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Frequently Asked Questions

Water Fluoridation

Back to Fact Sheets and FAQs

March 2002

Q. Is community water fluoridation safe?

A. Yes. Extensive research conducted over the past 50 years has demonstrated that fluoridation of public water supplies is a safe and effective way to reduce the incidence of dental caries for all community residents. A comprehensive review of the benefits and potential risks of fluoridation confirmed its safety and value.

Q. How much does it cost to fluoridate the water?

A. The per person cost of fluoridation varies by the size of the community population. The average cost of providing fluoridated water to communities with more that 20,000 residents is about 50 cents per year. For communities of 10,000-20,000 residents, the cost is about $1, and for those living in communities of less than 5,000, the cost is about $3 per year.

Q. Is community water fluoridation a cost-effective method for disease prevention?

A. Yes. In 1999, an estimated $56 billion was spent on dental services, representing about 5.6 percent of all expenditures for personal health care in the United States. The national average cost to restore one cavity with dental amalgam is approximately $65--the approximate cost of providing fluoridation to an individual for a lifetime.

Q. Is tooth decay still a serious problem?

A. Yes. Over 84 percent of U.S. children, 96 percent of U.S. adults, and 99.5 percent of Americans 65 years of age and older have experienced tooth decay. 

Q. Has the incidence of dental caries decreased since water fluoridation began?

A. Yes. Independent studies initiated in 1945 and 1946 followed four communities and assessed the value of water fluoridation. By 1960, tooth decay rates in these communities declined, on average, 56 percent more than in demographically similar communities whose water supplies were not fluoridated. More recent studies show that water fluoridation will reduce dental caries in permanent teeth by approximately 18 to 40 percent. Although this reduction in decay is not as dramatic as it was in the 1950s and 1960s, it is significant when compared to tooth decay in non-fluoridated communities.


 




This page last updated August 07, 2002