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  • Published on:
    Lucina, Community Water Fluoridation: New Zealand and American Academy of Guidelines
    • John C Furness, Senior Clinical Fellow Paediatric Emergency Department Leeds Teaching Hospitals NHS Foundation Trust
    • Other Contributors:
      • John F Beal, Retired Dentist
      • Sam Oddie, Consultant Neonatologist
      • Simon Hearsnshaw, Clinical Lead, Humberside and Yorkshire Local Dental Network

    Dear Editor

    We were delighted to see Lucina highlighted positive data on Community Water Fluoridation (CWF) [1] Has Luciana seen the latest American Academy of Paediatrics (AAP) guideline on the issue? [2] They state that the AAP Standard of Care is Fluoride Varnish. However we have asked them why CWF isn’t the standard of care given the only objection they give for it is that it is a “controversial and highly emotional issue”. In the same paper they make suggestions including that paediatricians should:

    1) Apply fluoride varnish
    2) Know how to determine the concentration of fluoride in a child’s primary drinking water and determine the need for systemic supplements.
    3) Advocate for water fluoridation in their local community.

    UK paediatricians cannot apply fluoride varnish. UK paediatricians can identify concentrations of fluoride in the local drinking water using They can prescribe fluoride supplements where there is need.

    Until CWF is implemented does Lucina agree that these measures need promoting amongst UK Paediatricians?


    1. Highlights from the literature Archives of Disease in Childhood 2020;105:1236.

    2. Clark MB, Slayton RL for American Academy of Pediatrics Section on Oral Health. Pediatrics 146 (6):e2020034637

    Conflict of Interest:
    The authors have no personal pecuniary gain. However all are members of the Community Water Fluoridation Network and have campaigned, in the case of one, longer than the others have been alive, for Community Water Fluoridation, to improve public health. Dr John Beal is a senior member of the British Fluoridation Society and his lives' research has been into CWF.
    Royal College of Paediatrics and Child Health