FYI

Tooth decay is one of the most prevalent chronic diseases in children and adults, even though it’s highly preventable. Fluoride is a key tool in both preventing and reversing tooth decay. As conversations around community water fluoridation continue to evolve across the country, patients may have questions about how to maintain strong, cavity-resistant teeth without this long-standing public health measure.

Dental professionals are uniquely positioned to help patients understand the role fluoride plays in oral health and guide them toward practical ways to incorporate it into their daily routines. By equipping patients with practical strategies, providers can help bridge the gap, ensuring they continue to receive the protective benefits of fluoride, regardless of their local water supply.
 

How to frame conversations with patients

When discussing preventive care with patients, it can be helpful to communicate how it impacts not just their oral health, but their overall quality of life — saving them money, time, stress and potentially serious health issues.
 

• Meet patients where they are. Some may have concerns based on recent news or policy changes, or may believe common misinformation about fluoride safety. Use empathy to build trust.
• Focus on benefits. Emphasize fluoride’s proven role in strengthening enamel and preventing decay.
• Offer actionable steps. Patients are more likely to follow through when given clear, manageable recommendations.
   

Recommendations for adding fluoride when community water fluoridation is at risk

Patients in areas where fluoridated water is at risk or no longer available may need additional guidance to maintain adequate fluoride exposure. Here are simple, evidence-based recommendations providers can share during patient visits:
 

1. Encourage home fluoride use

Brushing twice daily with a fluoridated toothpaste remains one of the most effective ways to prevent cavities. Explain to patients what a fluoride toothpaste is, where they can find one and how to choose a good option. This may be a good opportunity to discuss the ADA Seal of Acceptance.

For patients at higher risk of decay, fluoride mouthwash can offer an added layer of protection. They’re especially helpful for orthodontic patients or those prone to plaque buildup and can support remineralization between brushing sessions.
 

2. Discuss professional fluoride treatments

Preventive dental care is important at any age, and providers should always inform patients about the role that fluoride plays in that care.

Make sure to educate patients about American Dental Association guidelines that suggest professionally applied fluoride is effective in preventing caries for at-risk adults. It might be helpful to explain the factors that make members at-risk for caries as well.

Note: Check patient benefit details in Provider Tools to check for coverage.
 

3. Explore fluoride supplements when appropriate

For patients without access to fluoridated water, especially children, fluoride supplements may be an option. These should be prescribed based on age, risk level and total fluoride exposure. Providers may need to collaborate with pediatricians.
 

4. Reinforce a preventive oral care routine

Get patients excited about preventive care. Simple oral care that patients can easily incorporate into their daily lives is a great place to start. Emphasize that fluoride works best as part of a broader oral health strategy and give them a home care plan that’s easy to manage.

As legislation and public health policies shift, messaging around fluoride is becoming more complex. Learning how to be an advocate in a changing landscape means providers can continue to do what they do best — help patients maintain their oral and overall health.