Dentists Warn of Removing Fluoride in NY Water — But Many Upstate Counties Already Don’t Have It
Published by Press & Sun-Bulletin
Introduction
Recently, there has been a growing debate in New York over the removal of fluoride from municipal water supplies. Dentists and public health officials are raising strong warnings because fluoride has long been a proven agent in preventing cavities and promoting dental health. However, many counties in upstate New York have never had fluoridated water, bringing unique challenges and questions to the forefront. This article unpacks the current controversy, explores the benefits of fluoride, and highlights the realities faced by these upstate communities.
What Is Fluoride and Why Is It Added to Water?
Fluoride is a naturally occurring mineral that, when added to drinking water at recommended levels, helps significantly reduce tooth decay. Community water fluoridation is recognized by the Centers for Disease Control and Prevention (CDC) as one of the top public health achievements of the 20th century, credited with preventing millions of cavities across the United States.
Key Benefits of Fluoride in Drinking Water
- Reduces tooth decay: Fluoride strengthens tooth enamel and repairs early decay.
- Cost-effective prevention: For every $1 spent on water fluoridation, communities save about $38 in dental treatment costs.
- Protects all populations: Especially beneficial for children and low-income groups with less access to dental care.
- Promotes oral health equity: Reaches everyone, regardless of age, education, or income.
Dentists’ Concerns About Removing Fluoride from NY Water
Dental professionals across New York have expressed serious concerns about recent proposals or actions that could lead to the removal or reduction of fluoride in public water systems. Their main points include:
- Increased risk of cavities and dental diseases: Removing fluoride may reverse decades of oral health progress.
- Higher costs: More dental treatments could burden families and increase Medicaid spending.
- Disproportionate harm to vulnerable populations: Children, seniors, and low-income communities would face greater risks.
- Scientific consensus ignored: Numerous studies support fluoride safety and efficacy at recommended levels.
Upstate Counties Without Fluoride: The Reality on the Ground
Despite the warnings, many counties in upstate New York already lack fluoridated water. This is due to a complex mix of factors, including logistical challenges, cost concerns, and local decisions.
| Upstate County | Fluoridated Water Status | Population (Approx.) | Known Dental Health Challenges |
|---|---|---|---|
| Broome County | No | 190,000 | Higher cavity rates in children |
| Tioga County | No | 48,000 | Limited access to pediatric dental care |
| Delaware County | No | 44,000 | Higher tooth decay incidence |
| Onondaga County | Partial | 460,000 | Mixed fluoridation, disparities noted |
Challenges Faced by Non-Fluoridated Upstate Areas
- Higher prevalence of dental caries: Studies have shown more cavities and tooth decay versus fluoridated regions.
- Limited oral health programs: Rural areas often lack comprehensive preventive care initiatives.
- Economic barriers: Treatments can be costly without preventive fluoride benefits.
- Access to clean water and infrastructure: Installing and maintaining fluoridation equipment is expensive and logistically complex.
Case Study: Broome County’s Dental Health Status
Broome County, home to Binghamton and surrounding communities, is one upstate area without fluoridated water. Local dentists report a noticeably higher incidence of dental cavities in children and adults alike. According to county health data, dental emergency visits have increased over the last five years, with many cases linked to preventable decay.
Despite calls from dental professionals to fluoridate the water supply, community opposition and budget concerns have delayed action. Instead, Broome County relies on dental outreach programs and educational campaigns, which, while helpful, cannot substitute the protective benefit fluoride offers universally.
Practical Tips for Residents in Non-Fluoridated Areas
If you live in an upstate New York county that lacks fluoride in the water, or if your community is considering fluoride removal, consider these practical oral health tips:
- Use fluoride toothpaste daily: Brushing twice a day helps strengthen enamel.
- Consider fluoride mouth rinses: Especially helpful for children and at-risk adults (consult your dentist).
- Maintain regular dental check-ups: Early detection and treatment reduce long-term problems.
- Limit sugary foods and drinks: Reduce risk factors that promote cavity formation.
- Stay informed and advocate: Participate in local water and public health discussions.
Conclusion
The debate over fluoride in New York’s water systems is complex but crucial for public health. Dentists warn that removing fluoride could lead to a resurgence of dental caries and other oral health issues, undermining decades of progress. Yet, many upstate New York counties already lack fluoridated water, grappling with higher rates of dental problems and barriers to prevention.
Understanding the benefits of fluoride and supporting measures to maintain or expand fluoridation can help improve oral health outcomes statewide. For residents in communities without fluoridated water, adopting personal preventive measures and staying engaged in local health decisions are essential steps in protecting your smile.
Stay informed, brush well, and advocate for fluoridation to help keep New York’s teeth healthy and strong!
