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Community Water Fluoridation
Decades of research have proven that, at optimal levels, fluoride is safe and plays a critical role in preventing tooth decay and promoting good oral health.
Fluoride Stats
$6.5B
25M
$25.7B
81%
Community Water Fluoridation Policy in the State Legislatures in 2025
Despite overwhelming scientific evidence that community water fluoridation is a safe and effective way to prevent cavities, many states have introduced legislation to restrict or ban CWF. This map shows the policy landscape as of August 2025.
For questions, please contact Matt Steele, Director, State and Local Advocacy.
Support From Industry-Leading Organizations
The American Academy of Pediatric Dentistry (AAPD), the leading authority on children’s oral health, and 250 of the foremost health professional organizations and research bodies affirmed the safety and efficacy of community water fluoridation in a coalition letter. Supporters include the American Academy of Pediatrics, American Dental Association, Families USA, First Focus on Children, National Association of Pediatric Nurse Practitioners, Center for Medicare Advocacy, Justice in Aging, state health societies, and disabilities advocacy organizations.
Explore CareQuest Institute Resources
Self-Paced Course
Community Water Fluoridation: How Dental Professionals Can Lead the Conversation
Dental professionals play a crucial role in advocating for community health by engaging in clear, evidence-based conversations about fluoridation. This self-paced course will equip you with the tools and knowledge needed to communicate confidently and address any questions patients may have. Eligible for 1 CE credit.
Fact Sheet
Community Water Fluoridation: Proven, Safe, and Essential for Oral Health
This fact sheet summarizes the science-based evidence that community water fluoridation is a safe and effective way to improve health and reduce health care costs — especially for millions who can’t afford preventive dental care or live far from a dental provider.
Blog Post
New Study Shows Costly Consequences for States Removing Fluoride
What would be the consequences of removing fluoride from water systems nationwide? A new study in JAMA Health Forum says 25 million additional decayed teeth among children in the next 5 years and an estimated $9.8 billion in added health care costs. Explore more in this blog post featuring a Q&A with the authors.
Explore Industry Resources