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January 2020 will mark 75 years of the use of community water fluoridation! The Alabama Department of Public Health and the Oral Health Coalition of Alabama acknowledges the use of community water fluoridation as a safe and effective means of preventing tooth decay. For every $1 spent, $20 is saved in Medicaid cost on preventative dental visits. We look forward to celebrating this 75 year milestone in January!


In support of Community Water Fluoridation and the positive impact it has had across the nation regarding oral health for over 70 years, the Alabama Department of Public Health Oral Health Office has drafted a State Fluoridation Toolkit to be downloaded, printed, shared, and distributed across Alabama.

Through collaboration with the Michigan Oral Health Coalition, the Missouri Oral Health Coalition, and the Centers for Disease Control (CDC), we are proud to present this Fluoridation Toolkit which can be used to aid in the education and understanding of the positive impact, and continued use of community water fluoridation.

Download your copy of the State Fluoridation Toolkit!

The practice of community water fluoridation began in 1945 in Grand Rapids Michigan when scientists discovered that dental caries could be prevented by adjusting the fluoride level in the community water supply. The results in Grand Rapids were so effective that major health organizations took note and prompted the rapid adoption of this public health measure in cities throughout the United States.

As knowledge about the benefits of fluoridated water grew, other sources were adopted and today we have fluoride in our toothpastes, gels, mouth rinses, and tablets. These other sources of fluoride are very effective in preventing tooth decay, however, they are also very dependent upon the frequency of use by the person or caregiver. In contrast, community water fluoridation is not dependent upon individual behavior and is able to reach even the most underserved populations in order to prevent the painful and sometimes deadly effects of tooth decay.

Community water fluoridation has been so successful in the United States in preventing dental caries, the CDC named it one of the ten greatest public health achievements of the 20th century.

To learn more about the history of community water fluoridation visit: CDC: Community Water Fluoridation

Page last updated: May 13, 2021