Fluoride is a mineral commonly added to public drinking water supplies to help prevent tooth decay. This practice, known as water fluoridation, has been widely used for decades and is endorsed by many health organizations worldwide for its dental benefits. However, concerns have been raised by some about whether fluoride in drinking water might be linked to an increased risk of dementia, a group of conditions characterized by cognitive decline, including Alzheimer’s disease.
To understand this issue, it’s important to first recognize what fluoride does and how it is used. Fluoride strengthens tooth enamel, making teeth more resistant to decay caused by acids from bacteria in the mouth. The levels of fluoride added to water are carefully controlled to be low enough to be safe for consumption while still providing dental protection.
The question of whether fluoride could affect brain health, particularly dementia risk, has been the subject of scientific investigation. Dementia involves complex changes in the brain, including the buildup of abnormal proteins, inflammation, and loss of nerve cells. Researchers have explored whether fluoride exposure might influence these processes.
Some studies have suggested that very high levels of fluoride exposure, much higher than what is typically found in fluoridated drinking water, could potentially have neurotoxic effects. These studies often come from areas with naturally high fluoride levels in water, sometimes exceeding recommended limits. In such cases, there have been observations of cognitive impairments in children and adults, but these findings are not directly applicable to communities with controlled water fluoridation.
On the other hand, extensive reviews by health authorities, including the Centers for Disease Control and Prevention (CDC) and the World Health Organization (WHO), have found no convincing evidence that fluoride at the levels used in community water fluoridation increases the risk of dementia or other neurological diseases. These organizations emphasize that the fluoride levels in treated water are far below those associated with any harmful effects.
It is also important to consider that dementia risk is influenced by many factors, including genetics, lifestyle, cardiovascular health, and oral health. Interestingly, poor oral health itself has been linked to a higher risk of dementia. For example, studies have shown that tooth loss and gum disease, which can result from inadequate dental care, are associated with increased dementia risk. This connection may be due to chronic inflammation and the spread of harmful bacteria from the mouth to the brain.
Therefore, maintaining good oral health, which fluoride helps support by preventing tooth decay, could indirectly contribute to lowering dementia risk. This perspective highlights the complexity of the relationship between fluorid





