In a recent study by the National Research Council, “Fluoride in Drinking Water: A Scientific Review of EPA’s Standards,” researchers raised the possibility that formula-fed babies could receive too much fluoride if liquid concentrate or powdered baby formula is mixed with water that contains fluoride.

While the right amount of flouride helps prevent tooth decay, too much fluoride can damage the enamel surface of the teeth and cause fluorosis.

Fluorosis is a condition, not a disease. It changes the appearance of the teeth and causes white spots or streaks to appear on the surface of the teeth. Most cases of fluorosis are mild but some are severe.

The Centers for Disease Control and Prevention (CDC) and the American Dental Association (ADA) have issued statements encouraging parents of formula-fed children to consider using water that is fluoride free or contains low levels of fluoride when they mix liquid concentrate or powdered formula, rather than using tap water containing fluoride.

The best choice would be to simply breastfeed!

Because fluorosis can affect children eight years of age or younger, parents need to know how much fluoride their baby or young child is getting. Sources of fluoride include water, toothpaste, mouthrinse, and dietary supplements. For more information about safe levels of fluoride talk with your baby’s doctor or dentist.