Sunday, September 25, 2022

Water flouridation: Effective prevention for tooth decay and a win for the environment

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Water fluoridation has a lower environmental impact than other preventative methods for tooth decay, according to researchers. The findings of the study further enhance the argument for water fluoridation programmes to minimise tooth decay, particularly in the most vulnerable groups.

One of the most significant public health innovations of the twentieth century is water fluoridation. However, as the climate crisis develops, the role of healthcare and illness prevention in the issue must be examined. Action is required immediately. In response to this urgency, researchers measured the environmental effect of water fluoridation for a single five-year-old kid over a one-year period and compared it to the traditional usage of fluoride varnish and toothbrushing programmes, which are implemented in chosen schools across the UK and the world.

Today, over 35% of the world’s population have access to water fluoridation, with studies showing significant reductions in dental caries. Whilst data on the clinical effectiveness and cost analysis of water fluoridation are available, there has been no data regarding its environmental impact up to now.

To quantify this impact, the research team performed a Life Cycle Assessment (LCA) by carefully measuring the combined travel, the weight and amounts of all products and the processes involved in all three preventive programmes (toothbrushing, fluoride varnish programmes and water fluoridation) . Data was inputted into a specific environmental programme (OpenLCA) and the team used the Ecoinvent database, enabling them to calculate environmental outputs, including the carbon footprint, the amount of water used for each product and the amount of land use.

The results of the study, led by Brett Duane, Associate Professor in Dental Public Health at Trinity College, concluded that water fluoridation had the lowest environmental impact in all categories studied, and had the lowest disability-adjusted life years impact when compared to all other community-level caries prevention programmes. The study also found that water fluoridation gives the greatest return on investment.

Considering the balance between clinical effectiveness, cost effectiveness and environmental sustainability, researchers believe that water fluoridation should be the preventive intervention of choice.

This research strengthens the case internationally for water fluoridation programmes to reduce dental decay, especially in the most vulnerable populations.

Associate Professor Duane said:

” As the climate crisis starts to worsen, we need to find ways of preventing disease to reduce the environmental impact of our health systems. This research clearly demonstrates the low carbon impact of water fluoridation as an effective prevention tool. “

Professor Paul Ashley, Senior Clinical Lecturer (Honorary NHS Consultant), UCL Eastman Dental Institute added:

“Renewed efforts should be made to increase access to this intervention.”

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