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Ask the Expert: Why Is Fluoride Good for Dental Health?

TL;DR: Fluoride is a safe, natural mineral that strengthens enamel, prevents cavities, and is one of the most effective ways to protect your dental health at every age.

What Is Fluoride?

Fluoride is a naturally occurring mineral found in soil, rocks, and many water sources across the world. In dentistry, it’s one of the most important tools we have for preventing tooth decay.

In fact, fluoride is often called “nature’s cavity fighter” because it works with the minerals in your saliva to strengthen enamel and stop bacteria from breaking it down.


How Does Fluoride Prevent Tooth Decay?

Tooth decay happens when bacteria in your mouth feed on sugars from food and produce acids. Over time, these acids break down the minerals in enamel, creating weak spots that can eventually turn into cavities.

Fluoride helps at every stage of this process:

  • Prevention: Fluoride interferes with bacteria’s ability to produce acid.
  • Repair: It replaces lost minerals in weakened enamel before cavities form.
  • Strengthening: It makes teeth more resistant to future acid attacks.

That’s why we recommend fluoride for both children and adults—it protects developing teeth and keeps permanent teeth strong throughout life.


Why Fluoride Matters in Minnesota

Here in Minnesota, we see firsthand how access to fluoride makes a difference. Communities with fluoridated water have fewer cavities in both children and adults compared to those without it.

In Roseville and many parts of the Twin Cities, fluoride has been added to municipal water supplies for decades. This simple public health measure has saved families countless trips to the dentist for fillings and extractions.

For patients in rural Minnesota who may rely on well water, the story can be different. Well water doesn’t always contain enough fluoride. That’s why I often recommend testing well water and using supplements if necessary.


Where Do You Get Fluoride?

Most people get fluoride from a combination of:

  • Fluoridated tap water (added where natural levels are too low)
  • Fluoride toothpaste (always recommended for daily brushing)
  • Fluoride mouth rinses (available over-the-counter)
  • Professional treatments (varnishes, gels, or foams applied at the dental office)
  • Supplements (drops or tablets prescribed when water doesn’t contain enough fluoride)
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At Designing Smiles, I often apply fluoride varnish after cleanings for patients at higher risk of cavities—it’s a quick, painless step that gives extra protection.

Why Is Fluoride Good for Dental Health

Is Fluoride Safe?

Yes. When used at recommended levels, fluoride is both safe and effective. Decades of research—including studies right here in the U.S.—show that fluoride does not increase the risk of conditions like cancer, heart disease, or arthritis.

The only potential side effect of too much fluoride in children under 8 is a cosmetic condition called dental fluorosis. This appears as faint white streaks or spots on teeth, usually very mild and only noticeable by a dentist.


Can You Have Too Much Fluoride?

It is possible, but in the U.S. it’s very rare.

  • Children under 8: Excessive fluoride can cause dental fluorosis during tooth development.
  • Adults: Extremely high levels over a long time (usually from industrial exposure, not drinking water) can lead to skeletal fluorosis, a bone condition that is virtually nonexistent in the U.S.

The U.S. Public Health Service recommends 0.7 mg/L of fluoride in drinking water—enough to protect teeth but far below harmful levels.


Does Fluoride Affect IQ?

You may have heard concerns about fluoride lowering children’s IQ. Here’s what the science actually says:

  • Studies linking high fluoride to lower IQ involved levels above 1.5 mg/L (much higher than U.S. drinking water).
  • U.S. water fluoridation is carefully controlled at 0.7 mg/L.
  • Major organizations—including the National Institutes of Health—agree there’s no evidence that fluoride at recommended levels harms brain development.

The bottom line: Fluoride at U.S. levels is safe for children and essential for cavity prevention.


How Do I Know If I’m Getting Enough Fluoride?

  1. Check your water: Contact your local water utility or look up Minnesota’s water fluoridation reports through the CDC.
  2. If you’re on well water: Have your water tested—levels vary by location. In Roseville, we often help patients interpret results and decide whether supplements are needed.
  3. Ask your dentist: A dental professional can evaluate your risk for cavities and recommend whether you need extra fluoride through varnish, mouth rinses, or tablets.
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How Fluoride Changed Dental Health in America

One of the best examples of public health success is Grand Rapids, Michigan, which became the first U.S. city to fluoridate its water in 1945. Within ten years, children there had 60% fewer cavities.

Here in Minnesota, data continues to show that fluoridated water reduces the need for costly dental treatments—especially for children. The CDC estimates that every $1 spent on fluoridation saves $38 in dental treatment costs.


Dr. Fung’s Advice to Minnesota Families

As a dentist in Roseville, I always remind patients that oral health is part of overall health. By using fluoride daily, you’re not just protecting your teeth—you’re saving yourself from pain, expense, and missed work or school.

Practical tips for families:

  • Use fluoride toothpaste twice a day.
  • For children under 6, supervise brushing and use only a pea-sized amount.
  • Make sure your water source has optimal fluoride levels.
  • Ask about professional fluoride varnish if you have a history of cavities.

Final Thoughts

Fluoride remains one of the simplest, most cost-effective ways to protect your smile. Whether it’s in toothpaste, drinking water, or a quick application at the dental office, fluoride helps strengthen teeth, fight bacteria, and reverse early decay.

At Designing Smiles in Roseville, MN, we’re committed to helping patients of all ages maintain strong, healthy smiles for life. If you have questions about fluoride or want to know if you’re getting the right amount, schedule a consultation—we’ll be happy to guide you.


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Schedule an Appointment Today

If you are looking for a new dental home for your family, we know you will find it at Designing Smiles. Located in Roseville, we  serve patients from the surrounding communities, including Arden Hills, Shoreview, New Brighton, St. Paul, and Minneapolis. Contact us online or give us a call at (651) 636-2143.
Schedule an appointment

Schedule an Appointment Today

If you are looking for a new dental home for your family, we know you will find it at Designing Smiles. Located in Roseville, we  serve patients from the surrounding communities, including Arden Hills, Shoreview, New Brighton, St. Paul, and Minneapolis. Contact us online or give us a call at (651) 636-2143.
Schedule an appointment
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