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Guidelines & Recommendations

HHS and EPA Announce New Scientific Assessments and Actions on Fluoride: Agencies working together to maintain benefits of preventing tooth decay while preventing excessive exposure

Community Water Fluoridation: Frequently Asked Questions

Recommendations for Using Fluoride to Prevent and Control Dental Caries in the United States. MMWR, August 17, 2001;50 (RR-14):1–42. Also available as a PDF file [PDF–373K].

These CDC recommendations provide guidance to health care providers, public health officials, policymakers, and the general public on how to achieve maximum protection from tooth decay while minimizing any cosmetic concerns by efficiently using fluoride products and dental care resources.

Using Fluoride to Prevent and Control Dental Caries in the United States
This fact sheet lists the recommendations contained in this CDC 2001 report published in the MMWR Recommendations and Reports series.

Recommendations by the Task Force on Community Preventive Services (The Guide to Community Preventive Services/The Community Guide)

A systematic review of published studies conducted by a team of experts on behalf of the independent, nonfederal Task Force found that community water fluoridation was effective in reducing tooth decay among populations. On the basis of strong evidence of effectiveness, the Task Force recommends that community water fluoridation be included as part of a comprehensive strategy to prevent or control tooth decay in communities. Two publications provide information on the process, findings, and recommendations of the Task Force's review.

  • Full Report: Truman, BI, Gooch BF, Evans, Jr. CA (Guest Editors). Interventions to Prevent Dental Caries, Oral and Pharyngeal Cancers, and Sports-Related Craniofacial Injuries. American Journal of Preventive Medicine 2002; 23 (1 Sup.), July 2002: 1–82. See for links to individual articles. This Web site includes fact sheets of key findings, the evidence tables, listings of studies used to determine effectiveness of community water fluoridation and on the studies reviewed, but not used, and a PowerPoint presentation on the Oral Health review.

  • Summary Report: Promoting Oral Health: Interventions for Preventing Dental Caries, Oral and Pharyngeal Cancers, and Sports-related Craniofacial Injuries: A Report on the Recommendations of the Task Force on Community Preventive Services. MMWR, November 30, 2001;50(RR21);1–13.

Engineering and Administrative Recommendations for Water Fluoridation, 1995. MMWR, September 29, 1995;44(RR–13):1–40 [PDF–338K] This article provides specific recommendations on the engineering aspects of water fluoridation, including administration, monitoring and surveillance, technical requirements, and safety procedures for community public water supply systems.

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