten public health successes. Even with widespread use of fluoride toothpaste and other tooth decay prevention efforts, studies continue to show that water fluoridation reduces dental decay by at least 25% in children and adults. Community water fluoridation ensures everyone in the community — regardless of their age, income, or ability to get dental care — has an equal chance of getting enough fluoride to prevent cavities.
In Vermont, about 57% of people on public water systems get water with added fluoride (40 water systems). Water operators monitor fluoride levels daily. The Health Department supports these community programs by providing testing supplies, equipment and tracking monthly fluoride levels. We also manage an internal private well fluoridation tracking system and work to promote water testing as a whole.
Here are the facts:
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Fluoride is a mineral found naturally in the air, water, soil, plants, and many foods. It supports strong and healthy teeth by strengthening enamel, which can stop cavities.
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You need the right amount of fluoride to get the benefits. Not enough fluoride won’t protect against tooth decay, while very high fluoride levels can be dangerous. In the U.S. and Vermont, water operators monitor fluoride levels daily to make sure just enough fluoride is added to reach the ideal level of 0.7 milligrams per liter (mg/L)—which is less than half of the World Health Organization’s advised safe limit of 1.5 mg/L.
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Tooth decay increased when communities stopped water fluoridation programs. In the Canadian city of Calgary, cavities increased significantly in elementary school children five years after the city council banned water fluoridation in 2011. They ended up voting to put fluoride back in the water in 2021. After Juneau, Alaska, banned water fluoridation, children under six were found on average to need almost one additional cavity procedure per year.
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Poor dental health has a big impact. Cavities are painful, make it hard to eat certain foods and can be expensive to treat. Tooth decay and tooth loss can also be stigmatizing and negatively affect mental health, self-esteem, and even job opportunities. Dental disease can also increase a person’s risk for uncontrolled diabetes, heart disease, stroke and more.
To learn more about fluoride and water fluoridation, check out these resources:
To learn more about how the Vermont Department of Health’s Oral Health Program works every day to improve dental health, check out the Vermont Oral Health Plan.
To sum it up
Community water fluoridation gives everyone an equal chance to get enough fluoride to prevent cavities—no matter their age, income, or access to dental care. It’s proven that when communities stop adding fluoride to their water, cavities go up. That’s why in Vermont, the Health Department supports water systems in keeping fluoride at safe levels and encourages communities to continue fluoridating their water. It’s a simple, effective way to protect healthy teeth and benefit overall well-being.
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