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Can too much fluoride harm your body? Should you believe the bad publicity fluoride is getting from some groups?

Fortunately, the levels of fluoride required for good health (which is between 1.5 to 4 milligrams) fall far below the toxic range so there is no need to worry or consume large amounts. And even if people do, most will develop only white spots or stains on the teeth, a condition called fluorosis.

With regards to the other alleged health risks associated with fluoride, reliable researchers say these have no scientific basis.

"There are no side effects to the proper use of fluoride, and no effects other than fluorosis with elevated levels of fluoride. More than 35 years of research in many countries attest to the safety and value of fluoridated water and fluoride supplements. The cancer scare, introduced by organized antifluoridationists, has been found to be groundless by the National Cancer Institute in the United States and by the Royal College of Physicians in England," said Dr. Myron Winick, director of the Institute of Human Nutrition, Columbia University College of Physicians and Surgeons, in "The Columbia Encyclopedia of Nutrition."

"Fluoridation of drinking water does not cause birth defects either. American and British studies of millions of people who drink fluoridated water have shown no link with Down's syndrome, cleft palate, clubfoot, or any other birth defect. Studies with mice have revealed no chromosomal damage even at 50 parts per million (ppm) of fluoride for several generations," added Kurt Butler of the Quackery Action Council of Hawaii and Dr. Lynn Rayner of the John A. Burns School of Medicine, University of Hawaii in "The Best Medicine."

What about fluoride's role in preventing tooth decay? The evidence that this trace mineral is important in the development of strong, decay-resistant teeth remains compelling. And those who say otherwise aren't aware of fluoride's long track record of safety and effectiveness.

"There is considerable agreement among experts that fluoridation of public water supplies is the main reason why the incidence of caries (cavities) has decreased over the past decade or two. One reviewer notes that as of 1977, 35,000 papers had been published verifying the effectiveness and safety of water fluoridation. Fluoride ingested at optimal levels before the eruption of the permanent molars reduces caries about 50 to 60 percent. The optimal level is one milligram per liter (about a quart) of water," said Dr. Jack Yetiv, a popular pharmacologist and nutrition expert in "Popular Nutritional Practices: Sense and Nonsense."

"Further reduction in decay can be anticipated from the use of fluoride toothpaste, fluoride mouth rinses or topical application by a dentist or hygienist. Remember that these types of fluorides are in much higher concentration than in water or dietary supplements and are not meant for swallowing on a regular basis. With a combination of dietary and topical fluorides, decay can be reduced 60 to 80 percent. For practically a 100 percent reduction in decay, use a combination of fluoride and dietary control. Increase your tooth resistance in this way and decrease attacks by bacterial acids. Good oral hygiene will add an additional margin of safety," Winick concluded.

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