1. PRESENTATION TO THE NEW TECUMSETH TOWN COUNCIL September 23, 2013 Dr. Dick Ito, DDS, MSc, FRCD(C)

2. Simcoe-Muskoka Communities with Fluoridated Drinking Water Fluoridated Communities in Simcoe- Muskoka (7% of Total Population) Simcoe County –Tottenham –Base Borden Muskoka District –Huntsville –Bracebridge –Gravenhurst –Bala –Port Carling –Baysville –MacTier

3. School Screening 2006-11 School Year# Schools# Children Screened # Children CINOT Eligible % Screened Children CINOT 2010-1117425,8652,5819.98 2009-1019925,9252,88911.14 2008-0917325,1252,2969.13 2007-0817525.1292,1758.64 2006-0716626,5572,3078.69

4. Preventive Services Provided 2012-13 School Year# Children Topical Fluoride # Sealants# Scaling 2012-131,065 (7,803) 1,298 (6,838) 146 (459) 13.6%19%32% Number Screened = 25,257 % Consents/Medical Histories Returned = 13.6 – 32%

5. School Screening Data 2009-20013

6. School Screening Data 2012-2013

8. Grade 2 School Screening Data 2012-2013

10. Canada Health Measures Survey

12. Drinking Water Fluoridation and Oral Health Inequities in Canadian Children CMHS data 1,017 children age 6-11 Cross-sectional study CWF associated with lower defDMFT Effect seen across income and education categories Effect more pronounced in lower education and higher income households Benefits particularly in those with the poorest oral health McLaren L, Herbert Emery JC. Drinking Water Fluoridation and Oral Health Inequities in Canadian Children. Can J Public Health 2012;103(Suppl. 1):S49-S56 IndexNo F (629)Yes F (389) Mean defDMFT 2.62.2 % Caries Free40.647.9

13. Our Oral Health: Key findings of the 2009 New Zealand Oral Health Survey. Ministry of Health, 2010. Our Oral Health: Key findings of the 2009 New Zealand Oral Health Survey. Wellington: Ministry of Health The lifetime benefit of exposure to water fluoridation is estimated to be the prevention of a total of 2.4 to 12.0 decayed, missing or filled teeth for the average individual.

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15. Why Fluoridate Fluoridated communities have 20%-40% fewer caries (dental decay) Cost-effective results: every dollar spent on water fluoridation avoids $38 in dental care, while increase in drinking water costs to consumers is less than 1% Benefits all consumers across socio-economic status Benefits all age groups, from children to senior citizens CDC (2005) Water Fluoridation Training for Water Treatment Facility Operators 109

16. Questions? THE END