A modeling study led by researchers at Mass General Brigham projects the consequences of a hypothetical nationwide ban on water fluoridation, revealing alarming increases in tooth decay and substantial economic repercussions.
Using a microsimulation model based on NHANES data, the study predicts a 7.5 percentage point increase in dental decay prevalence among children within five years of a fluoride ban, translating to an additional 25.4 million decayed teeth.
The economic impact of increased dental decay is estimated to incur an additional $9.8 billion in dental care costs within five years, rising to nearly $19.4 billion over a decade, with implications for government healthcare programs.
While fluorosis cases may slightly decline without fluoride, the negative consequences of increased tooth decay and associated costs overshadow any benefits of reduced fluorosis occurrence.
The study underscores the biochemical mechanism of fluoride in strengthening tooth enamel and its profound population-level health impacts through caries prevention.
By running simulations with varying assumptions, the researchers enhance the validity of their projections, emphasizing the lasting effects on oral health disparities if fluoridation is disrupted.
The study excludes cognitive outcomes related to fluoride and focuses on oral health metrics, reinforcing the importance of fluoride as a preventive measure accessible to communities.
Removing fluoride from public water may deepen oral health inequalities and burden healthcare systems, drawing attention to the necessity of sustaining this public health intervention.
The study serves as a reminder of the critical role of water fluoridation in preventive dentistry, highlighting the potential surge in dental caries and costs if this measure is discontinued.
The findings align with empirical data from regions like Calgary, Canada, emphasizing the national-scale impact of fluoridation cessation and providing policymakers with valuable insights.
In essence, the study emphasizes the need to maintain water fluoridation as a crucial aspect of public health policy to prevent a significant increase in childhood tooth decay and associated economic burdens.