Unbiased Science

Whetting your Hydroxyapatite for Fluoride

26 snips
Dec 3, 2025
Dr. Ashley Lerman, a pediatric dentist and founder of First Grin, dives into the heated debate surrounding fluoride and hydroxyapatite. She explores fluoride's key role in cavity prevention while critiquing claims about its potential IQ impacts. The conversation touches on health equity in dental care access and how community fluoridation affects underserved populations. Lerman also introduces hydroxyapatite as a promising alternative but cautions that it lacks the proven effectiveness of fluoride. It’s a thought-provoking discussion on balancing oral health benefits and risks.
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INSIGHT

IQ Studies Often Use Much Higher Fluoride Levels

  • Studies linking fluoride to reduced IQ often examine much higher natural exposures than community fluoridation.
  • Reported small IQ differences may be statistical noise and not clinically meaningful.
ANECDOTE

Clinical Observations In Rural Practices

  • Ashley saw worse dental outcomes in patients relying on well water without fluoride.
  • Those mouths often had compounded risks from limited care and diet.
INSIGHT

Stopping Fluoridation Raises Cavities And Costs

  • Natural experiments show cavities increased after communities stopped fluoridating water.
  • Stopping fluoridation raised childhood treatment costs and cavity rates in multiple cities.
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