The Dentist is in ... Fluoridated Water

Recently, the U.S. Food and Drug Administration announced that water bottlers are now allowed to claim that fluoridated water may reduce the risk of tooth decay.

"This is a big step forward in communicating the benefits of fluoridated water, especially for those who exclusively use bottled water and may not be getting the recommended amount of fluoride," said Dr. Gary Martin, an Air Force Colonel, dentist and TRICARE Dental Care Division director.

Fluoride is a mineral that, when used in small amounts on a routine basis, helps to reduce the risk of tooth decay by strengthening tooth enamel.

It is important to be clear that this claim is not for use on bottled water marketed to infants for whom lesser amounts of fluoride are appropriate. According to Dr. Martin, "It is important to also be aware that excessive fluoride can increase one's risk of 'dental fluorosis' — a cosmetic discoloration of the tooth surface."

Dr. Martin emphasizes, "We want to make sure that parents with infant children are aware of the sources and levels of fluoride to ensure their child receives the optimum amount while eliminating the risk of dental fluorosis."

One source of fluoride, breast milk, is highly recommended by the American Academy of Pediatrics and known to be the most complete form of nutrition for infants. The use of breast milk is an effective means of ensuring appropriate fluoride intake.

However, parents and caregivers who opt to use infant formula are encouraged to be aware of the amount of fluoride their child is receiving. Ready-to-feed formula is the best choice to ensure your child receives the appropriate amount of fluoride. These types of formula are pre-mixed and do not require any water.

Liquid concentrate or powdered infant formula already contain the appropriate amount of fluoride and should be mixed with purified, distilled water or water that has low levels of fluoride to reduce the risk of fluorosis.These types of bottled water can be purchased locally at minimal cost.

Other sources of fluoride can be found in toothpaste and mouth rinses. It is important to monitor the amount of toothpaste your child uses and make sure none of it is unintentionally swallowed. A small pea-sized amount at each brushing is sufficient.

Fluoride mouth rinses are an effective way to help reduce tooth decay in older children and adults. Children under age 6 should not use fluoride mouth rinses. Dr. Martin encourages parents to utilize the preventive benefits offered by the TRICARE Dental Program and to take their children to the dentist regularly.

"I want all children in the program to see a dentist by their first birthday and every six months thereafter. Doing so will help to ensure that your child's teeth are healthy and will reduce the need for high-cost procedures in the future. This also provides a great opportunity for parents to discuss any questions they have about the amount of fluoride their child is receiving," said Dr. Martin.