Key Takeaways
- Fluoride in water is outdated. While it was introduced to reduce tooth decay, recent research links it to potential risks, including IQ reduction, thyroid dysfunction, and arthritis.
- Some populations are more vulnerable. Children and pregnant women may be particularly affected by fluoride exposure, especially in areas where fluoride levels exceed recommended limits.
- Oral health goes beyond fluoride. A more holistic approach—including reducing sugar intake, improving nutrition, and better dental hygiene practices—can support both dental health and overall longevity.
If you live in Australia, chances are your tap water contains fluoride. Initially introduced to reduce tooth decay, fluoride has been a staple in water supplies for decades. But is it still the best approach? Emerging research suggests that while fluoride may protect teeth, it could come with unintended consequences—potentially affecting your brain, bones, and thyroid function.
This article explores the latest scientific findings on fluoride, separating fact from fiction while considering whether it’s time for a new approach to dental health.

Fluoride and IQ Loss: How Exposure Could Impact Brain Development
Water fluoridation was initially intended to strengthen teeth, but what if it’s affecting cognitive function? Multiple studies have raised concerns about fluoride’s potential impact on brain development, particularly in unborn children.
A Canadian birth-cohort study found that boys whose mothers consumed fluoridated water during pregnancy had an average IQ reduction of 4.49 points at ages 3-4 (R). Even at the standard 0.7 mg/L fluoride concentration, IQ reductions were observed.
Further supporting this, a meta-analysis of 33 studies found that water fluoride levels above 1 mg/L were linked to a 5-point IQ decrease in children. Even at recommended levels, a 2.15-point reduction was noted (R).
In India, where some regions have higher fluoride concentrations (>1.5 mg/L), school-aged children were also found to have lower average IQ scores (R).
While these studies are observational, the evidence suggests that fluoride exposure during early brain development could have lasting effects. If fluoride is truly essential for dental health, is it worth the potential risk to cognitive function?
Where Do You Get the Most Fluoride in Your Diet?
While fluoridated drinking water remains the largest overall source of fluoride exposure, the number one dietary source of fluoride is tea—especially black and green tea. Tea plants naturally absorb fluoride from the soil, and older leaves accumulate the highest concentrations.

Other Significant Dietary Sources of Fluoride:
- Processed beverages: Soft drinks, fruit juices, and reconstituted drinks made with fluoridated water.
- Seafood: Certain fish and shellfish, especially if consumed with bones (like canned sardines or anchovies).
- Processed and fast foods: Many are prepared with fluoridated water or contain ingredients that have absorbed fluoride.
- Toothpaste and mouthwash: While not ingested in large amounts, some fluoride can be accidentally swallowed, especially by children.
- Teflon cookware: Cooking with non-stick pans may contribute to fluoride exposure due to the breakdown of fluoropolymer coatings.
Considering these dietary sources, fluoride exposure can quickly add up—especially when combined with fluoridated drinking water. If you’re looking to reduce fluoride intake, opting for filtered water, organic produce, and whole, unprocessed foods may help limit exposure.
Fluoride and Bone Health: The Connection to Arthritis and Osteosarcoma
Fluoride and Arthritis
You may not associate fluoride with joint pain, but new research suggests a link between fluoride exposure and arthritis.
A Chinese study on osteoarthritis found that each 1 mg/L increase in urinary fluoride correlated with a 27% increased risk of developing osteoarthritis (R). Another study in India found a significant relationship between fluoride levels and knee arthritis (R).
Fluoride accumulation in bones over time may contribute to joint deterioration, potentially accelerating age-related conditions like arthritis.
Fluoride and Osteosarcoma
Osteosarcoma, a rare bone cancer that commonly affects children and adolescents, has been a focal point in the fluoride debate.
Animal studies indicate a potential link between fluoride and osteosarcoma (R), but human research has been conflicting. One study in India suggested higher osteosarcoma rates in fluoridated areas (R), while multiple studies in the U.S. (R) and U.K. (R) found no significant correlation.
For now, fluoride’s role in bone cancer remains uncertain, but its effects on overall bone health and arthritis risk are more concerning.

Fluoride and Thyroid Dysfunction: Could It Be Impacting Your Hormones?
The thyroid is a small gland with a big job—regulating metabolism, energy levels, and growth. Could fluoride be interfering with its function?
A Chinese study found that fluoride exposure was associated with weaker thyroid function and lower IQ in children aged 7-13 (R). Another meta-analysis of 27 studies showed that higher fluoride levels (above 2.5 mg/L) were linked to thyroid disruption in children (R).
Meanwhile, a UK observational study reported higher rates of hypothyroidism in areas with fluoridated water (R).
Did You Know Fluoride Can Accumulate in Your Brain?
Post-mortem studies have found high levels of fluoride deposition in the pineal gland—a small, pea-shaped gland responsible for producing melatonin, the hormone that regulates sleep (R).
How Fluoride Could Affect Your Sleep
A U.S. cross-sectional study on adolescent health (NHANES data) found that those with higher fluoride exposure were twice as likely to suffer from sleep apnea and experienced significant delays in bed and waking-up times (R).
Do We Still Need Fluoride in Drinking Water?
When fluoride was first introduced into public water supplies, it was seen as a breakthrough in dental health. But decades later, science has evolved.
Here’s what we now know:
✔ Fluoride does help prevent cavities, but so do many other modern dental practices.
✔ Children in low-income households are more likely to consume unfiltered tap water, making them more vulnerable to excessive fluoride exposure.
✔ Long-term fluoride intake has been linked to cognitive decline, arthritis, thyroid dysfunction, and potential sleep disruption.
Protecting Your Oral and Overall Health
Fluoride may have been introduced with good intentions, but emerging research suggests it could pose more risks than benefits—especially for brain function, thyroid health, and joint longevity.
Steps You Can Take Today:
✔ Use a high-quality water filter that removes fluoride.
✔ Limit fluoride toothpaste for children and avoid excessive mouthwash use.
✔ Support your dental health naturally with a nutrient-rich diet, proper hygiene, and sugar reduction.
Oral health is a key pillar of longevity, but it’s about more than just fluoride. By focusing on holistic strategies, you can maintain strong teeth and a healthier, longer life.