When was fluorine first introduced in tap water?
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Health and dental organizations worldwide have endorsed its safety and effectiveness. Its use began in 1945, following studies of children in a region where higher levels of fluoride occur naturally in the water. Further research showed that moderate fluoridation prevents tooth decay.
Water fluoridation
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Population studies from the mid-20th century onwards show topical fluoride reduces dental caries. This was first attributed to the conversion of tooth enamel hydroxyapatite into the more durable fluorapatite, but studies on pre-fluoridated teeth refuted this hypothesis, and current theories involve fluoride aiding enamel growth in small caries. After studies of children in areas where fluoride was naturally present in drinking water, controlled public water supply fluoridation to fight tooth decay began in the 1940s and is now applied to water supplying 6 percent of the global population, including two-thirds of Americans. Reviews of the scholarly literature in 2000 and 2007 associated water fluoridation with a significant reduction of tooth decay in children. Despite such endorsements and evidence of no adverse effects other than mostly benign dental fluorosis, opposition still exists on ethical and safety grounds. The benefits of fluoridation have lessened, possibly due to other fluoride sources, but are still measurable in low-income groups. Sodium monofluorophosphate and sometimes sodium or tin(II) fluoride are often found in fluoride toothpastes, first introduced in the U.S. in 1955 and now ubiquitous in developed countries, alongside fluoridated mouthwashes, gels, foams, and varnishes.
Fluorine
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Fluoride or fluorine deficiency is a disorder which may cause increased dental caries (or tooth decay, is the breakdown of dental tissues by the acidic products released by the "bacterial fermentation of dietary carbohydrates.") and possibly osteoporosis (a bone disorder which leads to a decrease in bone mass, and an increase in bone fragility), due to a lack of fluoride in the diet. In terms of dietary sources, fish and tea are considered natural sources of fluoride, as well as tap water that has been fluoridated. The extent to which the condition truly exists, and its relationship to fluoride poisoning has given rise to some controversy. Fluorine is not considered to be an essential nutrient, but the importance of fluorides for preventing tooth decay is well-recognized, although the effect is predominantly topical. Prior to 1981, the effect of fluorides was thought to be largely systemic and preeruptive, requiring ingestion. Fluoride is considered essential in the development and maintenance of teeth by the American Dental Hygienists' Association. Fluoride is also essential as it incorporates into the teeth to form and harden teeth enamels so that the teeth are more acid resistant as well as more resistant to cavity forming bacteria. Caries-inhibiting effects of fluoride were first seen in 1902 when fluoride in high concentrations was found to stain teeth and prevent tooth decay.
Fluorine deficiency
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In 1952, Norrköping in Sweden became one of the first cities in Europe to fluoridate its water supply. It was declared illegal by the Supreme Administrative Court of Sweden in 1961, re-legalized in 1962 and finally prohibited by the parliament in 1971, after considerable debate. The parliament majority said that there were other and better ways of reducing tooth decay than water fluoridation. Four cities received permission to fluoridate tap water when it was legal. An official commission was formed, which published its final report in 1981. They recommended other ways of reducing tooth decay (improving food and oral hygiene habits) instead of fluoridating tap water. They also found that many people found fluoridation to infringe upon personal liberty/freedom of choice by forcing them to be medicated, and that the long-term effects of fluoridation were insufficiently acknowledged. They also lacked a proper study on the effects of fluoridation on formula-fed infants. In the year 2004 the allowed amount of fluoride in the water was decreased to 1,5 mg/l.
Fluoridation by country
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Sodium fluoride, tin difluoride, and, most commonly, sodium monofluorophosphate, are used in toothpaste. In 1955, the first fluoride toothpaste was introduced in the United States. Now, almost all toothpaste in developed countries is fluoridated. For example, 95% of European toothpaste contains fluoride. Gels and foams are often advised for special patient groups, particularly those undergoing radiation therapy to the head (cancer patients). The patient receives a four-minute application of a high amount of fluoride. Varnishes, which can be more quickly applied, exist and perform a similar function. Fluoride is also contained in prescription and non-prescription mouthwashes and is a trace component of foods manufactured using fluoridated water supplies.
Biological aspects of fluorine
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Among the elements, fluorine ranks 24th in universal abundance and 13th in terrestrial abundance. Fluorite, the primary mineral source of fluorine which gave the element its name, was first described in 1529; as it was added to metal ores to lower their melting points for smelting, the Latin verb "" meaning "flow" gave the mineral its name. Proposed as an element in 1810, fluorine proved difficult and dangerous to separate from its compounds, and several early experimenters died or sustained injuries from their attempts. Only in 1886 did French chemist Henri Moissan isolate elemental fluorine using low-temperature electrolysis, a process still employed for modern production. Industrial production of fluorine gas for uranium enrichment, its largest application, began during the Manhattan Project in World War II.
Fluorine
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Fluorine is a relatively new element in human applications. In ancient times, only minor uses of fluorine-containing minerals existed. The industrial use of fluorite, fluorine's source mineral, was first described by early scientist Georgius Agricola in the 16th century, in the context of smelting. The name "fluorite" (and later "fluorine") derives from Agricola's invented Latin terminology. In the late 18th century, hydrofluoric acid was discovered. By the early 19th century, it was recognized that fluorine was a bound element within compounds, similar to chlorine. Fluorite was determined to be calcium fluoride.
History of fluorine
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On 14 – 17 July 1959, Colin J. Tatlow organized in Birmingham (UK) an event which was "a milestone in fluorine chemistry", namely he arranged “an International Symposium on Fluorine Chemistry, which became the first of the now regular and important familiar series”. After the 8th ISFC, held in Kyoto (Japan) on 22 – 27 August 1976, ISFCs were systematically organized every three years under the governance of an International Steering Committee. From the very beginning ISFCs were reference events for scientists involved in fluorine chemistry and they played a major role in framing and maintaining the community of fluorine chemists. Some emblematic confirmations of this roles are: results presented at the 1st ISFC (Birmingham, 1959) are cited in a Houben-Weyl volume on fluorine chemistry published in 1999, results presented at the 4th ISFC (Estes Park, 1967) are mentioned in a book on the chemistry and technology of lubricants published in 2013, the "Moissan Prize" is the most prestigious prize in fluorine chemistry and is presented at ISFCs.
International Symposium on Fluorine Chemistry
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Fluorapatite (Ca(PO)F) is mined along with other apatites for its phosphate content and is used mostly for production of fertilizers. Most of the Earth's fluorine is bound in this mineral, but because the percentage within the mineral is low (3.5%), the fluorine is discarded as waste. Only in the United States is there significant recovery. There, the hexafluorosilicates produced as byproducts are used to supply water fluoridation.
Origin and occurrence of fluorine
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The first attempt at trying to find the covalent radius of fluorine was in 1938, by Brockway. Brockway prepared a vapour of F molecules by means of the electrolysis of potassium bifluoride (KHF) in a fluorine generator, which was constructed of Monel metal. Then, the product was passed over potassium fluoride so as to remove any hydrogen fluoride (HF) and to condense the product into a liquid. A sample was collected by evaporating the condensed liquid into a Pyrex flask. Finally, using electron diffraction, it was determined that the bond length between the two fluorine atoms was about 145 pm. He therefore assumed that the covalent radius of fluorine was half this value, or 73 pm. This value, however, is inaccurate due to the large electronegativity and small radius of fluorine atom.
Covalent radius of fluorine
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Tetrafluoromethane is the product when any carbon compound, including carbon itself, is burned in an atmosphere of fluorine. With hydrocarbons, hydrogen fluoride is a coproduct. It was first reported in 1926. It can also be prepared by the fluorination of carbon dioxide, carbon monoxide or phosgene with sulfur tetrafluoride. Commercially it is manufactured by the reaction of hydrogen fluoride with dichlorodifluoromethane or chlorotrifluoromethane; it is also produced during the electrolysis of metal fluorides MF, MF using a carbon electrode.
Tetrafluoromethane
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Water fluoridation is the controlled addition of fluoride to a public water supply to reduce tooth decay. Fluoridated water contains fluoride at a level that is effective for preventing cavities; this can occur naturally or by adding fluoride. Fluoridated water operates on tooth surfaces: in the mouth, it creates low levels of fluoride in saliva, which reduces the rate at which tooth enamel demineralizes and increases the rate at which it remineralizes in the early stages of cavities. Typically a fluoridated compound is added to drinking water, a process that in the U.S. costs an average of about $ per person-year. Defluoridation is needed when the naturally occurring fluoride level exceeds recommended limits. In 2011 the World Health Organization suggested a level of fluoride from 0.5 to 1.5 mg/L (milligrams per litre), depending on climate, local environment, and other sources of fluoride. Bottled water typically has unknown fluoride levels.
Tooth decay remains a major public health concern in most industrialized countries, affecting 60–90% of schoolchildren and the vast majority of adults. Water fluoridation reduces cavities in children, while efficacy in adults is less clear. A Cochrane review estimates a reduction in cavities when water fluoridation was used by children who had no access to other sources of fluoride to be 35% in baby teeth and 26% in permanent teeth. The evidence quality was poor. Most European countries have experienced substantial declines in tooth decay without its use, however milk and salt fluoridation is widespread. Recent studies suggest that water fluoridation, particularly in industrialized nations, may be unnecessary because topical fluorides (such as in toothpaste) are widely used, and caries rates have become low.
Although fluoridation can cause dental fluorosis, which can alter the appearance of developing teeth or enamel fluorosis, the differences are mild and usually not considered to be of aesthetic or public health concern. There is no clear evidence of other adverse effects from water fluoridation. Fluoride's effects depend on the total daily intake of fluoride from all sources. Drinking water is typically the largest source; other methods of fluoride therapy include fluoridation of toothpaste, salt, and milk. The views on the most efficient method for community prevention of tooth decay are mixed. The Australian government states that water fluoridation is the most effective way to achieve fluoride exposure that is community-wide. The World Health Organization reports that water fluoridation, when feasible and culturally acceptable, has substantial advantages, especially for subgroups at high risk, while the European Commission finds no benefit to water fluoridation compared with topical use.
Public water fluoridation was first practiced in the U.S. As of 2012, 25 countries have artificial water fluoridation to varying degrees, 11 of them have more than 50% of their population drinking fluoridated water. A further 28 countries have water that is naturally fluoridated, though in many of them the fluoride is above the optimal level. As of 2012, about 435 million people worldwide received water fluoridated at the recommended level (i.e., about 5.4% of the global population). About 214 million of them living in the United States. Major health organizations such as the World Health Organization and FDI World Dental Federation supported water fluoridation as safe and effective. The Centers for Disease Control and Prevention lists water fluoridation as one of the ten great public health achievements of the 20th century in the U.S. Despite this, the practice is controversial as a public health measure. Some countries and communities have discontinued fluoridation, while others have expanded it. Opponents of the practice argue that neither the benefits nor the risks have been studied adequately, and debate the conflict between what might be considered mass medication and individual liberties.
Water fluoridation
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The goal of water fluoridation is to prevent tooth decay by adjusting the concentration of fluoride in public water supplies. Tooth decay (dental caries) is one of the most prevalent chronic diseases worldwide. Although it is rarely life-threatening, tooth decay can cause pain and impair eating, speaking, facial appearance, and acceptance into society, and it greatly affects the quality of life of children, particularly those of low socioeconomic status. In most industrialized countries, tooth decay affects 60–90% of schoolchildren and the vast majority of adults; although the problem appears to be less in Africa's developing countries, it is expected to increase in several countries there because of changing diet and inadequate fluoride exposure. In the U.S., minorities and the poor both have higher rates of decayed and missing teeth, and their children have less dental care. Once a cavity occurs, the tooth's fate is that of repeated restorations, with estimates for the median life of an amalgam tooth filling ranging from 9 to 14 years. Oral disease is the fourth most expensive disease to treat. The motivation for fluoridation of salt or water is similar to that of iodized salt for the prevention of congenital hypothyroidism and goiter.
Water fluoridation