Cut Fluoridation to Preserve Teeth, Yet Another Study Shows

Tooth decay declined substantially in prevalence and severity when Hong Kong children consumed less fluoride, indicative of a world-wide scientific trend revealing, with fluoride, less is best; none is better.

In 1988, Hong Kong reduced water fluoride levels from 0.7 parts per million (ppm) to 0.5 ppm. By 1995, 31% fewer 11-year-olds had cavities with a 42% reduction in average cavity rates, according to the Hong Kong Public Health Bulletin (1). Similar reductions occurred in 1978 when Hong Kong's fluoridation rates were first cut from 1 ppm to 0.7 ppm (2).

Hong Kong's dental health is superior to the United States' (3), even though U.S. children consume 1 ppm fluoridated water and brush with 1,000 ppm fluoridated toothpaste. And Hong Kong children use lower concentrated (500 ppm) fluoridated toothpaste (4).

Evidence that eliminating fluoridation lessens decay:

In New York State, cavities and tooth loss are greater in fluoridated rather than in non-fluoridated counties (9). In fact, tooth decay crises exist in most, if not all, large fluoridated U.S. cities (10).

Sometimes stopping fluoridation has no effect as in Kuopio, Finland (11), and Durham, North Carolina (12).

Some countries show lower decay rates in less fluoridated villages when compared to higher fluoridated villages such as in Uganda (13, 14), the Sudan (15) and Ethiopia (15a).

In South Australia, dental examinations of 4800 ten- to fifteen-year-olds' permanent teeth reveal unexpected results - similar cavity rates whether they drink fluoridated water or not (16).

In the United States, despite living without fluoridated water, rural children's cavity rates equal those of urban children, who are more likely to drink fluoridated water, according to a large national government study of over 24,000 U.S. children (17).

And, to add insult to injury, cavity rates doubled (18) after water fluoridation began in Kentucky (19).


(1) Hong Kong Government, Public Health and Epidemiiology Bulletin 1998 -

(2) Chart showing decline cavity rate -

(3) Section 8 -


(5) "Caries prevalence after cessation of water fluoridation in LaSalud, Cuba," Caries Research Jan-Feb. 2000 -

(6) "Decline of caries prevalence after the cessation of water fluoridation in the former East Germany," Community Dentistry and Oral Epidemiology, October 2000 -

(7) "Patterns of dental caries following the cessation of water fluoridation," Community Dentistry and Oral Epidemiology, February 2001 -

(8) "Caries experience of 15-year-old children in The Netherlands after discontinuation of water fluoridation," Caries Research, 1993 -

(9) "Fluoridation Fails to Reduce New York State's Dental Decay or Expenses as Dentists' Promise," by Sally Stride, published February 1, 2005 -

(10) "Cavity Crises in Fluoridated Cities" -

(11) "Caries trends 1992-1998 in two low-fluoride Finnish towns formerly with and without fluoridation," Caries Research, Nov-Dec 2000 -

(12) "The effects of a break in water fluoridation on the development of dental caries and fluorosis," Journal of Dental Research, Feb. 2000 -



(15) Clin Oral Investig. 2005 Jan 6; "Severity of dental caries among 12-year-old Sudanese children with different fluoride exposure," Birkeland JM, Ibrahim YE, Ghandour IA, Haugejorden O. -

(15a) Community Dent Oral Epidemiol. 2004 Oct, "The relationship between dental caries and dental fluorosis in areas with moderate- and high-fluoride drinking water in Ethiopia," by Wondwossen F, Astrom AN, Bjorvatn K, Bardsen A. -

(16) Community Dentistry and Oral Epidemiology, August 2004 Consumption of nonpublic water: implications for children's caries experience, byArmfield JM, Spencer AJ. -

(17) Journal of Rural Health, Summer 2003, "Oral Health Status of Children and Adolescents by Rural Residence, United States." by Clemencia M. Vargas, DDS, PhD; Cynthia R. Ronzio, PhD; and Kathy L. Hayes, DMD, MPH -

(18) "The 2001 Kentucky Childrens Oral Health Survey: findings for children ages 24 to 59 months and their caregivers," Pediatr Dent. 2003 Jul-Aug; 25(4):365-72 by Hardison JD, Cecil JC, White JA, Manz M, Mullins MR, Ferretti GA. -

(19) Oral Health Program, Kentucky Department of Public Health, May 2002 -

For more information, contact:

Paul S. Beeber
President & General Counsel
New York State Coalition Opposed to Fluoridation
PO Box 263
Old Bethpage, NY 11804