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ADA Fluoridation Policy

American Dental Association Supports Fluoridation

The American Dental Association unreservedly endorses the fluoridation of community water supplies as safe, effective and necessary in preventing tooth decay. This support has been the Association's position since policy was first adopted in 1950.

Policy on Fluoridation of Water Supplies (Trans. 2015:274)
Resolved, that in the interest of public health, the American Dental Association recommends the fluoridation of community water systems in accordance with the standards established by the appropriate authority, and be it further

Resolved, that the American Dental Association supports ongoing research on the safety and effectiveness of community water fluoridation.

Since the inception of water fluoridation, the American Dental Association has carefully monitored scientific research regarding safety and efficacy. Based on that review, the Association has continually reaffirmed water fluoridation as the most effective public health measure for the prevention of dental caries and strongly urges that its benefits be extended to those served by communal water systems. In 2015, the ADA House of Delegates confirmed its support for fluoridation by setting forth a comprehensive policy statement.

Operational Policies and Recommendations Regarding Community Water Fluoridation (Trans. 2015:273)

  1. The Association endorses community water fluoridation as a safe, beneficial and cost-effective and socially equitable public health measure for preventing dental caries in children and adults.
  2. The Association supports the fluoridation of community water systems as recommended by the U.S. Public Health Service.
  3. The Association urges individual dentists and dental societies to exercise leadership in all phases of activity which lead to the initiation and continuation of community water fluoridation, including making scientific knowledge and resources available to the community and collaborating with state and local agencies.
  4. The Association encourages governmental, philanthropic and other entities to make funding available to communities seeking to initiate and/or maintain community water fluoridation.
  5. The Association supports the following actions to maintain the quality of national community water fluoridation and its infrastructure: 
    • performance of periodic assessments of community water fluoridation infrastructure needs by appropriate state agencies;
    • allocation of needed resources to or by appropriate state agencies to upgrade and maintain the fluoridation infrastructure; and
    • observance of the standards established by the appropriate state agencies related to engineering and administrative recommendations for water fluoridation in accordance with guidance issued by the Centers for Disease Control and Prevention.