Federal standards do not guard against excess fluoride in drinking water damaging bones and teeth.
Enamel Fluorosis
Children exposed to water at or near the maximum fluoride limit set for the government risk developing severe tooth enamel fluorosis, which causes discoloration, enamel loss and pitting of the teeth. Enamel fluorosis can be a serious problem, as tooth enamel protects the teeth from decay and infection.
Fruit Juice and Infant Formula
Fluorosis can also occur in children who drink beverages made from fluoridated water, including fruit juice and infant formula. This could be due either to overconsumption of such drinks, or consumption of drinks prepared with naturally high-fluoride water.
Bone Fractures
People who drink water with the level close to the federal limit for fluoride also are likely to have a higher risk for bone fractures. Further, roughly 200,000 people in the United States may be drinking water that is actually above the national standard limit, as a result of naturally occurring fluoride.