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Article CommentaryCommentary

Family physicians as advocates for community water fluoridation

James A. Dickinson, Juliet Guichon, Wendy Wadey and Keith Da Silva
Canadian Family Physician May 2023; 69 (5) 314-318; DOI: https://doi.org/10.46747/cfp.6905314
James A. Dickinson
Professor in the Department of Family Medicine and the Department of Community Health Sciences at the University of Calgary in Alberta; he was a committee member of the Fluoride Yes! campaign.
MBBS CCFP PhD FRACGP
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  • For correspondence: dickinsj{at}ucalgary.ca
Juliet Guichon
Associate Professor in the Departments of Community Health Sciences and Pediatrics at the University of Calgary and was President of the Fluoride Yes! campaign.
SJD ICD.D
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Wendy Wadey
Dentist in Calgary and was a member of the Fluoride Yes! campaign.
DDS
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Keith Da Silva
Assistant Professor in the College of Dentistry at the University of Saskatchewan in Saskatoon and President of the Canadian Association of Public Health Dentistry.
DDS MSc FRCDC
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    Figure 1.

    Fluoride Yes! campaign button

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    Table 1.

    Water fluoridation rate estimates in Canadian jurisdictions: Data are mainly from 2021.

    REGIONWITHOUT FLUORIDATED WATER SYSTEM, %WITH FLUORIDATED WATER SYSTEM, %
    British Columbia  98.5  1.5
    Alberta   57.0* 43.0*
    Saskatchewan  59.640.4
    Manitoba  31.768.3
    Ontario  26.873.2
    Quebec  99.0  1.0
    New Brunswick  98.9  1.1
    Nova Scotia  49.650.4
    Prince Edward Island  74.925.1
    Newfoundland and Labrador100.0  0.0
    Nunavut  72.327.7
    Northwest Territories  31.468.6
    Yukon100.0  0.0
    Canada  60.239.8
    • ↵* This number is expected to change when fluoridation returns to Calgary in 2024.

    • Adapted from the Public Health Agency of Canada.1

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    Table 2.

    Prevalence of dental decay in Canada

    AGE GROUP, YWITH DENTAL DECAY, %MEAN NO. OF TEETH
    WITH DECAY
    MEAN NO. OF FILLINGSMEAN NO. OF MISSING TEETHMEAN NO. OF DFMT
    Children, 6-11• Primary, 47.8
    • Permanent, 56.8
    • Primary, 1.99
    • Permanent, 0.49
    2.04 NA  2.48
    Adolescents,
    12-19
      58.8  2.492.10 NA  2.49
    Adults
        • 20-39  91.2  6.665.850.39  6.85
        • 40-59  98.8  9.889.432.4212.30
        • 60-79100.010.099.725.5715.67
    • DMFT—decayed, missing, or filled teeth; NA—not available.

    • Adapted from Health Canada.2

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Canadian Family Physician: 69 (5)
Canadian Family Physician
Vol. 69, Issue 5
1 May 2023
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Family physicians as advocates for community water fluoridation
James A. Dickinson, Juliet Guichon, Wendy Wadey, Keith Da Silva
Canadian Family Physician May 2023, 69 (5) 314-318; DOI: 10.46747/cfp.6905314

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Family physicians as advocates for community water fluoridation
James A. Dickinson, Juliet Guichon, Wendy Wadey, Keith Da Silva
Canadian Family Physician May 2023, 69 (5) 314-318; DOI: 10.46747/cfp.6905314
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