Controversies in Dentistry Series: Fluoride – Part III: The Science Behind Fluoride Usage and Its Importance in Dentistry

Understanding the Science of Fluoride: How It Strengthens Teeth and Protects Oral Health
Fluoride dental care products including toothpaste, toothbrush, and mouthwash on a blue background
Fluoride products like toothpaste, mouthwash, and toothbrushes are essential for maintaining dental health.

How Fluoride Strengthens Teeth

Teeth go through two processes every day: demineralization and remineralization. Demineralization occurs when acids, formed from sugars and bacteria, attack tooth enamel and dissolve minerals like calcium and phosphate. Fluoride combats this by promoting remineralization, where minerals are redeposited on weakened enamel. This strengthens teeth and helps them resist future decay.

Fluoride and Remineralization

When fluoride is present in the mouth, it attracts calcium and phosphate ions, forming a compound called fluorapatite on the enamel’s surface. Fluorapatite is more resistant to acid than regular enamel, creating a shield that reduces the likelihood of cavities. This protective effect is especially critical for children, whose enamel is softer and more susceptible to decay.

Scientific Research and Support

For decades, fluoride’s benefits have been validated by hundreds of studies worldwide. For example, a 2018 study published in the Journal of Dental Research reviewed data from over 70 years of research, consistently confirming that communities with fluoridated water had significantly fewer cavities than those without. The CDC has praised water fluoridation as one of the ten greatest public health achievements of the 20th century.

Safety Standards for Fluoride Exposure

Recognizing fluoride’s benefits and potential risks from overuse, regulatory bodies like the Environmental Protection Agency (EPA) and the American Dental Association (ADA) have established guidelines for safe fluoride levels. Public water supplies, for example, are carefully regulated to maintain fluoride at about 0.7 parts per million (ppm), well below the levels that cause fluorosis. Similarly, fluoride toothpaste and treatments are formulated to provide maximum benefit with minimal risk.

By strengthening enamel, fluoride plays a crucial role in maintaining oral health. In the next part, we’ll share practical advice on using fluoride effectively and responsibly.

By Peter J. Kim, DDS

Dr. Peter J. Kim, DDS, is a highly skilled dentist in McKinney, TX. He earned his dental degree from the prestigious University of Michigan School of Dentistry and completed his residency in New York City. Dr. Kim is passionate about providing exceptional dental care and stays at the forefront of the field through advanced techniques and continuous education. Dedicated to serving the McKinney community, Dr. Kim offers a wide range of services, ensuring personalized care for every patient.