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Protecting All Children's Teeth (PACT): A Pediatric Oral Health Training Program
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This section address current recommendations for water fluoridation, fluoride supplementation, and toothpaste.

Community Water Fluoridation
The goal of community water fluoridation is to maximize dental caries prevention while minimizing the frequency of enamel fluorosis.
Fluorosis: An abnormal condition (as mottled enamel of human teeth) caused by fluorine or its compounds.

In January 2011, the US Department of Health and Human Services, proposed 0.7 ppm be considered the optimal fluoride concentration in drinking water.

Because there is wide geographic variability in community water fluoridation, it is important to know the fluoride content of the water that children consume.

The US Environmental Protection Agency requires that all community water supply systems provide each customer an annual report on the quality of water, including the fluoride concentration. Families or providers can contact the local water authority for this information.

Fluoride content of a town's water by accessing the CDC My Water's Fluoride website.

Well Water
Wide variations in the natural fluoride concentration of well water sources exist.

Private wells should be tested for fluoride concentration before prescribing supplements.

Testing can be done through local and state public health departments or through private laboratories.
Fast Facts
Patients and providers need to determine the fluoride concentration in an individual's water source before supplementing with fluoride.
Well water should be tested to determine the fluoride concentration.

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