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We live in the time of the most readily available and advanced information yet continually make the dumbest fucking decisions.
“Cavities…yeah….goddamn hadn’t had one of those in awhile, we should bring those back.”
I’d like to chime in that fluoridation plus a toothpaste containing hydroxyapatite is a game changer; my kids went from several cavities a year to almost none. You used to have to buy japanese toothpastes for this, but it’s starting to show up in america.
What are you talking about?
People get cavities all the time, and it's because they don't brush their damn teeth.
you know they put fluoride in toothpaste right? if you're not getting enough from that your water isn't going to make up the difference.
It demonstrably makes a huge difference, even with people who brush on a regular basis.
Let us suppose that brushing alone gives you maximum benefit you can get from fluoride.
There are people out there who can't brush their teeth as often as they should, for reasons outside their control. Why should we deprive them of the benefit of fluorinated water? It makes no difference to us. Would you rather live in a world with more tooth problems, or fewer?
Hello! That would be me! I have trigeminal neuralgia.
https://www.mayoclinic.org/diseases-conditions/trigeminal-neuralgia/symptoms-causes/syc-20353344
As the image should illustrate, brushing my teeth really really hurts, so I can't do it anywhere near as often as I'd like to.
The article addresses this. They explicitly state that this decision will disproportionately effect poorer people whose only preventative care may be drinking water. In order for this to be as effective as having fluoride in the water supply, you'd have to find some way to get said toothpaste to these poorer people AND ensure compliance. So, definitely not as easy as just removing the fluoride and letting toothpaste handle it.
If they are so poor that they can't afford toothpaste, and their only option for obtaining fluoride is by drinking tap water, their teeth are going to be absolutely fucked no matter what we put in that tap water. So this is not a good reason.
Their teeth will be less fucked with fluorinated water.
We should just buy them toothpaste and toothbrushes instead, that would be far more effective to help. Don't buy fluoride to put in the drinking water that nobody needs to drink, and invest that money in toothpaste and toothbrushes to be mailed out for free or whatever.
Poverty isn't just money. It's education and time as well. A less-well-off person will be less educated, and thus they won't really know or understand why consistently brushing is important. People who are struggling to keep afloat also tend to have multiple jobs, or other responsibilities. Brush time seems insignificant until you realize that some people's average day is: wake up after 2 or 3 hours sleep, eat a piece of bread if lucky, go to first job, work 4-8 hours, go to second job, go home, go to bed, do it again. There's no time and energy in there for such a simple maintenance item that is, strictly speaking, not required for life.
Plus disabled people, plus people in an abusive relationship, plus depressed people, plus people who are just plain gross. Who wouldn't want to live in a world where all these people have better teeth?
As a child you can't brush your adult teeth that haven't grown in yet, but you can drink fluoridated water and have it deposit in your adult teeth as they are growing making them stronger than they otherwise would have been for the rest of your life.
There's other ways to do that too. Kids here (Netherlands) get fluoride treatments from a young age (after their adult teeth have come through, I think) up to 18. It's not particularly enjoyable but like you said, it benefits you for the rest of your life.
Free/affordable healthcare means checkups at the dentist about every 6 months. After the checkup you get these two small jaw shaped containers (for upper and lower sides) filled with a fluoride paste and you just sit there for a few minutes drooling into a metal bowl. There's even flavours but they're all gross, haha. Apparently that's on purpose so you don't swallow too much.
Anyway, this whole fluoride in the water thing appears to be a very US based discussion, so I've got no horse in this race. I just wish the US had better, more affordable healthcare to begin with.
If you're poor and American, you essentially can't afford a dentist. This is better than nothing.
Excuse me! The fluoride treatment flavours ar wonderful! Best part of going to the dentist as a kid!
The missing ingredient in the US is a lack of public health infrastructure that universally covers poor people. Obama's healthcare reform didn't even cover every poor person in the country. But if we had that, adding in a fluoridation regime would be trivial. "Fluoridating tapwater is the cheapest way to get it to poor people" is only true because so many poor people in the US have no healthcare, period, so you have to set up all the infrastructure from scratch. Dumping it in the city water is cheaper than setting up real public health infra, but only before you factor in every other benefit of having public health infrastructure and all the cost savings across all of society caused by having public health infrastructure.
Neoliberals in the US love it because it's one of those "smart" solutions that requires absolutely no national-level infrastructure, you just need companies with fluoride waste on one side, and municipalities willing to buy some on the other. You don't have to make our society better, and what's more, you can castigate opponents for hating poor people when really you're the one preferring dumping a single chemical in the water to address a single type of dental problem instead of supporting actual public dental health infra in this country.
Also, dumping it in the water sort of obviates one of the more important aspects of administering compounds like fluoride, which is dose control. Water fluoridation increases the rate of fluoride toxicity because drinking water is not the only source of fluoride in people's diets. Improperly administered fluoridation schemes have killed hundreds of people in the past. More recent research has also indicated that there are heath risks associated with accumulation of fluoride in soft tissues leading to damage heart muscle, kidneys, liver, and brain which had not been documented back in the 19-fucking-40's when this dipshit policy was first invented. all claims in this paragraph from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9920376/
We fluoridate the water so we don't have to actually help poor people with their health in this country, and apparently so liberals don't need to keep up with health research conducted since the 1940's.
Lol
CDC
Do you drink your toothpaste?