Public health and fluoridation: Why is the presence of a small, controlled amount of fluoride (fluorine as fluoride ions) desirable in potable water supplies?

Difficulty: Easy

Correct Answer: To prevent dental cavities (caries) in children and adults

Explanation:


Introduction / Context:
Fluoride in drinking water, within recommended limits, is a well-established public health measure to reduce dental caries. This question assesses understanding of the specific benefit of controlled fluoride levels, not unrelated water quality goals.


Given Data / Assumptions:

  • “Certain minimum quantity” refers to guideline ranges where benefits exceed risks.
  • We are not addressing excessive fluoride exposure (fluorosis).
  • Potable water treatment allows accurate dosing and monitoring.


Concept / Approach:
Fluoride strengthens tooth enamel by forming fluorapatite, which is more resistant to acid dissolution by bacterial metabolism. Community water fluoridation aims to maintain fluoride at optimized levels to reduce incidence and severity of caries across populations.


Step-by-Step Solution:
Link fluoride chemistry to enamel remineralization and acid resistance.Recognize population-level benefit documented in dental epidemiology.Select the option explicitly referencing prevention of dental cavities.


Verification / Alternative check:
Public health agencies report significant reductions in caries where water fluoridation is implemented and maintained within recommended ranges.


Why Other Options Are Wrong:
Scale formation: related to hardness (Ca/Mg), not fluoride.Water-borne disease prevention: disinfection (chlorine/UV), not fluoride, addresses pathogens.Corrosion control: managed by pH/alkalinity and inhibitors like orthophosphate, not fluoride dosing.Taste improvement via oxidation: achieved by oxidants (e.g., ozone), not fluoride.


Common Pitfalls:
Assuming “more is better.” Excessive fluoride causes dental or skeletal fluorosis; dosing must stay within safe limits.


Final Answer:
To prevent dental cavities (caries) in children and adults

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