Recent years have seen an increasing number of studies highlighting the neurotoxic effects of fluoride, particularly on children’s developing brains. Funded by the US governments’ National Institutes of Health (NIH), ten significant studies have explored these adverse effects, bringing attention to the precautionary principle in public health policy. This article delves into these findings, contrasts them with responses from the American Dental Association (ADA), and discusses the challenges in changing public health policies due to vested interests.

Key Findings from NIH-Funded Fluoride Studies:

  • Prenatal Fluoride Exposure and Cognitive Outcomes in Children in Mexico
    This study examined the association between prenatal fluoride exposure and cognitive outcomes in children aged 4 to 12. The results indicated a significant decrease in IQ scores among children with higher prenatal fluoride exposure​​.
  • Fluoride Exposure and ADHD Symptoms
    Research conducted in Mexico City found a correlation between prenatal fluoride exposure and increased ADHD symptoms in children aged 6 to 12. This study underscored the behavioral impacts of fluoride exposure during critical developmental periods​​.
  • Maternal Fluoride Exposure and IQ Scores in Canada
    A Canadian study linked maternal fluoride exposure during pregnancy to lower IQ scores in offspring. This large-scale research provided compelling evidence of fluoride’s neurotoxicity​​.
  • Fluoride from Infant Formula and Child IQ
    Another Canadian study found that infants fed formula mixed with fluoridated water had lower IQ scores compared to those fed formula mixed with non-fluoridated water, highlighting the risks associated with early-life fluoride exposure​​.
  • Dietary Fluoride Intake and Neurodevelopment
    This prospective study investigated fluoride intake during pregnancy and its impact on toddlers’ neurodevelopment, revealing negative effects on cognitive functions and developmental milestones​​.
  • Fluoride Exposure and Neurobehavioral Problems
    A study from the Keck School of Medicine of USC showed that higher fluoride levels during pregnancy were linked to increased neurobehavioral problems, such as emotional reactivity and anxiety, in children​​.
  • Iodine Status and Fluoride Exposure
    Research highlighted how iodine status can modify the association between fluoride exposure and intelligence, particularly in boys. Adequate iodine intake during pregnancy may mitigate some of fluoride’s adverse effects​​.
  • Maternal Urinary Fluoride and Child Neurobehavior at 36 Months
    This study found that higher maternal urinary fluoride levels were associated with increased neurobehavioral issues in children at 36 months, emphasizing the critical window of prenatal exposure​​.
  • Fluoride and Hypothyroidism
    A Canadian cohort study linked higher fluoride exposure to an increased risk of hypothyroidism in pregnant women, which in turn can affect fetal brain development and lead to cognitive deficits in children​​.
  • Neurodevelopmental Risks from Environmental Contaminants
    The MADRES cohort study in Los Angeles identified that maternal fluoride exposure was associated with higher rates of clinically significant neurobehavioral problems in children, underscoring the need for targeted public health interventions​​.

By examining the motivations behind the IAOMT’s stance and contrasting it with the perspectives of those who may have different motivations to not acknowledge these harms, we gain insight into the complex landscape of oral health policies and the divergent viewpoints held within the field.

The IAOMT’s Commitment to Human Health:

The International Academy of Oral Medicine and Toxicology (IAOMT) holds a distinctive position among dental organizations concerning the use of biocompatible dental materials and harmful chemicals such as the use of mercury and fluoride in dentistry. The IAOMT advocates for the protection of human health by discouraging the use of substances, products, therapies and medical devices that have associated harms as published in the scientific literature.

The IAOMT takes a strong stand against the use of mercury and fluoride based on scientific evidence indicating adverse effects on human health. Our position is grounded in a belief that the precautionary principle should serve to guide us in shaping oral health practices, with a primary focus on the well-being of patients. 

The precautionary principle is a concept that emphasizes taking preventive action in the face of uncertain risks, even in the absence of conclusive scientific evidence. It advocates for erring on the side of caution to protect public health and minimize potential harm. 

Using the precautionary principle as a guide, the IAOMT seeks to create a framework that prompts dental professionals to critically evaluate the substances and procedures used in oral health practices. We emphasize the importance of exploring alternative materials and methods that are less likely to pose health risks, thereby ensuring the long-term safety and well-being of patients.

By advocating for the elimination of water fluoridation and mercury-based dental fillings, the IAOMT aims to protect individuals from the known, well established risks associated with these substances. Our motivations are centered around the promotion of a safer and more holistic approach to oral health.

Criticism of ADA’s position on fluoride and their response to recent studies.

The American Dental Association (ADA) recently published an article titled “ADA Says Exploratory Study Should Not Change Public Health Recommendation,” which addresses the most recent study questioning the benefits of fluoridated water. While the ADA emphasizes the exploratory nature of the study and reaffirms its stance on fluoridation, it is crucial to examine this response critically, especially given the broader context of emerging scientific evidence and public health concerns.

The ADA has consistently supported the use of fluoride in public water systems, citing its benefits in preventing dental caries. However, this unwavering stance does a disservice to public health by downplaying a large body of scientific evidence indicating harm. 

Despite mounting evidence, the ADA argues that recent studies are not conclusive enough to change public health recommendations. This position neglects the precautionary principle and overlooks the growing body of research suggesting that the risks of fluoride exposure outweigh its dental benefits​​.

By dismissing these findings as merely “exploratory,” the ADA fails to acknowledge the potential neurodevelopmental risks posed to children. Their stance reflects an inherent bias towards maintaining the status quo, and side steps any scientific discourse. This approach also undermines public trust and hinders the adoption of more protective health measures based on emerging scientific evidence.

Reliance on Historical Consensus

The ADA’s argument heavily relies on historical consensus and endorsements from government entities like the Centers for Disease Control and Prevention (CDC). While historical consensus is valuable, it should not serve as a shield against new evidence. Scientific understanding evolves, and public health recommendations must adapt accordingly. The ADA’s reliance on past endorsements without sufficiently addressing current scientific debates suggests a reluctance to engage with new data critically.

Moreover, the assertion that fluoridation is a “safe, effective, and equitable” public health measure needs continuous re-evaluation in light of contemporary research. The historical context of fluoridation’s adoption in the mid-20th century differs significantly from today’s environment, where advanced research methodologies and a better understanding of chemical exposures necessitate re-assessment of long-standing practices.

Here is a video overview from Nutrition Facts.org giving a damning critique of medicine’s response to the changing science on #Fluoride safety.

Conclusion

The growing body of evidence from NIH-funded studies underscores the need for a reevaluation of fluoride use in public health, particularly concerning its neurodevelopmental impacts on children. The precautionary principle supports taking preventive measures to mitigate these risks. However, significant challenges remain in translating these findings into policy changes due to entrenched interests and the slow pace of public health policy adaptation. It is imperative for policymakers, healthcare providers, and the public to consider this evidence critically and prioritize the long-term health and cognitive development of future generations.

For further information please read the IAOMT 2024 Fluoride Position Paper.