Fluoride and Cognitive Development: A Risk to Children’s IQ?
Fluoride is widely used in cavity prevention, being added to water supplies in many cities around the world. However, recent studies have raised concerns about its potential effects on children’s cognitive development. Could fluoride exposure actually reduce children’s IQ?
What is Fluoride and Why Is It Used?
Fluoride is a mineral naturally found in water, soil, and some foods. In dentistry, it is used to:
- Prevent cavities: Strengthens dental enamel, making teeth more resistant to bacterial action;
- Reduce demineralization: Helps replenish minerals lost due to acid exposure from foods and drinks;
- Improve public oral health: Its addition to drinking water has been a global strategy to reduce cavities on a large scale.
However, despite the benefits for teeth, excessive fluoride exposure has been the subject of studies on its impacts on the developing brain.
Fluoride and IQ: What Do the Studies Say?
In recent years, various scientific studies have examined the relationship between fluoride exposure and children’s cognitive abilities. Some key findings include:
- JAMA Network Open (2023) Study: A recent study analyzed children exposed to different levels of fluoride and found an association between increased fluoride exposure during pregnancy and lower childhood IQ scores. The research suggests that high levels of fluoride in water can be neurotoxic to fetuses and young children;
- U.S. National Toxicology Program (NTP) Review: A comprehensive review of 74 studies on fluoride and neurodevelopment indicated that child exposure to high levels of fluoride can lead to a reduction in IQ. The review highlighted that most studies found consistent evidence of a negative impact on cognition, especially when fluoride levels in water exceeded 1.5 mg/L;
- U.S. National Institutes of Health (NIH) Report: The NIH’s Office of Dietary Supplements (ODS) confirms that excessive fluoride intake can lead to dental and skeletal fluorosis, with increasing evidence of impacts on the central nervous system. The report notes that children exposed to high concentrations of fluoride in water demonstrated lower cognitive performance on intelligence tests.
These studies indicate that high fluoride exposure can affect children’s brain development, raising concerns about water fluoridation policies.

What Can Be Done to Reduce Fluoride Exposure?
If you are concerned about excessive fluoride intake, here are some measures that can help:
- Water filtration: Using reverse osmosis filters can reduce the amount of fluoride in drinking water;
- Moderate use of fluoridated toothpaste: Young children should use a minimal amount of fluoridated toothpaste to avoid excessive ingestion;
- Balanced diet: Nutrients like iodine, calcium, and magnesium can help minimize the negative effects of fluoride on the body.
The Perspective of Integrative Dentistry
In integrative dentistry, we seek a balanced approach to oral and general health. The use of fluoride should be conscious and adapted to the individual needs of each patient. Assessing the medical history and environmental exposure of each person is essential to determine the best approach to cavity prevention without compromising neurological health.

Learn More About Fluoride with Clínica Debora Ayala
Although fluoride is an ally in fighting cavities, studies indicate that excessive exposure can have negative impacts on children’s cognitive development. Controversies still exist, and more research is needed to confirm the risks and determine safe consumption levels.
If you want to ensure your family’s oral health safely, consult a specialized dentist and stay informed about the best practices to avoid fluoride excess.
Scientific Sources
- National Toxicology Program (NTP) – Fluoride Exposure and Neurodevelopmental and Cognitive Health Effects
- National Institutes of Health (NIH) – Fluoride Fact Sheet for Health Professionals
- JAMA Network Open (2023) – Association Between Maternal Fluoride Exposure and IQ Scores in Offspring
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