International Academy of Oral Medicine and Toxicology
Public Health Goal for Fluoride
The International Academy of Oral Medicine and Toxicology
Policy position on ingested fluoride and fluoridation
This policy position has been prepared by David C. Kennedy,
D.D.S., Past-President, Fluoride Information Officer, and Special Project
Consultant, of the International Academy of Oral Medicine and Toxicology
(IAOMT). It was reviewed, revised, and adopted by IAOMT at the Annual Fall
Scientific Session held in Calgary, Canada, September 26-28, 2002.
The International Academy of Oral Medicine and Toxicology is a
non-profit Canadian corporation with active chapters in 11 countries,
representing four continents. The Academy was formed in 1984 for the purpose of
funding, reviewing, and disseminating research on the suitability of materials
and methodologies used in the dental practice, with the specific intent of
applying evidence-based medicine to the field of dentistry. IAOMT provides
continuing education to dentists, physicians, and other health practitioners.
Discussions of fluoride and fluoridation over the last 50-plus
years by the general public or casual observer have often been complicated by
the lack of discernment concerning the differences between effects caused by
systemic exposures and topical applications. Scientific discussions have been
further complicated by providing undue weight to claims of effectiveness that
have resulted in the abandonment of margins of safety that are essential to any
toxicological profile and establishment of public policy.
In IAOMT's ongoing examination of the toxicological data on
fluoride, the Academy has made several preliminary determinations over the last
18 years, each concluding that fluoride added to the public water supply, or
prescribed as controlled-dose supplements, delivers no discernible health
benefit, and causes a higher incidence of adverse health effects.
This current policy position by IAOMT confirms those earlier
assessments and asserts that there is no discernible health benefit derived
from ingested fluoride and that the preponderance of evidence shows that
ingested fluoride in dosages now prevalent in public exposures aggravates
existing illnesses, and causes a greater incidence of adverse health effects.
Ingested fluoride is hereby recognized as unsafe, and
ineffective for the purposes of reducing tooth decay.
You can download the full text article from the IAOMT's
IAOMT's Ingested Fluoride and Fluoridation Policy Position