PCOH strongly affirms our support of adjusting fluoride in water to optimal levels. Community water fluoridation (CWF) remains the single most effective public health measure to prevent tooth decay and protect oral health. 

For nearly 80 years, communities across the United States have been adjusting the naturally occurring amount of fluoride in water to the amount recommended by the Centers for Disease Control and Prevention (CDC) for optimal oral health, and this practice has improved the oral health of tens of millions of Americans. As with most things, the amount you consume matters and too much of anything can be harmful. This is why the amount of fluoride in water is heavily regulated, tested, and ensured to be safe. Studies and court cases are often cited that indicate that fluoride causes negative health effects, when in reality, these studies are based on fluoride amounts that are far higher than we allow in the United States.

In Pennsylvania, each community water system makes its own decision on whether or not they will adjust the natural levels of fluoride in the water they provide to their customers. Adjusting the amount of fluoride in water reaches entire communities and addresses oral health needs for everyone in the community in a way that no other oral health tool can; it’s an accessible resource for all, regardless of insurance status, socioeconomic status, or access to dental care.  As we continue to face growing dental workforce shortages, adjusting fluoride levels in water is a preventive measure that will help benefit even those who are now waiting months for a dental appointment.

In the upcoming holiday season, you may find yourself having difficult conversations with family members, friends, and community members. It is important for all of us to emphasize the evidence-based science and effectiveness of water fluoridation in preventing cavities and improving oral health. We wanted to make sure that you have the tools and resources to have these difficult conversations and have created a new resource that can be used and shared when addressing fluoride levels in water.

The Pennsylvania Coalition for Oral Health (PCOH) needs support in being able to connect at the community level on this issue, and continues to offer resources to assist individuals and communities in protecting this effective public health measure. Please consider joining the Statewide Water Action Team (SWAT) by emailing nicole@paoralhealth.org.

The American Dental Association (ADA) Health Policy Institute (HPI) released an annual update on trends from the Medical Expenditure Panel Survey and the National Health Interview Survey. This includes trends in dental care utilization, dental insurance coverage, and cost barriers. Data is broken down by population age, race/ethnicity, income level, and insurance type. Among the findings, only 40 percent of working-age adults had a dental visit. They also found that dental care continues to pose the highest cost barriers when compared to other health services such as medical, prescription drugs, and mental health.

Click here to review the trend updates.

HPI also released an update on Medicaid reimbursement for child and adult dental care services by state using data from state Medicaid fee schedules. The data table includes Medicaid fee-for-service reimbursement as a percentage of average dentist charge and as a percentage of average private dental insurance payment rates.

Click here to view the report.

Do you know of any organizations that would benefit from free electronic and print oral health materials? Please share information about the PCOH Request Materials Page. We have nearly 50 resources available on topics such as general oral health education, children’s health. fluoride, workforce, tobacco and nicotine, HPV prevention, and older adults. Materials include flyers, brochures, posters, postcards, stickers, and magnets. We have a few resources in Spanish and Swahili as well. Please allow 2-3 weeks for order processing and shipping.

Click here to request materials.