Evidence map›Paper›PMID 41958764›Full record

ReviewFrontiers in oral health2026

Water fluoridation today: - benefits and challenges.

Andrew Rugg-Gunn, Ray Lowry, Barry Cockcroft, Anthony Damien Walmsley

Abstract readReview
In one paragraph

Review in Frontiers in oral health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Andrew Rugg-GunnProfessor Emeritus, Newcastle University, Newcastle upon Tyne, United Kingdom.
Ray LowryRetired, Department of Child Dental Health, Newcastle University, Newcastle upon Tyne, United Kingdom.
Barry CockcroftRetired, Chief Dental Officer, Department of Health, London, United Kingdom.
Anthony Damien WalmsleyProfessor Emeritus, School of Dentistry, College of Medicine and Health, The University of Birmingham, Birmingham, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of this review is to describe the role of water fluoridation in preventing dental caries worldwide. Community water fluoridation began in 1945 and over the past 20 years has reached over 400 million people. In several countries, such as USA, Australia, New Zealand, Ireland, Singapore, Hong Kong, Brunei, Malaysia, Oman, Chile, Gabon and Brazil, a high proportion of the population receives fluoridated water. The clinical effectiveness is well established. Both water fluoridation and fluoride-containing toothpaste are effective and each adds to the effect of the other. Coverage of water fluoridation is equitable so that those at greatest risk of dental caries benefit most. Water fluoridation is cost-effective and has low environmental impact. Below the usual permitted concentration of 1.5 mgF/L, there is no risk to health. Prevalence of dental fluorosis is higher in fluoridated communities but severity is mild to very mild and of little aesthetic concern. In this regard, advice should focus on early use of fluoride-containing toothpaste to reduce fluoride ingestion during infancy and early childhood. The cost of water fluoridation is low. With increasing global urbanisation and improved equipment, the future of water fluoridation is promising. The WHO urges member states to consider implementing community water fluoridation.

Indexed as

dental cariesdental fluorosiseconomic evaluationfluoridation and public opinionfluoridation and the environmentfluoride and healthhealth equityhealth inequalities

Identifiers

PMID41958764
PMCPMC13057279

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.