How Fluoride Works To Strengthen Teeth
How many times have you heard the word fluoride? Probably a lot, but what is fluoride and how can it help your teeth?

What is Fluoride?
Fluoride is a natural mineral found throughout the earth’s crust and widely distributed in nature. Some foods and water supplies contain fluoride.
Fluoride is often added to drinking water to help reduce tooth decay. In the 1930s, researchers found that people who grew up drinking naturally fluoridated water had up to two-thirds fewer cavities than people living in areas without fluoridated water. Studies since then have repeatedly shown that when fluoride is added to a community’s water supply, tooth decay decreases. The American Dental Association, the World Health Organization and the American Medical Association, among many other organizations, have endorsed the use of fluoride in water supplies because of its effect on tooth decay.
How does fluoride protect teeth?
Fluoride helps prevent cavities in two different ways:
- Fluoride concentrates in the growing bones and developing teeth of children, helping to harden the enamel on baby and adult teeth before they emerge
- Fluoride helps to harden the enamel on adult teeth that have already emerged
Fluoride works during the demineralization and remineralization processes that naturally occur in your mouth.
- After you eat, your saliva contains acids that cause demineralization a dissolving of the calcium and phosphorous under the tooth’s surface
- At other times when your saliva is less acidic it does just the opposite, replenishing the calcium and phosphorous that keep your teeth hard. This process is caused remineralization. When fluoride is present during remineralization, the minerals deposited are harder than they would otherwise be, helping to strengthen your teeth and prevent dissolution during the next demineralization phase
Is water fluoridation safe? How effective is it in preventing cavities?
Water fluoridation is safe, effective and healthy. Specifically, more than six decades of research, thousands of studies and the experience of more than 195.5 million Americans tell us that water fluoridation is effective in preventing cavities and is safe for children and adults.
How do I know if I’m getting enough fluoride?
If your drinking water is fluoridated, then brushing regularly with a fluoride toothpaste is considered sufficient for adults and children with healthy teeth at low risk of decay.
If your community’s water is not fluoridated and does not have enough natural fluoride in it (1 part per million is considered optimal), then your dentist or pediatrician may prescribe fluoride tablets or drops for your children to take daily. Your dentist or pediatrician can tell you how much fluoride is right for your family, so be sure to ask for his or her advice.
If your water comes from a public water supply, you can find out if it’s fluoridated by calling your local water district. If your water comes from a private well, you can have it analyzed by an independent environmental testing company that provides water-testing services.
Where can I find more information about fluoride?
- Visit the American Dental Association’s Web site on fluoride and fluoridation.
- “Evidence-Based Clinical Recommendations on the Prescription of Dietary Fluoride Supplements for Caries Prevention” published in the December 2010 issue of The Journal of the American Dental Association.
- “Evidence-Based Clinical Recommendations Regarding Fluoride Intake from Reconstituted Infant Formula and Enamel Fluorosis” published in the January 2011 issue of The Journal of the American Dental Association.
Not a fan of fluoride?
That’s ok-everyone has the right to choose. Just let us know and we can give you other tips to help prevent cavities or look at this quarter’s Skyline Dental Newsletter.




