What to Tell Your Dentist When You Don’t Want Fluoride

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Navigating conversations about fluoride with your dentist can feel intimidating, but it’s important to advocate for your preferences and health. Here’s how to approach the topic with confidence and clarity.

  1. Start with Your Reasons
    Be open about why you’re choosing to avoid fluoride. Research has raised concerns about fluoride’s potential health risks, including neurotoxicity. Studies link high fluoride exposure in children to lower IQ scores and impaired cognitive development, while research in adults suggests associations with cognitive decline and a higher risk of dementia. These findings, coupled with concerns about overexposure from multiple sources (e.g., water, toothpaste, and food), have led many to seek fluoride-free dental care. Learn more about the health risks of fluoride.
  2. Request Alternatives
    Many dentists now offer fluoride-free treatments, such as hydroxyapatite-based options or remineralizing solutions with calcium and phosphate. These alternatives are effective in strengthening enamel and preventing cavities while avoiding fluoride’s potential risks. Ask about these options and express your preference for a fluoride-free approach. Here are some of our recommended alternatives.
  3. Reinforce Your Commitment to Oral Health
    Let your dentist know you’re proactive about maintaining excellent oral hygiene. Share that you use fluoride-free toothpaste with ingredients like hydroxyapatite or xylitol, which reduce cavity-causing bacteria and strengthen enamel. Mention your focus on a healthy diet and regular brushing and flossing to minimize cavity risk naturally.
  4. Stand Firm but Collaborative
    Your dentist may recommend fluoride out of habit or concern, but it’s your right to make the final decision about your care. Thank them for their advice, but politely decline fluoride treatments if they’re not aligned with your preferences. You can emphasize your desire to work together on a care plan that supports your oral health goals.

Research into fluoride’s effects on both children and adults highlights the need for individualized care. By clearly communicating your concerns and preferences, you can take control of your dental health without compromising your values or well-being.

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