As your trusted dentist in Columbia, Missouri, at Sally Powell, DDS we frequently get questions about fluoride and its role in maintaining optimal oral health. With so much information—and misinformation—circulating about fluoride, it’s important to understand the facts about this naturally occurring mineral and how it protects your teeth.
What Exactly Is Fluoride?
Fluoride is a naturally occurring mineral found in soil, water, plants, and many foods. It’s been used in dentistry for over 70 years and is recognized by major health organizations worldwide, including the American Dental Association (ADA) and the World Health Organization (WHO), as safe and effective for preventing tooth decay.
When fluoride is present in your mouth, it helps remineralize tooth enamel—the hard, protective outer layer of your teeth. This process strengthens your teeth and makes them more resistant to acid attacks from bacteria in your mouth.
How Fluoride Protects Your Teeth

Understanding how fluoride works can help you appreciate why it’s such a valuable tool in maintaining your dental health.
The Demineralization and Remineralization Process
Throughout the day, your teeth undergo a natural cycle of demineralization and remineralization. When you eat or drink, bacteria in your mouth feed on sugars and starches, producing acids that attack your tooth enamel. This process is called demineralization.
Fortunately, your saliva contains minerals like calcium and phosphate that help repair this damage through remineralization. Fluoride enhances this natural repair process by helping to rebuild weakened tooth enamel.
Creating a Protective Barrier
When fluoride is present during the remineralization process, it forms fluorapatite—a compound that’s even stronger and more acid-resistant than your natural tooth enamel. This creates an additional protective barrier against future acid attacks.
Sources of Fluoride
There are two main ways you can benefit from fluoride: systemic and topical exposure.
Systemic Fluoride
Systemic fluoride is ingested and becomes incorporated into developing tooth structures. The primary source is fluoridated water, which has been called one of the greatest public health achievements of the 20th century by the Centers for Disease Control and Prevention (CDC).
In Columbia, MO, our water supply is fluoridated at optimal levels recommended by health authorities. This provides baseline protection for our community’s dental health.
Topical Fluoride
Topical fluoride is applied directly to your teeth and provides immediate protective benefits. Common sources include:
- Fluoride toothpaste
- Professional fluoride treatments at our dental office
- Fluoride mouth rinses
- Prescription fluoride gels or foams
Professional Fluoride Treatments at Our Practice
At Sally Powell, DDS, we offer professional fluoride treatments as part of our comprehensive preventive care approach. These treatments provide a higher concentration of fluoride than over-the-counter products and offer several advantages.
Who Benefits from Professional Fluoride Treatments?
While fluoride treatments can benefit patients of all ages, certain individuals may receive particular advantages:
- Children and teenagers with developing teeth
- Adults with a history of frequent cavities
- Patients with dry mouth conditions
- Individuals with gum disease or exposed root surfaces
- Those undergoing orthodontic treatment
What to Expect During Treatment
Professional fluoride treatments at our practice are quick, comfortable, and painless. Our experienced dental hygienists apply the fluoride using various methods, including gels, foams, or varnishes. The entire process typically takes just a few minutes during your regular cleaning appointment.
Fluoride Safety: Addressing Common Concerns
We understand that some patients have concerns about fluoride safety. Rest assured that when used as recommended, fluoride is both safe and effective.
Optimal Dosing
The key to fluoride safety lies in appropriate dosing. The fluoride levels in municipal water supplies and dental products are carefully regulated to provide maximum benefit while minimizing any risk. Our team can help you determine the right amount of fluoride for your specific needs.
Fluorosis Prevention
Dental fluorosis, which appears as white spots or streaks on teeth, can occur from excessive fluoride exposure during tooth development. However, this condition is primarily cosmetic and doesn’t affect tooth function. By following recommended guidelines for fluoride use, fluorosis can be easily prevented.
Maximizing Fluoride’s Benefits at Home

To get the most from fluoride’s protective effects, we recommend these simple steps:
- Use fluoride toothpaste twice daily
- Don’t rinse immediately after brushing—allow the fluoride to remain on your teeth
- Consider using a fluoride mouth rinse if recommended by our team
- Drink fluoridated tap water when possible
Choosing the Right Products
Not all fluoride products are created equal. Our team can recommend specific toothpastes, rinses, or other fluoride products based on your individual risk factors and dental health needs.
Ready to Protect Your Smile?
Don’t wait to give your teeth the protection they deserve—schedule your next cleaning and fluoride treatment with our caring team today! Call Sally Powell, DDS at (573) 474-8566 to book your appointment and take the next step toward optimal dental health.