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Fluoridation and Oral Health in New Hampshire and Vermont

This report provides an overview of fluoridation and its impact on oral health in New Hampshire and Vermont. It covers the history, advantages, and disadvantages of fluoridation, as well as common oral health conditions and preventative measures. Federal recommendations and national statistics are also included. The report concludes with policy recommendations for improving oral health in these states.

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Fluoridation and Oral Health in New Hampshire and Vermont

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  1. Fluoridation and Oral Health in New Hampshire and Vermont March 2018 Dartmouth College Environmental studies 80.08: The Practice of Science policy and diplomacy Social impact practicum final project Yennydieguez, armond Dorsey, lindaessery, ruben gallardo

  2. Agenda • Overview of Fluoridation • Brief History • Advantages and Disadvantages • Overview of Oral Health • Common Oral Health Conditions • Preventative Measures • Federal Recommendations • Federal Recommended Concentration Levels • National Statistics • Fluoridation in New Hampshire and Vermont • Policy Recommendations

  3. Brief History of Fluoridated Water • In 1945, Grand Rapids, MI became the first city to practice community water fluoridation. • Fluoridated water is one of the 10 great pubic achievements of the 20th century and has provided many dental health benefits for over 70 years. Source: Waterlogic USA Inc., 2018

  4. Advantages of Fluoridation Prevents tooth decay by ~25% in children and adults today. Cost Effective Socioeconomic status Helps prevent diseases associated with poor dental health. Cardiovascular disease, diabetes, respiratory diseases, kidney disease, dementia, adverse pregnancy outcomes, and oral cancers. Source: The Pew Charitable Trusts, 2013

  5. Disadvantages of Fluoridation More than 90% of the cases in the U.S. today appear in its milder forms as usually unnoticeable white spots on the tooth’s surface. Bad medical practice U.S. Food and Drug Administration classification Unethical Uncontrollable Not an essential nutrient Source: Greer Today, 2018.

  6. Overview of Oral Health • Dental health remains an important aspect of overall health because it serves as an indicator for nutritional deficiencies and general infections. Source: Oral Health Foundation, 2014.

  7. Specific Diseases: Periodontitis • 80% of North Americans have some sort of periodontal disease. • Correlation to other diseases. • Gaps and plaque buildup. Source: The Dental Surgery, 2018.

  8. Preventative Measures • Brush teeth • Use toothpaste • Floss • Low-sugar diet Source: Public Health England, 2018.

  9. 0.7 parts per million- recommended fluoride concentration level to prevent tooth decay and reduce risk of dental fluorosis. Based on the revised guidelines released by the u.s. department of health and human services in 2015.

  10. Fluoridation Growth in the U.S. by Population, 1940-2014 Total U.S. Population Population Served by CWS Total CWS Fluoridation Population Receiving Naturally Fluoridated Water Source: CDC, 2016. In 2014, 75% of the U.S Population, approximately 280 million people, received fluoridated water via community water system (CWS) or private wells.

  11. Source: Waterlogic USA Inc., 2018 15 states plus the District of Columbia and Puerto Rico have mandated state regulated fluoridation programs.

  12. Percent of Population Served by Community Water Systems in New England States, 2012

  13. Fluoridation in New Hampshire Naturally occurring fluoride in northern New Hampshire. Community referendum vote needed to begin or stop fluoridation programs. Resources available through NH Department of Environmental Services for communities with fluoridation programs. Source: The Pew Charitable Trust, 2014.

  14. Fluoridation in Vermont Local referendum vote needed to allow or discontinue fluoridation programs Bennington, VT voted against fluoridation in March 2015 In 2012, residents of Plainfield, VT voted to stop fluoridation program in the town 71 out of 460 communities have fluoridation programs 23 communities eligible for fluoridation Source: The Bennington Banner, 2015.

  15. Design educational programs to communicate benefits of fluoridation • Survey the regional population to gauge current public opinion and knowledge on fluoridation. Utilize this data to design educational programs/materials that communicate the benefits and disadvantages of fluoridation in a comprehensive manner. Source: American Academy of Pediatrics, 2018.

  16. Enact state mandated fluoridation programs in eligible communities • Create a statewide legislation mandate to enforce the national recommended fluoridation level in drinking water across the state. Source: Business Insider, 2014.

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