Friday, October 31, 2008

Flouride in the Water - Good or Bad?

Good strong teeth in a child is a priority to conscientious parents. Yet, in spite of the advancements in dental care, more than one fourth of two to five year-olds and half of kids 12 to 15 have one or more cavities. To counteract this, many suggest that adding fluoride to public water will help. Others say it will do more harm than good.

Fluoride exists naturally in water and is the 13th most common element in the Earth's crust.
Some water has sufficient natural quantities. What should be done when it is not naturally present? Should water systems add fluoride to the supply? The debate has been going on for decades and won’t end here. Many factors are involved in this discussion. The purpose here is to consider a few of these, and to give you some options. You need to know whether you need a fluoride water filter for your drinking water.

One side says, “Today, water fluoridation is estimated to reduce tooth decay by 20-40%.” “It is well known that fluoride helps prevent and even reverse the early stages of tooth decay.” These statements have the authority of a trained doctor. This one also: “For over 60 years, water fluoridation has proved to be a safe and cost-effective way to reduce dental caries.”

The pro side says that fluoride decreases tooth decay in two ways. It works when it comes in contact with the surface of the teeth by preventing the acid made by the bacteria in plaque from dissolving, or demineralizing, tooth enamel. Second, it becomes part of the structure of developing teeth in children. Fluoride also encourages teeth damaged by acid to remineralize themselves. It can’t fix decayed teeth but can prevent new decay from occurring.

The other side makes statements like these: “. . . there is no difference in the tooth decay rates of the fluoridated and nonfluoridated areas surveyed.” They even claim that increased amount of fluoride in children also increases tooth decay.

Too much fluoride during the years the teeth are developing can cause enamel fluorosis, a mottling or discoloration of the permanent teeth. To add fluoride to water, along with toothpaste and treatments can exceed the maximum level that is safe.

At times the studies have not considered the long range effects of fluoride. The con side says it has been directly linked to cancer, changes in bone structure and strength, has caused birth defects and perinatal deaths, has impaired the immune system, caused initial stages of skeletal fluorosis, caused osteoarthritis, inhibits key enzymes, suppresses thyroid function and several other adverse problems.

What do they say about the studies that prove that fluoride is good for dental hygiene? The studies had several flaws. First, they did not consider the differences between "natural fluoride" (like CaF) and added fluoride (like NaF). Second, they did not consider the other minerals in the water and these could actually be the cause of decreased instances of tooth decay. Third, the studies lack statistical analysis. Fourth, dental fluorosis is the only safety experiment included.

If you agree with the con side, what can you do if fluoride is added to your water? You could buy bottled water but this option has many drawbacks. Better, buy a water filter that promises to remove the fluoride. Some promise this optionally. For example, Berkey Water Filters have an optional fluoride filter that can be attached to the regular gravity filter rods. There are ways to protect yourself from drinking fluoride in your water if you don’t want it.

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