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The environmental impact of community caries prevention - part 3: water fluoridation

Duane, Brett; Lyne, Alexandra; Parle, Ray; Ashley, Paul; (2022) The environmental impact of community caries prevention - part 3: water fluoridation. Brazilian Dental Journal , 233 (4) pp. 303-307. 10.1038/s41415-022-4251-5. Green open access

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Abstract

INTRODUCTION: Community-level interventions for the prevention of dental caries in children include fluoride varnish in schools, supervised toothbrushing in schools, the provision of toothbrushes and toothpaste and water fluoridation. The environmental impact of these interventions is an important factor to consider when commissioning these services. MATERIALS AND METHODS: A comparative life cycle assessment (LCA) was conducted to quantify the environmental impact of fluoridation of the public water supply for a five-year-old child over a one-year period. These results were compared to LCA data for fluoride varnish in schools, supervised toothbrushing and the provision of toothbrushes and toothpaste. RESULTS: When comparing community-level caries prevention programmes, water fluoridation had the lowest environmental impact in all 16 categories and had the lowest disability-adjusted life years impact. DISCUSSION: All community-level caries prevention programmes have an associated environmental cost. Water fluoridation performed well in this LCA study in all measures of environmental sustainability. The results of this study could be used, along with cost and clinical effectiveness data, to inform public healthcare policy.

Type: Article
Title: The environmental impact of community caries prevention - part 3: water fluoridation
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1038/s41415-022-4251-5
Publisher version: https://doi.org/10.1038/s41415-022-4251-5
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher's terms and conditions.
Keywords: Child, Child, Preschool, Dental Caries, Dental Caries Susceptibility, Environment, Fluoridation, Fluorides, Fluorides, Topical, Humans, Toothpastes
UCL classification: UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Eastman Dental Institute > EDI Craniofacial and Development Sci
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Eastman Dental Institute
URI: https://discovery.ucl.ac.uk/id/eprint/10157207
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