Fluoridation: Mature thought of it first

Goal of public health
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Water fluoridation: History David Satcher, MD, PhD Assistant Secretary for Health & Surgeon General of the U.S"Fluoridation remains an ideal public health measure based on the scientific evidence in preventing dental decay and its impressive cost effectiveness."Water Fluoridation: Current Statement Vivek H. Murthy MD, MBA, Public Health Reports July/Aug 2015"Community water fluoridation is one of the most practical, cost effective, equitable, and safe measures communities can take to prevent tooth decay and improve oral health."U.S. Comm. Preventive Services Taskforce, Recommendations Reaffirmed Sept. 12, 2014:1. Community Water Fluoridation is RECOMMENDED based on STRONG EVIDENCE of effectiveness in reducing cavities across populations. 2. Evidence shows the prevalence of cavities is substantially lower in communities with community water fluoridation (CWF) 3. There is NO EVIDENCE that CWF results in severe fluorosis.Fluoridation/fluoride works"Because frequent exposure to small amounts of fluoride each day will best reduce the risk for dental caries in all age groups, the work group recommends that all persons drink water with optimal fluoride concentration,...."Baby Boomer Tsunami- The coming tsunami - 75% of boomers approaching retirement have less than $30,000.00 in their bank accounts. - Upon retirement, most will lose their dental insurance.Water fluoridation works in two ways- Delivered through water supply - Through direct contact with teethNIDCR Cavity Study"Recent Trends in Dental Caries in U.S Children and the Effect of Water Fluoridation" - From NHANES I (1979-80) to NHANES II (1987): mean Decayed, Missing, Filled Surfaces (DMFS) of adult teeth in children ages 5-17 - Children who were continuously exposed to CWF: 18% reduction in DMFS - When some of the "background" effect of topical fluoride was controlled, the difference in DMFS increased to 25%Effectiveness increases with ageCaries prevention associated with water fluoridation increases with age.Dental fluorosisOpponents: "Chronic Fluorine Poisoning" Proponents: "A cosmetic marker":fluoride is ingested at level >.05-.07/mg/kg/day in first 8 years of life.Iowa Fluoride Study"It is important to understand that fluorosis is not a disease, and that any child with these milder forms of fluorosis will also benefit from fluoride's protection against tooth decay." Iowa Fluoride Study: 1993-ongoing. 10 NIH grants have supported this important research.3 Key observations-It's much easier to scare the public than unscare the public. - The support for fluoridation is a mile wide, but the passion is an inch deep while the opposition support is an inch wide,...... - Stopping a fluoridation program can be as difficult as starting a fluoridation program.Understanding Fluoridation Science"A lie can travel halfway around the world while the truth is putting on its shoes".