Fluoride for children

A healthy dose of fluoride protects against cavities. Too much fluoride (fluorosis) can discolor and cause pitting in developing teeth. The optimal amount of fluoride in water is between 0.7 to 1.2 ppm. In Orange county Florida, our 2009 water quality tests reveal fluoride levels of 0.816 ppm.

The CDC recommends no fluoride in the first 6 months and then supplemental use (for children 6 months to 16 years) based on the fluoride levels in their water. Children on the Orange county water system do not need supplemental fluoride. In fact, formula for children less than 6 months should be made with water that does not contain fluoride. Typical water filters used on refrigerators do not remove fluoride.

We live where it is considered unincorporated orange county and have well water. Should I supplement fluoride for my children?

Yes, children older than 6 months should get some fluoride. In these situations, I usually prescribe a multivitamin with fluoride called poly-vi-flor.

Originaly Written May 2010
Updated March 2011 by
Dr. Gordon, Orlando Pediatrician