Dr. Kelly Keyes, a long-standing dentist in Saint John, has expressed concerns about the deteriorating oral health of her younger patients. She noted that some of these patients are now requiring hospital treatments after facing considerable waiting times, adding strain to the healthcare system. Keyes emphasized the importance of fluoride in maintaining oral health, highlighting how its addition to the city’s water in the 1980s had been a significant factor in preventing tooth decay by strengthening enamel and inhibiting plaque bacteria.
Despite the positive impact of fluoridation, Saint John faced financial challenges prompting city councillors to terminate the fluoridation program to save $177,000 annually. This decision, though financially beneficial, has had detrimental effects on the dental health of residents, particularly impacting vulnerable individuals in the community.
Dr. Keyes pointed out the alarming increase in tooth decay among children under four years old, leading to serious consequences such as school absenteeism due to dental issues. She emphasized that poor dental health in childhood can extend into adulthood, potentially causing heart disease and persistent discomfort.
The removal of fluoride from Saint John’s water supply, a move that was contested by local dentists and physicians but still implemented, has raised concerns among healthcare professionals. The debate over water fluoridation has persisted for years, with opponents citing cost and the risk of enamel discoloration as reasons for their stance.
In contrast to Saint John’s decision, other Canadian cities have reintroduced fluoride into their water systems following periods of absence. This reintroduction has been driven by data showing increased rates of dental problems post-fluoride removal, emphasizing the preventive benefits and cost-effectiveness of fluoridation programs.
Dr. Keyes stressed the importance of preventive measures like fluoridation, especially considering the rise in untreated dental issues among older adults. She highlighted the need for public education on the significance of fluoride treatments and toothpaste in maintaining good oral health.
The absence of fluoride in municipal water supplies not only raises concerns about safety and effectiveness but also underscores the necessity of proactive measures to address preventable dental diseases. Dr. Keyes lamented the avoidable suffering experienced by children and emphasized the responsibility of both parents and local governments in ensuring access to essential oral health resources.
