Water fluoridation was initiated in 1945 by the U.S. Public Health Service and was endorsed by the American Dental Association along with several other professional societies. Sadly, the focus on proper nutrition, proper dental hygiene, and access to dental care became lost in the rhetoric of water fluoridation. The process of water fluoridation involves adding fluoride in the form of a silicofluoride to a concentration of 0.7 ppm (parts per million). Ingesting water containing fluoride can contribute to systemic problems such as discoloration of the teeth (called fluorosis), decreased thyroid function, impaired glucose tolerance, and other endocrine disruptions. BDD views water fluoridation as medication without representation. You can rest assured that the water we use in our dental procedures and the water we serve is 100% fluoride free. On the subject of topical fluoride... we at BDD have found a safer, more effective alternative. And we whole heartedly believe in teaching proper nutrition and proper home care for your oral and systemic well being.