Water Fluoridation

Community water fluoridation provides decay prevention benefits for the entire population regardless of age, socioeconomic status, educational attainment or other social variables. This is particularly important for families living in rural areas and who do not have access to regular dental services.

As water fluoridation is not widely implemented in India primarily due to concerns over enamel fluorosis which is high in approximately 19 Indian states. So should the Indian government commence fluoridation of water in areas with low fluoride levels as a legitimate and effective means of tackling dental health inequalities?

The UK government is currently tackling and addressing the concerns in relation to fluoridation of water and its obvious health benefits. Do Indian dental health professionals consider water fluoridation as a responsible and proactive response to addressing dental health inequalities?

Let’s discuss:
Professor Raman Bedi raman.bedi@kcl.ac.uk

The following brief note (below) has been agreed by a global expert group and is taken from the website Alliance for Cavity Free Future. For further information on water fluoridation please click on this link.


Water fluoridation is the adjustment of natural fluoride concentration of fluoride i.e., to adjust fluoride deficient water to the level recommended for optimal dental health. The three types of fluoride that are used to fluoridate water are sodium fluoride, sodium fluorosilicate and fluorosilicic acid. The optimum level of fluoride in the water varies depending on the air temperature and geographic location (range 0.7-1.0 ppm).

Effectiveness and Efficiency:

Water fluoridation is effective in reducing tooth decay in children by 14%.


In a review on safety and efficacy that included 59 publications, 3 systemic reviews and 3 guidelines except for fluorosis no other adverse side effects were reported.



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