Health implications and ethical considerations of the fluoridation of drinking water
Keywords:
fluoración, agua potable, salud pública, caries dentalAbstract
Fluoridation of drinking water has been considered an effective strategy for the prevention of dental caries at the population level. This practice has demonstrated benefits in reducing the incidence of caries, especially in communities with limited access to dental services. However, fluoridation has also sparked controversy due to concerns about potential long-term side effects, such as the risk of dental fluorosis and other health impacts. This research aims to analyze the benefits and controversies of water fluoridation, its impact on caries prevention, as well as the arguments against it, related to its adverse effects and ethical issues. A literature review was conducted, exploring the scientific evidence available in PubMed/MEDLINE and SciELO, from several high-impact articles published in the last five years. Water fluoridation strengthens tooth enamel and reduces the incidence of caries, which has made it a key tool in promoting oral health.
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Peckham S, Awofeso N. Water Fluoridation: A Critical Review of the Physiological Effects of Ingested Fluoride as a Public Health Intervention. Sci World J. 2014 [citado 06/06/2022]; 2014:293019. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC3956646/
Vinceti SR, Veneri F, Filippini T. Water fluoridation between public health and public law: an assessment of regulations across countries and their preventive medicine implications. Ann Ig. 2024 [citado 06/08/2024];36(3):261-269. Disponible en: https://annali-igiene.it/articoli/2024/3/01_Vinceti.pdf
Iheozor Ejiofor Z, Walsh T, Lewis SR, Riley P, Boyers D, Clarkson JE, et al. Water fluoridation for the prevention of dental caries. Cochrane Oral Health Group, editor. Cochrane Database Syst Rev. 2024 [citado 06/12/2024]:(11). Disponible en: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD010856.pub3/pdf/CDSR/CD010856/CD010856_abstract.pdf
Moore D, Poynton M, Broadbent JM, Thomson WM. The costs and benefits of water fluoridation in NZ. BMC Oral Health. 2017 [citado 06/08/2023];17(1):134. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC5704512/
Ramasubbu D, Lewney J, Duane B. Investigating the effectiveness of water fluoridation. Evid Based Dent. 2024 [citado 05/10/2024];25(3):121-122. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC11436376/
McGrady MG, Ellwood RP, Pretty IA. Water fluoridation as a public health measure. Dent Update. 2010 [citado 09/06/2023];37(10):658-660. Disponible en: https://www.magonlinelibrary.com/doi/abs/10.12968/denu.2010.37.10.658
Morocho Vinueza SM. Fluorosis dental en niños de 6 a 12 años, unidad educative Andoas, Cubijíes, provincia de chimborazo. Semestre a 2019 [Tesis]. [Guayaquil, Ecuador]: Universidad Católica de Santiago de Guayaquil;2019.78p. Disponible en: http://repositorio.ucsg.edu.ec/handle/3317/13438
Boehmer TJ, Lesaja S, Espinoza L, Ladva CN. Community Water Fluoridation Levels To Promote Effectiveness and Safety in Oral Health-United States, 2016–2021. MMWR. 2023 [citado 06/01/2024];72(22):593-596. Disponible en: https://www.cdc.gov/mmwr/volumes/72/wr/pdfs/mm7222a1-h.pdf
Romero V, Norris Frances J, Ríos Juvenal A, Cortés I, González A, Gaete L, et al. Consecuencias de la fluoración del agua potable en la salud humana. Rev Méd Chile.2017 [citado 03/08/2023];145(2):240-249. Disponible en: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872017000200012&lng=es
Cury JA, Ricomini Filho AP, Perecin Berti FL, Pm Tabchoury C. Systemic Effects (Risks) of Water Fluoridation. Braz Dent J. 2019[citado 03/10/2023];30(5):421-428.Disponible en: https://www.scielo.br/j/bdj/a/CQLHDXWZVTvjhnfZgbxFbVr/?lang=en
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Copyright (c) 2025 Cristian Sebastian Tisalema Quisintuna, Diego Sebastian Salguero Cueva , Jorge Eduardo Orosco Bayancela , Luis Darío Pérez Villalba

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