The Centers for Disease Control and Prevention (CDC) released the 2020 water fluoridation statistics, measuring the number of people on public water systems who benefit from fluoridated drinking water. Approximately 5.2 million Missourians rely on community water systems, but only 76.4 percent of them benefit from optimally fluoridated water. This means that over 1 million people who could be served by fluoride are not receiving this preventive public health intervention.
According to the CDC, “Water fluoridation prevents tooth decay mainly by providing teeth with frequent contact with low levels of fluoride throughout each day and throughout life. Even today, with other available sources of fluoride, studies show that water fluoridation reduces tooth decay by about 25 percent over a person's lifetime.”
The positive effects of fluoride—preventing and reversing tooth decay—are especially necessary for populations without regular access to oral health care. Water fluoridation is the single most effective public health measure in use today because of its unique ability to decrease the risk of dental cavities, the most common infectious disease in the world.
The data are compiled biennially from the CDC's Water Fluoridation Reporting System (WFRS). States use the database to ensure the quality of their water fluoridation systems.
To see the CDC's State Fluoridation Percentage Calculations and States Ranked by Fluoridation Percentage click here.
AAP reiterates support for fluoride https://publications.aap.org/aapnews/news/32182?autologincheck=redirected
Since the 1940s, fluoridated water has done what toothpaste can’t: protect entire communities without anyone lifting a finger.
Source: CDC, Timeline for Community Water Fluoridation Timeline for Community Water Fluoridation | Fluoridation | CDC
Community Water Fluoridation is older than microwaves and just as essential. It’s been safeguarding smiles for 80+ years.
Source: CDC, "Timeline for Community Water Fluoridation" Timeline for Community Water Fluoridation | Fluoridation | CDC
Fluoridated water has been fighting cavities since Grand Rapids, Michigan, started it all in 1945. It’s like a vintage classic that just keeps winning.
Source: CDC, "Timelines for Community Water Fluoridation" Timeline for Community Water Fluoridation | Fluoridation | CDC
Grand Rapids, Michigan, flipped the switch on fluoride in 1945—and cavities have been on the run ever since.
Source: CDC, "Timeline for Community Water Fluoridation" Timeline for Community Water Fluoridation | Fluoridation | CDC
Rural, urban, or anywhere in between—fluoridated water ensures that healthy teeth aren’t just for the wealthy.
Source: CDC, "My Water’s Fluoride" My Water's Fluoride | Oral Health Data Systems | CDC
No dental insurance? Let us help. Fluoridated water has your back (and your teeth) without the hefty price tag.
Source: ADA, "Fluoride in Water" Fluoride in Water | MouthHealthy - Oral Health Information from the ADA
Fluoridation bridges the gap—providing cavity protection to everyone, from downtown to dirt roads. Smiles for all!
Source: CDC, "Scientific Statement on Community Water Fluoridation CDC Scientific Statement on Community Water Fluoridation | Fluoridation | CDC
Fluoridated water ensures oral health equity for all—no insurance? No problem. The solution flows straight from the tap.
Source: National Institute of Dental and Craniofacial Research (NIDCR), "Water Fluoridation" https://www.nidcr.nih.gov/
Think of fluoridation as a public health superhero—giving everyone, rich or poor, the power to fight cavities for pennies a day.
Source: CDC - My Water’s Fluoride: My Water's Fluoride | Oral Health Data Systems | CDC
A healthier smile shouldn’t depend on your ZIP code. Fluoridated water levels the playing field—because everyone deserves a cavity-free grin.
Source: CDC - Scientific Statement on Community Water Fluoridation: CDC Scientific Statement on Community Water Fluoridation | Fluoridation | CDC
Fluoridation keeps your smile healthy and your piggy bank happy. Dental care is pricey, but fluoridated water works 24/7 to cut costs.
Source: CDC - Community Water Fluoridation Facts: Community Water Fluoridation Facts | Oral Health | CDC
Fluoridated water is like the dollar store of healthcare—just $1 invested saves you $32 in dental bills. That’s a deal your dentist AND wallet will thank you for.
Source: CDC, Return on Investment: Optimally Fluoridated Water Return on Investment: Optimally Fluoridated Water | Oral Health | CDC
Will We All Get Cavities If Fluoride Is Removed From Our Water? Dentists Explain https://www.goodhousekeeping.com/health/a63830415/what-happens-if-fluoride-is-removed-from-water/
How going fluoride-free has impacted one Alaskan city: https://www.npr.org/2025/02/16/nx-s1-5232176/how-going-flouride-free-has-impacted-one-alaskan-city
Public Health England (PHE) has published its Water fluoridation: health monitoring in England 2018 report. The report finds evidence to support the safety and effectiveness of water fluoridation in reducing tooth decay, "especially among deprived communities."
How Misinfodemics Spread Disease
Researchers are finding more and more that online misinformation fuels the spread of diseases such as tooth decay, Ebola, and measles.
Missouri Health Talks on the Current Status of Missouri Oral Health – from Intersection, KBIA 91.3 – with Dr. John Dane, MO State Dental Director & Gary Harbison, MCOH Executive Director