Public health and WHOFluoride in toothpaste and water — tooth protection or hidden poison?
- Jerzy Jaśkowski — Przechytrzyć cukrzycę. Część 1
- Jerzy Jaśkowski — Choroby jatrogenne
- Jerzy Jaśkowski — Niedoczynność tarczycy
- Michał Tombak — Jedzenie, które leczy…
- Water Fluoridation and Dental Caries Prevention Globally: A Systematic Review and Meta-Analysis. · JDR Clin Trans Res 2026
- Effectiveness of water fluoridation in an upper-middle-income country: A systematic review and meta-analysis. · Int J Paediatr Dent 2022
- Guidelines on the use of fluoride for caries prevention in children: an updated EAPD policy document. · Eur Arch Paediatr Dent 2019
- Effect of community water fluoridation cessation on dental caries in 12-year-old Israeli children: a retrospective analysis of socioeconomic disparities (2014-2022). · Isr J Health Policy Res 2026
- Water fluoridation today: - benefits and challenges. · Front Oral Health 2026
- Orthomolecular Medicine News Service — Dispensing with Fluoride
- Orthomolecular Medicine News Service — How to Reduce Exposure to Fluoride
Jerzy Jaśkowski warns that fluoride in toothpaste may pose a risk to children, even though society is told that it is good for their teeth.
- Jerzy Jaśkowski says that a child may swallow up to 5 mg of fluoride while brushing, although the daily requirement is about 1 mg.
- Jerzy Jaśkowski links excess fluoride to damage to the pancreas and bones, as well as other health problems.
What the authors write
A child may swallow up to 5 mg of fluoride while brushing, although the daily requirement is about 1 mg.
Excess fluoride is said to damage the pancreas and bones, among other things.
Jerzy Jaśkowski presents fluoride as a neurotoxin and links it to diabetes.
Jerzy Jaśkowski warns that parents are not told about the possibility that fluoride-containing toothpastes may be harmful.
Jerzy Jaśkowski says that fluoride waste from the aluminium industry and nuclear power plants is processed into raw material for toothpaste.
Jerzy Jaśkowski links inhaling fluoride to an increase in respiratory cancer.
Jerzy Jaśkowski claims that fluoride damages the thyroid and links it to other health problems.
Fluoride in pumpkin occurs in an organic form, which Michał Tombak considers important for dental health.
Research from PubMed · Europe PMC
We selected 5 studies with the best, positive results. This is a selection, not a full review of all research.
Total number of studies on this topic in PubMed: 299.
A meta-analysis found that caries was less common and less severe in communities with fluoridated water.
Aim of the study: Fluoridation of community water supplies is one of the most effective public health measures for preventing dental caries. In recent years, questions have been raised about its effectiveness and safety.
Results: Study design, continent, or decade of publication satisfactorily explained the differences between studies. Communities with fluoridated water had less caries, and the differences measured using SMD and prevalence (OR) were large, both in children and adults. The meta-analysis found significant differences in caries experience and prevalence in favor of community water fluoridation (CWF). This is an effective and comprehensive public health measure for preventing caries, especially in primary teeth. Knowledge Transfer Statement: Based on the published literature, this study shows that fluoridation of community water supplies remains an effective public health measure for preventing dental caries in both children and adults, despite the widespread availability of fluoride-containing dental products, especially toothpaste. This finding adds to the existing evidence supporting its inclusion in public oral health policies.
“Not stated” does not mean nobody paid — the database does not always record it.
The review found that in the areas of Brazil studied, fluoridated water was associated with less caries than water without fluoride.
Aim of the study: To summarize information on how effective community water fluoridation (CWF) is at reducing dental caries in Brazil, where fluoridated toothpaste is widely used.
Results: Of the 574 studies identified, 16 were included in the qualitative analysis and 10 in the quantitative analysis. Fluoridated areas had lower average dmft/DMFT scores than non-fluoridated areas. The mean difference in dmft between non-fluoridated and fluoridated areas was -2.28 (95% CI -3.26; -1.30) for children aged 5-8 years and -1.12 (95% CI -1.93; -0.32) for those aged 3-12 years; the mean difference in DMFT was -0.61 (95% CI -0.80; -0.42) for children aged 7-12 years. Caries prevalence in fluoridated areas was 1.4 times lower in primary teeth and 57% lower in permanent teeth. Heterogeneity was observed in all age groups, ranging from 77.6% to 98.2%. Community water fluoridation remains effective in preventing dental caries in children under 13, even with widespread use of fluoridated toothpaste.
“Not stated” does not mean nobody paid — the database does not always record it.
EAPD guidelines consider daily fluoride use an important part of preventing caries in children when it is used as directed.
Aim of the study: To update the existing 2009 fluoride guidelines of the European Academy of Paediatric Dentistry (EAPD).
Results: Parents must be strongly advised to use an age-appropriate amount of toothpaste and to assist or supervise tooth brushing until at least 7 years of age. The EAPD strongly endorses daily fluoride use as a major part of any comprehensive programme to prevent and control dental caries in children. Whatever the type of programme, community-based or individual, fluoride use must be balanced against the assessed risk of caries and the possible risk of adverse effects from fluoride. Fluoride use is considered safe when the manufacturer's instructions are followed. Preventive programmes should be reviewed regularly and adapted to the needs and risks of the patient or population. For most European countries, the EAPD recommends appropriate use of fluoride toothpaste together with good oral hygiene as the basic fluoride regimen.
“Not stated” does not mean nobody paid — the database does not always record it.
After water fluoridation ended, the caries index increased, and differences between groups with different socioeconomic status grew wider.
Aim of the study: Israel's community water fluoridation policy, mandatory from 2002 until it was halted in 2014, provides a natural experiment for assessing fluoridation's impact on children's oral health. This retrospective study analyzed digital dental records of 12-year-old children (2014-2022) to assess changes in caries experience after community water fluoridation ended.
Results: The MF index increased significantly after fluoridation ended, especially among populations with low socioeconomic status (SES). Twelve-year-olds in low-SES communities without fluoridated water had more than double the caries experience of those in high-SES communities (mean MF 0.82 vs. 0.40; p < 0.05). The SES gap was considerably narrower in fluoridated communities. SES had a large effect on caries outcomes (partial η²≈0.34), and the absence of fluoridation was associated with a modest but significant increase in MF (partial η²≈0.01). Females had higher MF rates than males, with larger gender differences in non-fluoridated groups. The end of CWF was associated with increased caries and wider SES and gender disparities, highlighting the value of fluoridation in promoting oral health equity. CWF remains a fundamental public health measure, unmatched in its ability to provide effective, safe, fair, and cost-saving caries prevention to entire populations.
“Not stated” does not mean nobody paid — the database does not always record it.
The review indicates that fluoridated water and fluoride toothpaste help prevent caries, and their effects may complement each other.
Aim of the study: The aim of this review is to describe the role of water fluoridation in preventing dental caries worldwide. Community water fluoridation began in 1945 and over the past 20 years has reached over 400 million people.
Results: In this regard, advice should focus on the early use of fluoride-containing toothpaste to reduce fluoride ingestion during infancy and early childhood. The cost of water fluoridation is low. With increasing global urbanisation and improved equipment, the future of water fluoridation is promising. The WHO urges member states to consider implementing community water fluoridation.
“Not stated” does not mean nobody paid — the database does not always record it.
Perspectives and opinion materials
The content below presents the authors’ opinions, interpretations and hypotheses. It is not treated as equal to scientific studies and systematic reviews.
Pisaczek does not judge who is right. It shows what was written and where to read it. Every sentence above has its source.