Fluoridated water is the only consumer drug that is unregulated. No safety studies are required before a municipality decides to mass medicate its residents. There are no Federal or Provincial laws making fluoridation mandatory. The dosage of fluoride ingestion cannot be adjusted to suit individual needs and to avoid overdosing some individuals who cannot tolerate 'optimal' levels in the water. For example, diabetics who drink excess amounts of water will ingest excessive amounts of fluoride.
Fluorotic teeth have to be repaired prior to filling placement and orthodontics.
The incidence of moderate to severe dental fluorosis, which results in surface enamel that requires costly restorative therapy, has increased. This has contributed to the birth of a multi-billion dollar industry of tooth bleaching and cosmetic dentistry. Long-term fluoride accumulation on the skeleton results in skeletal fluorosis. These groups can be protected against an increase in dental decay using alternative cost-effective preventive measures. United Nations policy to which the US and Canada are signatory nations.