• Contact Us

    Environmental and Injury Epidemiology and Toxicology Unit

    1100 West 49th Street
    Austin, TX 78756

    Phone: 1-800-588-1248
    Fax: 512-776-7222


    Email any comments, questions, complaints, or feedback

Texas Fluoridation Program

Fluoride Helps Prevent Tooth Decay 

“Community water fluoridation is one of the most practical, cost-effective, equitable, and safe measures communities can take to prevent tooth decay and improve oral health." Dr. Vivek H. Murthy, U.S. Surgeon General (2014 – Present)

The Texas Fluoridation Program (TFP) works to improve the health of Texans by preventing tooth decay through community water fluoridation. TFP assists public water systems in the engineering design, installation, and maintenance of water fluoridation systems; monitors the adjusted fluoride level in the drinking water; and maintains the US Centers for Disease Control and Prevention (CDC) fluoridation database for the State of Texas. 

Community water fluoridation is safe and the most cost-effective way to prevent tooth decay. On average, it costs only $0.50 per person to fluoridate water for a year. For most cities, every $1 invested in water fluoridation yields $38 savings in dental treatment costs (Fluoridation Facts American Dental Association (ADA). Community water fluoridation is recommended by nearly all public health, medical, and dental organizations.

To know your water system’s fluoridation status go to the CDC My Water’s Fluoride webpage: https://nccd.cdc.gov/DOH_MWF/Default/Default.aspx.


Educational Links on Fluoridation:

CDC Website on Community Water Fluoridation

ADA Fluoridation Information

ADA Fluoridation Facts

Campaign for Dental Health

Fluoride for Texas

American Fluoridation Society

TCEQ Texas Drinking Water Watch


Publications on Fluoridation:

CDC Report on Fluoridation of Drinking Water to Prevent Dental Carries

CDC Report on Top 10 Public Health Achievements – United States 1900-1999

Water Fluoridation Costs in Texas, Texas Health Steps, May 2000

Free Fluoridation Posters


Fluoridation Training:

Texas Fluoridation Program (TFP) offers a FREE one-day training course on “Fluoridation Procedures for Water Operators” (TCEQ course code 214). The class is taught by the Texas Department of State Health Services Fluoridation Program staff with 8 hours of continuing education credited towards a Texas water operator’s license.

After attending this class, the participant will learn:

  • Health benefits of water fluoridation
  • Operation and maintenance of fluoride equipment
  • How to safely work with fluoridation chemical and equipment
  • How to maintain optimal fluoride levels in the drinking water

The class is offered throughout the state.  If you are interested in hosting or attending a class, please contact TFP by phone at 512-776-7349 or by email at fluoride@dshs.texas.gov.

Training Manual on Fluoridation Procedures


Technical Assistance on Fluoridation:

CDC Engineering and Administrative Recommendations

Equipment Specification for Fluorosilicic Acid Systems

General Specifications for Bulk Tank Storage

How to Neutralize Acid Leaks and Spills

Downloadable Fluoride Calculation Form    


Types of Fluoride Systems:

Typical Liquid Feed System, Bulk Storage, Peristaltic Pump Transfer

Typical Liquid Feed System, Bulk Storage Drum Pump Transfer

Typical Liquid Feed System, Small Bulk Storage

Typical Liquid Feed System, Carboy Storage


Texas Department of State Health Services
Environmental Epidemiology & Disease Registries Section
Texas Fluoridation Program
1100 West 49th Street
Austin, Texas 78756
Phone:  1-512-776-7349
Toll free: 1-800-588-1248 
fax:  512-776-7239
fluoride@dshs.texas.gov

Last updated April 10, 2017