Dr. Kelly Keyes, a long-standing dentist in Saint John, has expressed concern over the deteriorating oral health of her younger patients. She noted an increase in the need for hospital treatments among these patients, leading to extended waiting times and exacerbating the strain on the healthcare system. Keyes emphasized the significance of fluoride in the city’s water, which was introduced in the 1980s to safeguard teeth development by fortifying enamel and inhibiting plaque bacteria.
However, in a bid to save costs, Saint John’s administration opted to discontinue the fluoridation program, reducing annual expenses by $177,000. Despite opposition from local dentists and physicians, the removal of fluoride persisted. Over the past 12 years since the cessation, Keyes highlighted a surge in dental issues, particularly affecting vulnerable individuals in the community.
The absence of fluoride has led to a rise in severe dental problems among children, resulting in school disruptions due to toothaches and a decline in self-esteem due to decay and extractions. Moreover, Keyes pointed out the long-term consequences of poor oral health, potentially leading to heart conditions and prolonged suffering.
While some municipalities in Canada have reintroduced fluoride into their water systems after observing adverse effects post-removal, Saint John faces challenges in reinstating the program. Mayor Donna Reardon, who supported maintaining fluoride in the water, suggested that oral health initiatives should be overseen by the provincial government rather than individual municipalities. She expressed regret over the decision to eliminate fluoride and emphasized the need for a systematic approach to involve the community in making informed choices.
Paul Blanchard, Executive Director of the New Brunswick Dental Society, emphasized the lack of post-removal fluoride data in the province and underscored the urgency of reassessing oral health status, particularly among children. He advocated for the resumption of comprehensive oral health programs and expert guidance within the Health Department to address preventive measures effectively.
Despite the absence of concrete data since the discontinuation of fluoride, concerns persist about the escalating dental issues in Saint John. Dentists are witnessing a surge in untreated dental problems among older adults and emphasizing the cost-effectiveness of preventive measures like fluoridation. Keyes highlighted the need for public education on fluoride benefits and tooth care practices, citing the profound impact of decay on individuals using non-fluoridated products.
The removal of fluoride in Saint John has not only raised safety concerns but has also underscored the necessity of cost-effective preventive measures. Keyes expressed dismay over preventable oral diseases affecting children and criticized the municipal decision for disproportionately impacting the city’s most vulnerable residents. The repercussions of this move continue to manifest as a persistent challenge that demands urgent attention.