First let me be clear: I’m not a crazy conspiracy person (on this) I just don’t rely on a municipal well. As far as I know adding fluoride to the private well at my houses is not a thing, good or bad. I did drink municipal water for two years when I lived on campus in college.

That said, is fluoride a benefit to adults or just children?

When I was a kid I got fluoride treatments at the dentist, but then aged out. I’ve never had a cavity in forty years, but I’d like to keep it that way. Should I still be doing it?

Also no, I’m not using the internet as a substitute for a dentist, just my next dental appointment is in four months. TIA

    • pb42184OP
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      Wow, that does sound political!

      Again, I’m not at all talking about additives to municipal water. That’s clearly good. Just since my houses don’t have it I’m curious if there’s a missed opportunity for better.

      Seems like “yes but small” given already using fluoridated toothpaste

      • Cort
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        You can always add a fluoride mouthwash to your routine if you’re worried.

  • dustyData
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    Everyone, even dogs benefit from fluoride in the water. It’s not just children. Virtually all toothpaste contains it too. Some groundwater sources also contain it naturally, some even above the recommended max level from health associations. So I’d say, document yourself with official sources. Test your well levels, then decide. Be mindful that regular consumption of soft drinks, processed foods and even air conditioning nullifies the effects for cavities.

    • QualifiedKitten
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      Be mindful that air conditioning nullifies the effects for cavities.

      Got any sources for that? My admittedly very brief search just turned up a bunch of stuff about ventilation and COVID/aerosols.

      • dustyData
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        Dry air, dries the mouth. Dry mouth is sensible to cavities.

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          I understand that air conditioning removes some moisture from the air, but just how much of an effect does it actually have on oral moisture? I was hoping to find some sort of studies with actual measurements of some sort.

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            It does sound like some armchair reasoning rather than observation or study.

    • pb42184OP
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      Thanks. The fluoride in the water itself is not directly relevant because I just don’t have it, but good evidence to raise the topic with my dentist as an adult. I definitely use fluoridated toothpaste.

      • givesomefucksEnglish
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        Yeah, if it’s in toothpaste you’re getting enough.

        If you wanted to add fluoride like after you doing well treatment

        I honestly don’t know if that’s a good idea, because who knows how evenly it’ll stay mixed correctly.

        Like. You may end up getting a shit ton of fluoride when there’s no rain and your wells low, then barely any when it fills up.

        Fluoride toothpaste is likely your best bet for consistent doses.

        • pb42184OP
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          Makes sense. Even if its a thing I’d probably not keep up on it. My house filters have gotten embarrassingly full in my time

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            Yeah, I tell people I’m on well/septic even in a city because when this house was built it was before urban sprawl

            And everyone immediately says how great it is that I don’t have to pay water/sewer.

            But like, I got to pump the septic, I got to service the well, I got to maintain the well pump and pressure tank, my garden hose has no pressure, have to keep up with water softener using a bunch of salt

            I’m probably not even saving money. And it’s a lot of hassle.

            But it would be 10s of thousands of dollars to get it hooked up, and who knows if my 80 year old plumbing can sustain city water pressure.

            Not to mention if my electric goes out, so does my water.

            I’d 100% prefer city water, $20 a month ain’t shit.

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              Have you tried a salt free softener?

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              Yeah, the money isn’t a thing for me. My houses are in parts of NY that just don’t have municipal wells, so there’s no reason to feel one way or the other about it. It just is what it is.

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    • pb42184OP
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      Thanks. I’ll definitely be asking my dentist just a while until my next appointment

  • Ephera
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    Here in Germany, fluoride is mandated by law recommended to be added to table salt, so I assume it is good to have in general.

    However, regular toothpaste as well as many mouthwashes contain fluoride. In particular, they can contain a much higher dosis, because you spit it back out, so if you’re worried about your teeth, these are definitely the way to go.

    • leds
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      Here in Germany, fluoride is mandated by law to be added to table salt, so I assume it is good to have in general.

      Isn’t that iodine?

      • Toine
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        Both exists, and salt can have both. Fluor in the salt is quite specific to Germany and a few other countries though.

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          Interesting! Thanks

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        Hmm, yeah, seems like only iodine is actually mandated by law. My table salt does have fluoride, but apparently that’s an optional add-on.

        I believe, I rarely see salt without fluoride in the shops, but that could be a regional thing (other regions might have more fluoride naturally in their tap water).

    • mlc894
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      Very interesting! I’ve never heard of adding fluoride to table salt, but I can’t see why not!

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        You can also find table salt with folic acid (vitamin B9) here, and apparently sometimes also with selenium.

        And yeah, quite interesting to me, too, to read up on this. I always thought, table salt is NaCl + the legally mandated additives. I guess, they do throw in these additives to give themselves a unique selling point.
        And that works for me. Will look out for table salt with iodine, fluoride and folic acid on my next shop visit.

  • johny_joe_1975English
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    Yes, keep using toothpaste with flouride.

    I tried toothpaste without flouride. It hurt my teeth after weeks (i.e: i also heavy drinking sweet drink like pepsi and snack at night, At night, I brush my teeth always before sleep or after snack.).

    • Habahnow
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      I did as well. Same symptoms and on my next dentist visit, the dentist had noticed my sensitivity. Back to flouride tooth paste. I switched mainly because I wanted a tooth paste that was in a refillable container or used less plastic. Alas, I have to pick my health as a priority over helping the environment.

    • johny_joe_1975English
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      I have never have a flouride treatment. I don’t know what is it until you mention.

      • Bizarroland
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        Next time you get your teeth cleaned at the dentist, which you should be doing every 6 months or so, ask them to give you a fluoride treatment. They literally just brush this minty sweet stuff onto your teeth and let it sit for 5 or 10 minutes.

        The fluoride will leech into your teeth and help reinforce any weak spots to decrease the likelihood of developing cavities.

        I mean, if you’re a conspiracy theorist then in theory it will calcify your third eye as well, but I have no way of verifying that claim, or even proving that the third eye exists other than the pineal gland in your brain, and I’ve never heard of anyone’s pineal gland being calcified.

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        • thisisdeeEnglish
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          Ah so fluoride treatment is what I thought it was. Here in Australia we still get it with every teeth cleaning. Granted dental is an add on with private insurance so not everyone has access to it I believe.

    • stoly
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      I went for years without fluoride. I preferred the flavor and how my mouth felt with the more “natural” ones. Now I switch back and forth, but still avoid Colgate, crest, etc.

  • mindlightEnglish
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    Swede here. I’m a bit confused by the whole flouride thing in the US.

    We don’t add flouride in the water. At least not in amounts needed to get better tooth health.

    Almost everyone users toothpaste with fluoride. The concentration is 1000ppm in toothpaste for children (below 6 years of age) and 1450ppm in toothpaste for children (6 years and older) and grown-ups.

    We also used to have mandatory sessions with the “fluoride lady” in school. We all had to bring our toothbrush to school and got to dip it in a fluoride solution (mouthwash I presume) and brush our teeth while the fluoride lady pointed at a large scale model of teeth and gums. All kids were a little bit afraid of the fluoride ladies. I’m not sure if it’s still mandatory today, but I think a lot of schools (1st to 3rd grade maybe?) still has this on the schedule once a year.

    Sweden has got a history of focus on tooth health since we have cheap healthcare (was free 50 years ago. Times are harder now so we pay $10-$13 per night at a hospital. Life is so hard! 😉) and bad tooth health is the cause of a lot of other health issues. Which in the end would cost our state medical insurance a lot more than fixing tooth health.

    For the one with waaaaat too much time on their hands, Sweden has done some pretty dark shit in the name of “for the greater good”. Google a documentary about the Vipeholm experiments if you want to know more about one of the reasons to how the world knows so much about tooth decay.

  • hperrin
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    Yes, the benefit doesn’t vary by age. Flouridated water prevents cavities throughout your life.

    • pb42184OP
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      Thanks

      Fluoridated water just isn’t an option for me but I can ask my dentist about options beyond fluoridated toothpaste and mouthwash.

  • LesserAbe
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    I grew up in a house with well water, no fluoride. I’ve had a million cavities, and my dentist suggested that was a contributing factor, although certainly diet and genetics are too.

    • LesserAbe
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      Also, wish I had a link to the article, but I was reading about how whether you “have” a cavity depends on your dentist’s interpretation of the x-rays and their philosophy about treatment. Some dentists will see a light area and say “let’s fill that before it gets worse” and others will note it and see how things develop. It was actually pretty alarming because sounds like professional standards for dentistry are looser than some other areas of medicine, and the description rang true for some of the dentists I’ve seen.

      • pb42184OP
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        This is definitely a thing. I mentioned no cavities, but I have had some “slight decalcification we might want to address before it gets worse” that then got better on their own.

        • LesserAbe
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          Yeah, I would much prefer if someone framed it that way than “you have decay, let’s schedule an appointment for a filling”

      • stoly
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        It’s notable that medical journals went evidence based in the 70s but only some dental journals made the same switch.

    • prettybunnys
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      Grew up in a well water house, we were prescribed fluoride pills.

      First cavity came at 36

      • pb42184OP
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        How long did you take fluoride pills, as an adult or only as a child?

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          I started when I was 5 and probably stopped when I was old enough to forget taking them and not be reminded to, probably around 16 or so.

          I don’t recall to be honest.

    • pb42184OP
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      Yeah, I think that’s why my dentist gave me fluoride treatments as a child. Have you gotten any as an adult?

      • LesserAbe
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        I think I had one treatment as an adult. But a dental hygienist recommended rinsing every night with the purple Listerine that has fluoride in it, which hasn’t hurt? I think it’s doing the trick and I haven’t had more cavities since, but of course couldn’t say for sure if that’s why.

        • prettybunnys
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          Interesting, I get a fluoride treatment at the dentist every time. It’s just part of the thing, why I can’t eat for 45 minutes after.

  • Waldowal
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    The scientific concensus is certainly ‘Yes’, but my own personal experience backs that up. I struggled with cavities well into my 30s, especially while at college where I mostly drank distilled water I bought in jugs at the grocery store (the local water supply had frequent issues I was trying to avoid). At some point, my dentist put me on a high-fluoride toothpaste, and the cavities basically stopped. The extra fluoride seems to have a definitive effect for me.

    • dan1101
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      Too late now but I don’t think you’re supposed to drink distilled water. It lacks the minerals your teeth and body need.

      • Devi
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        It’s worse than that, RODI water as it is just pure H2O it’s desperate to bond to anything it can so it grabs minerals from your body as it passes through.

        • The_v
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          You don’t drink it straight, you make coffee with it. That extra grabby power passing through coffee grounds makes a noticeable difference.

          • Pronell
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            Are you telling me there’s a way for me to become more of a coffee snob?!

            Edit: Google says it’s not this way and makes for weak coffee.

            • Please_Do_Not
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              Check out 3rd Wave Water, you can take coffee snobbery to heights you’ve never imagined

            • The_v
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              Unpublished Data from when I worked summers in a lab for grad students disagrees with Google.

              We tested distilled, RO, DI versus tap water. We were going to see about the double-distilled water but the supervising professor caught us. Apparently “That shit was too expensive for your shenanigans!

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            Yes, sticking stuff in it makes it work, you can even get mineralising powders that put the minerals back in so say you don’t trust or like your tap water you can filter everything out and put the stuff you do like in

        • Bizarroland
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          It sounds like it would be good to drink a glass or so every week just to help prevent kidney stones right? Or am I Way off the Mark here. I feel like I’m way off the Mark here, but somebody please confirm if I am not off the mark okay?

          • stoly
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            Your kidneys understand what they are doing better than you do.

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            No, it pulls everything out of your system and causes deficiencies. It shouldn’t be drunk at all.

            • Bizarroland
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              There’s a limit to what it can pull though, right? If you have excess minerals in your body, it seems it would help eliminate them, kind of like chelation, right?

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                Kind of, but you don’t get to choose what it pulls, so unless you have an excess of every mineral then it’s going to make you deficient in something and then other things may not be affected at all.

  • Usernameblankface
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    I’ve never heard of floride treating a well. But wouldn’t it be better to add floride after the filter etc, for more consistent dosage?

    • pb42184OP
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      I would think so. I use fluoridated toothpaste, and another commenter recommended fluoridated mouthwash.

      Seems like the answer is yes and I’ll be discussing it with my dentist.

  • corsicanguppy
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    This is the wrong question.

    You should be asking, “While flouride helps other people, does it hurt me or is it all-good?

    Because, really, that’s the only part that matters.

    • pb42184OP
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      Not really. Since it isn’t in my well no matter what I do, the effects of fluoride in water aren’t relevant to my question.

      But the consensus in the comments is that fluoride in my toothpaste and maybe mouthwash is sufficient, and having fluoride treatments as a child but not as an adult makes sense.

  • feedum_sneedson
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    Do you even know how much fluoride is in your water? Sometimes it’s naturally high, that’s how they figured out it was good for your teeth.

    • pb42184OP
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      I don’t have the ppm memorized, but it was like tenth percentile

  • 𝕽𝖚𝖆𝖎𝖉𝖍𝖗𝖎𝖌𝖍
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    I moved to Germany in my late 20’s and lived there for 2 years. I went with perfect teeth; I returned with several cavities. My brushing habits did not change, and while you could blame my cavities on several factors (the food was different; I drank way more beer; I got two years older), I’ve always attributed it to the fact that Germany does not fluoridate their municipal water - and everyone drinks bottled water anyway. At least, the crowd I ran with did. It’s been years, but as I remember, you didn’t get water at restaurants unless you asked, and then if you did, you got bottled water. In any case, I went from drinking fluoridated water regularly to zero flouride except what was in the toothpaste. And, honestly, I don’t remember paying much attention to which toothpaste I bought, and many don’t have flouride in them.

    So, yeah. It’s just one anecdote, and there could have been many other factors, but it convinced me about the importance of flouride. Now we drink municipal water (US), but it’s going through a whole-house triple filtration system and I don’t know how much flouride we’re getting. So in addition to the usual tooth care (brushing, flossing) I also rinse with a flouride mouth rinse, and I’ve been doing OK dentally.

    • pb42184OP
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      Thanks.

      I hadn’t thought of a fluoridated mouthwash but that looks obvious in hindsight.

      • 𝕽𝖚𝖆𝖎𝖉𝖍𝖗𝖎𝖌𝖍
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        Well, it’s different. On the one hand, you’re not getting flouride into your system; on the other, you’re not getting flouride into your system.

        I really don’t know if flouride ingested makes its way to your teeth, or how much difference it makes if it does. But I’m not about to start self-medicating with the stuff, so rinse it is.

        • TheOneCurlyEnglish
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          I believe the effect is entirely topical, it just doesn’t hurt to ingest a little too. The fluoride ions trigger re-hardening of the tooth enamel and can take the place of missing calcium in the outer enamel structure, but those only happen when they hit the outer enamel in your mouth, you don’t regrow enamel on fully formed teeth

  • Loki
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    There’s a Sawbones episode on fluoride and its effects on teeth (and why it’s good for you), if you like to be educated and entertained at the same time, I highly recommend listening to it! Great podcast.

    And yes, fluoride is good for adult teeth, too.

  • Monkey With A Shell
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    Chances are unless you’re actively trying to avoid it the toothpaste you use has it already. I’m not aware of any particular benefits or detriments to having it in the water supply versus the more direct application route.

    • Pilferjinx
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      Think poor and homeless. It’s to catch the ones that fall through the cracks. It’s not much, but it’s something.

      • Monkey With A Shell
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        Fair point, useful for the city but not missing out on anything by having a private well then though.