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Fact Sheets

General Fact Sheets

Background Information on Community Water Fluoridation
Provides a brief overview of fluoridated water to prevent tooth decay.

Recommendations for Using Fluoride to Prevent and Control Dental Caries in the United States
This fact sheet lists the recommendations contained in this CDC 2001 report published in the MMWR Recommendations and Reports series.

CDC Statement on the 2006 National Research Council (NRC) Report on Fluoride in Drinking Water Some water has naturally occurring fluoride at levels much higher than the optimal. A recent report, Fluoride in Drinking Water: A Scientific Review of EPA’s Standards from the National Research Council (NRC), addresses the safety of high levels of fluoride in water that occur naturally. This report does not address the lower levels of fluoride used to prevent tooth decay.

Cost Savings of Community Water Fluoridation
Two studies conducted by CDC examined the cost-effectiveness of community water fluoridation and the wide benefit of fluoridated water in states that are highly fluoridated to those people living in nonfluoridated communities. Together, the studies continue to show that widespread community water fluoridation prevents cavities and saves money, both for families and the health care system.

The Benefits of Fluoride
Produced in conjunction with the release of Oral Health in America: A Report of the Surgeon General (May 2000), this fact sheet describes community water fluoridation as an effective, safe, and inexpensive way to prevent tooth decay. This method of fluoride delivery benefits Americans of all ages and socioeconomic status.

Preventing Dental Caries Through Community Programs
Describes the reduction in tooth decay attributed to community water fluoridation and school-based dental sealant programs and provides examples of states that have implemented effective prevention strategies.

Fact Sheet on Questions About Bottled Water and Fluoride
Some bottled waters contain fluoride, and some do not.  Most bottled waters contain fluoride at levels that are less than optimal for oral health. This fact sheet covers common questions about bottled water and fluoride.

CDC Statement on Water Fluoridation and Osteosarcoma
Osteosarcoma is a type of rare bone cancer; approximately 400 children and adolescents in the United States are diagnosed each year. A recent study titled, “Age-specific fluoride exposure in drinking water and osteosarcoma (United States)” (Bassin et al., 2006) suggested a possible association for young males, but no apparent association in females.

Well Water and Fluoride FAQs
Answers common questions on fluoride in private well water.
 

Engineering Fact Sheets

Water Fluoride Laboratory Proficiency Testing Program
The proficiency testing (PT) program is a national program administered by CDC to verify the accuracy of measuring fluoride in drinking water by state reference laboratories. CDC has operated the PT program for more than 20 years.

Water Fluoridation Additives
Fluorosilicic acid is the most commonly used additive for water fluoridation, followed by two dry additives—sodium fluorosilicate and sodium fluoride. The American Water Works Association (AWWA) prepares standards for the manufacturing, quality, and verification of the fluoride additives. The American National Standards Institute prepares standards for documenting the purity of the additives.

Corrosion of Pipes
Water fluoridation will not increase water corrosion or cause lead to leach (dissolve) from pipes and household plumbing fixtures.

Water Fluoridation Reporting System (WFRS)
The WFRS helps states manage the quality of their water fluoridation programs. WFRS information is also used for national reports that describe the percentage of the U.S. population on public water systems receiving optimally fluoridated drinking water. The system was developed by the CDC in partnership with the Association of State and Territorial Dental Directors.

Calculating Fluoridated Populations
A state’s fluoridation status is an indicator of progress in promoting oral health; consequently, it is important to document how this status is calculated.

Temporary Shortages of Fluoridation Additives: FAQs
Adjusting the fluoride content of water is a safe and healthy practice that provides significant oral health benefits for a community. Although shortages of fluoride additives for water fluoridation are infrequent, there have been periods when shortages have occurred. FAQs address common questions to CDC in the event of a shortage.

Page last reviewed: March 4, 2008
Page last modified: March 4, 2008
Content source: Division of Oral Health, National Center for Chronic Disease Prevention and Health Promotion

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