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Water fluoridation by country information


World map showing countries in gray, white and in various shades of red. The U.S. and Australia stand out as bright red (which the caption identifies as the 60–80% color). Brazil and Canada are medium pink (40–60%). China, much of western Europe, and central Africa are light pink (1–20%). Germany, Japan, Nigeria, and Venezuela are white (<1%).
Percentage of population receiving fluoridated water, including both artificial and natural fluoridation, as of 2012:[1]
  80–100%
  60–80%
  40–60%
  20–40%
  1–20%
  < 1%
  unknown

Water fluoridation is the controlled addition of fluoride to a public water supply to reduce tooth decay,[2] and is handled differently by country. Fluoridated water has fluoride at a level that is proven effective for preventing cavities; this can occur naturally or by adding fluoride.[2] Fluoridated water operates on tooth surfaces: in the mouth it creates low levels of fluoride in saliva, which reduces the rate at which tooth enamel demineralizes and increases the rate at which it remineralizes in the early stages of cavities.[3] Typically a fluoridated compound is added to drinking water, a process that in the U.S. costs an average of about $1.32 per person-year.[2][4] Defluoridation is needed when the naturally occurring fluoride level exceeds recommended limits.[5] In 2011 the World Health Organization suggested a level of fluoride from 0.5 to 1.5 mg/L (milligrams per litre), depending on climate, local environment, and other sources of fluoride.[6] Bottled water typically has unknown fluoride levels.[7]

  1. ^ Cite error: The named reference extent was invoked but never defined (see the help page).
  2. ^ a b c Centers for Disease Control and Prevention (2001). "Recommendations for using fluoride to prevent and control dental caries in the United States". MMWR Recomm Rep. 50 (RR-14): 1–42. PMID 11521913.
  3. ^ Pizzo G, Piscopo MR, Pizzo I, Giuliana G (2007). "Community water fluoridation and caries prevention: a critical review". Clin Oral Investig. 11 (3): 189–93. doi:10.1007/s00784-007-0111-6. PMID 17333303. S2CID 13189520.{{cite journal}}: CS1 maint: multiple names: authors list (link)
  4. ^ 1634–1699: McCusker, J. J. (1997). How Much Is That in Real Money? A Historical Price Index for Use as a Deflator of Money Values in the Economy of the United States: Addenda et Corrigenda (PDF). American Antiquarian Society. 1700–1799: McCusker, J. J. (1992). How Much Is That in Real Money? A Historical Price Index for Use as a Deflator of Money Values in the Economy of the United States (PDF). American Antiquarian Society. 1800–present: Federal Reserve Bank of Minneapolis. "Consumer Price Index (estimate) 1800–". Retrieved 29 February 2024.
  5. ^ Taricska JR, Wang LK, Hung YT, Li KH (2006). "Fluoridation and Defluoridation". In Wang LK, Hung YT, Shammas NK, editors (ed.). Advanced Physicochemical Treatment Processes. Handbook of Environmental Engineering 4. Humana Press. pp. 293–315. doi:10.1007/978-1-59745-029-4_9. ISBN 978-1-59745-029-4. {{cite book}}: |editor= has generic name (help)CS1 maint: multiple names: authors list (link)
  6. ^ Guidelines for Drinking-water Quality, 4th Edition WHO, 2011. ISBN 9789241548151. Page 168, 175, 372 and see also pp 370-73. See also J. Fawell, et al Fluoride in Drinking-water. WHO, 2006. Page 32. Quote: "Concentrations in drinking-water of about 1 mg l–1 are associated with a lower incidence of dental caries, particularly in children, whereas excess intake of fluoride can result in dental fluorosis. In severe cases this can result in erosion of enamel. The margin between the beneficial effects of fluoride and the occurrence of dental fluorosis is small and public health programmes seek to retain a suitable balance between the two"
  7. ^ Hobson WL, Knochel ML, Byington CL, Young PC, Hoff CJ, Buchi KF (2007). "Bottled, filtered, and tap water use in Latino and non-Latino children". Arch Pediatr Adolesc Med. 161 (5): 457–61. doi:10.1001/archpedi.161.5.457. PMID 17485621.{{cite journal}}: CS1 maint: multiple names: authors list (link)

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