How To Say No To Fluoride At The Dentist

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Written by
Dr. Jenna Kerbrat

Dr. Kerbrat was born and raised in Calgary, Alberta where she began her dental career as a dental assistant. This invaluable experience allowed her to work closely with patients and dentists, providing her with a unique perspective on the importance of compassionate and comprehensive dental care.

Dr. Kerbrat’s journey in the field of dentistry lead her all the way to Melbourne, Australia. This is where she earned her Doctor of Dental Surgery (DDS) degree. Her time spent in Australia allowed her to gain a deep understanding of dental practices and patient care within a diverse and vibrant community. Dr. Kerbrat enjoys focusing on whole-body health and personalized treatment to enhance overall well-being.

Beyond dentistry, Dr. Kerbrat enjoys travelling, baking, and spending time with family and friends.

A young child happily brushing their teeth.

We’re seeing a gradual shift towards approaching your health through a holistic lens, which includes incorporating more natural products to promote good health. 

However, it’s important to recognize that just because something is natural, doesn’t necessarily mean it’s always good for us.

Many people are becoming conscious about the role of fluoride, a naturally occurring mineral, in the realm of dental care. While it can help strengthen tooth enamel, it’s not without risks.

High levels of fluoride can lead to adverse health effects over time, which is why it’s okay to opt out of fluoride treatments at your dentist. 

Fluoride in Dental Care: Toothpaste and More

Fluoride is a naturally occurring mineral found in water, soil, and some foods, and has been used in dental care for years via treatments and products such as toothpaste.

The primary reason why fluoride has been so frequently implemented in dental care is of how it aids in the remineralization process, helping to repair the early stages of tooth decay before it becomes a cavity. However, new research suggests its efficacy has decreased substantially to almost nothing. 

Yet, this benefit of fluoride is one of the reasons why many cities across Canada fluoridate their drinking water, hoping low levels will improve dental health for populations. 

In Calgary, the topic of water fluoridation has been contentious. While there are low levels of fluoride naturally occurring in our water, the city stopped adding fluoride to its water supply in 2011 after much debate. 

Despite the supposed benefit, it’s important to understand that fluoride use isn’t without risks and isn’t always a black-and-white issue. It’s important to recognize the potential concerns associated with fluoride, particularly in large quantities. 

Is Fluoride Good for Teeth?

Fluoride is often added to toothpaste, mouthwash, community water supplies, and is used in dental care because it helps strengthen tooth enamel and can reverse early signs of tooth decay. This mineral works by remineralizing weak spots in the enamel, making teeth more resistant to cavities.

However, some recent research and holistic dental experts have questioned its long-term safety, especially with overexposure. Potential risks can include dental fluorosis in children and other health concerns in sensitive individuals. For some, the risks outweigh the benefits—especially when good oral hygiene and fluoride-free alternatives are available.

At Health First Dental, we believe it’s important to weigh both the potential benefits and risks of fluoride. For those who prefer a natural approach, there are effective ways to keep your teeth strong and healthy without fluoride. We’re here to support your choices and provide personalized guidance for your oral health.

Risks of Fluoride

One of the primary concerns related to fluoride intake is dental fluorosis, a condition that primarily affects children under the age of eight. This occurs from excessive fluoride consumption during childhood when the teeth are still developing under the gums.

Symptoms of this condition generally include:

  • Teeth discolouration
  • Enamel damage 
  • Increased susceptibility to cavities  

In addition, impacts on cognitive development in children due to fluoride and water fluoridation are a big concern, and “safe” levels of fluoride have been attributed to reduced IQ and other neurological impacts in children.

Our general health is also important to consider. 

While much of the concern focuses on children developing dental fluorosis, adults aren’t exempt from potential adverse effects. Some studies suggest that high levels of fluoride also have damaging effects on bone health, like brittle bone or skeletal fluorosis. 

While the majority of cases are reported from areas with naturally high fluoride levels in water and long-term consumption, this highlights why there’s an ongoing back-and-forth about whether the benefits of fluoride are worth the risk. 

Benefits of Fluoride-free Dental Cleanings

Many professionals continue to use fluoride in their practice. It’s generally administered towards the end of a dental cleaning, but more patients are opting to skip them due to concerns about fluoride. 

Choosing to go fluoride-free in your oral health journey and dental cleanings can have numerous benefits. 

The primary benefit is that it minimizes the risk of dental fluorosis in young children, especially while many continue to receive fluoride from dental products like toothpaste, mouthwash, and certain foods. 

Some people may be sensitive to fluoride and find relief in avoiding it altogether, allowing a more comfortable dental experience. Those with specific health conditions, like thyroid disorders, are cautious about fluoride’s potential impacts.

Going fluoride-free presents an opportunity to have a holistic approach to dental care. This means focusing on preventative measures, like diet, oral hygiene, and regular dental exams to maintain and improve oral care. 

This approach can lead to a more comprehensive understanding of oral health, contributing to a healthier lifestyle overall.

A dentist performing a routine exam.

How to Say No to Fluoride at the Dentist: A Step-by-Step Guide

Want to skip fluoride at your next dental visit? Here’s a simple guide to help you confidently advocate for your preferences:

  • 1. Understand Your Reason: Before your appointment, understand why you want to avoid fluoride. Whether it’s for personal health beliefs, sensitivities, or a holistic lifestyle, knowing your reason will help you communicate clearly.
  • 2. Let Your Dental Clinic Know in Advance (Optional): When booking your dental exam, you can mention that you prefer fluoride-free care. Most offices appreciate knowing your preferences ahead of time and can make a note in your patient file.
  • 3. Remind Your Dental Hygienist or Dentist at the Start: At the beginning of your appointment, kindly remind your dental team that you’d like to decline any fluoride treatments or products during your exam/cleaning.
  • 4. Stand Firm, But Friendly: If your dental team recommends fluoride, you can politely restate your preference. You don’t need to justify your decision, but if asked, you can simply say it’s a personal choice.
  • 5. Ask About Alternatives: If you’re interested, ask your dental team about fluoride-free alternatives.
  • 6. Confirm Your Choice at Checkout: Before leaving the clinic, you can ask the front desk to add a note on your file, so your preference is remembered for future visits.

It’s your right to choose the care that fits your needs. Most dental professionals respect your decisions, especially when you communicate them calmly and confidently.

That being said, if you’re looking for a dentist who supports fluoride-free care, contact Health First Dental in Calgary. Our team respects your choices and is happy to provide holistic, fluoride-free dental services. No pressure, just personalized care on your terms.

Maintaining Good Oral Hygiene Without Fluoride

It’s absolutely possible to maintain great oral hygiene and care without using fluoride treatments or products. The key is staying consistent in your commitment to oral care.

Brushing your teeth twice a day and flossing once a day is a great way to start. Never underestimate the benefits of flossing which helps clean areas between teeth and below the gumline that a toothbrush can’t reach. Finish using a fluoride-free mouthwash to reduce bacteria and freshen your breath. 

Focusing on dietary choices can also play a significant role in approaching your oral health through a holistic lens. Limiting sugary and acidic foods can prevent tooth decay and erosion. Drinking plenty of water, especially after meals, helps wash away food particles. 

Visiting your dentist for a routine dental exam and cleaning every six months plays a huge role in preventative dental care. Regular visits help monitor oral health and detect concerns early, allowing for timely treatment and reducing the risk of complications. 

Alternatives to Fluoride

Receiving the supposed benefits of fluoride can be done with safe, healthy, and natural alternative methods. Take the time to explore some of these options to see what works well for your oral health and personal preference. 

One such alternative is xylitol, a natural sugar alcohol found in many fruits and vegetables. Unlike sugar, xylitol doesn’t produce acids that erode tooth enamel.

It’s often used in sugar-free gums and dental products because it can reduce the growth of harmful bacteria in the mouth, lowering the risk of cavities. 

Another option is hydroxyapatite, a naturally occurring mineral that makes up the majority of human tooth enamel and bone. Products containing hydroxyapatite can help remineralize tooth surfaces, similarly to fluoride, by supplying the minerals needed to repair and strengthen enamel. 

Oil pulling, an ancient practice involving swishing oil (typically coconut or sesame) in the mouth, is also gaining popularity. This method is believed to help reduce oral bacteria and plaque, promoting healthier gums and teeth. 

Lastly, maintaining a diet rich in calcium and vitamin D is crucial for strong teeth, as these nutrients support enamel health and bone density. 

Together, these fluoride alternatives can help preserve and improve oral health by naturally preventing decay and supporting tooth integrity.

Key Takeaways

  • You have options: Saying no to fluoride at the dentist is your choice, and many dental teams (especially holistic practices) will respect your preferences.
  • Understand the facts: While fluoride can protect teeth, excessive exposure may carry health risks, particularly for children and individuals with sensitivities.
  • Local insight matters: Calgary’s water does not currently have added fluoride, making it easier for residents to limit overall fluoride exposure. However this is set to change, as the city plans to reintroduce fluoride in the city’s drinking water in 2025.
  • Effective alternatives exist: Fluoride-free options like xylitol and hydroxyapatite can help you maintain strong, healthy teeth without compromise.
  • Speak up about your needs: Communicate your fluoride preferences with your dental clinic to ensure your dental care aligns with your values.
  • Holistic dental care supports your health: Prioritizing a balanced diet, good oral hygiene, and regular dental visits can keep your smile healthy and natural.

Schedule a Visit to Your Holistic Dentist in Calgary

Understanding the history and ongoing discussions around fluoride, the benefits of fluoride-free cleanings, and healthy alternatives, can help you make informed decisions that align with your health goals. 

Connect with our team at Health First Dental to schedule your routine dental cleaning and exam. 

Erin, Front Desk Administrator/Hygiene Coordinator

Erin is the newest addition to the Health First Dental team. After raising 4 awesome kids she has joined the work force again. Erin began work many years ago in reception and customer/patient care for an orthopedic surgical centre and she is excited to be back at it. She has been a long-time patient of Dr. Freiberg and has known the Health First Dental team for many years. She is so happy to be a part of the team now.

Melanie, Registered Dental Assistant

Melanie brings a unique perspective to her role, having transitioned from a successful 17-year career in retail to the dental field. A graduate of the Risio Institute for Digital Education, she combines her extensive customer service experience with a deep commitment to patient care, ensuring that everyone feels comfortable and at ease during their visits.

Outside of work, Melanie enjoys painting, taking walks, and traveling to new places. She loves sunsets and spending quality time with her fur-baby who is an adorable Chorkie. Melanie is committed to continuously learning and growing in her role with the goal of always providing the best support to her patients and colleagues alike.

Michelle, Registered Dental Assistant

Jennifer is a dedicated and skilled Registered Dental Assistant that has been with Health First Dental since 2007. She is known for her strong attention to detail, compassionate patient care, and exceptional clinical skills, Jennifer is passionate about ensuring patients feel both comfortable and informed throughout their dental treatment.

Specializing in a variety of dental procedures, Jennifer assists in restorative, cosmetic, and surgical dentistry, contributing to the high standard of care that Health First Dental is known for. Her commitment to excellence and patient satisfaction is reflected in every aspect of her work.

When not assisting in the dental office, Jennifer enjoys spending quality time with her husband and children.

Jennifer, Registered Dental Assistant

Jennifer is a dedicated and skilled Registered Dental Assistant that has been with Health First Dental since 2007. She is known for her strong attention to detail, compassionate patient care, and exceptional clinical skills, Jennifer is passionate about ensuring patients feel both comfortable and informed throughout their dental treatment.

Specializing in a variety of dental procedures, Jennifer assists in restorative, cosmetic, and surgical dentistry, contributing to the high standard of care that Health First Dental is known for. Her commitment to excellence and patient satisfaction is reflected in every aspect of her work.

When not assisting in the dental office, Jennifer enjoys spending quality time with her husband and children.

Amanda, Registered Dental Assistant

Amanda is originally from Saskatchewan and moved to Calgary to attend school at SAIT where she completed her Dental Assisting diploma with honours. Amanda has been practicing as a dental assistant since 2004 and has been with the Health First Dental team since 2005.

Amanda values the quality of care each patient receives. Her skills and experience combined with her positive attitude and genuine love for patients raises our level of care at Health First Dental.

When not working, Amanda enjoys spending time with her husband, two kids and dog.

Ryan, Registered Dental Hygenist

Ryan went to school in Regina, Saskatchewan and graduated in 2000. He joined Health First Dental in 2006 and enjoys the relationships he has built over the years. Ryan likes spending time with his wife and four children in his spare time.

Tracy, Registered Dental Hygenist

As a dedicated registered dental hygienist with over 25 years of experience, Tracy is genuinely committed to helping patients achieve and maintain optimal oral health and well-being. She is committed to building strong relationships with patients and takes pride in creating a comfortable environment while ensuring thorough cleanings and personalized care.

Continuously striving to enhance her skills, Tracy keeps herself updated with the latest advancements in dental hygiene through ongoing education and professional development. She is an active member of the Alberta College of Dental Hygienists.

Outside of her work at Health First Dental, you will find Tracy engaged with animal husbandry for numerous animals on the small hobby farm she shares with her husband and twin daughters. She also enjoys camping with her family, reading, and crafting.

Patricia, Registered Dental Hygenist

Patricia was born and raised in Nova Scotia. She completed her BSc with a major in human nutrition from St.F.X University in 1999. She went on to study dental hygiene at Dalhousie University, graduating in 2002. She moved to Calgary in the fall of 2002 and has been practicing dental hygiene ever since.

She enjoys all the relationships she has built over her 20+ year career. She is keen to educate patients and help them achieve a healthy smile to improve their overall health.

Outside of the office she purses her passion for fitness and dance, teaching ballet-based fitness classes. She enjoys escaping to the mountains to ski or hike with her husband, son, and dog.

Moni, Registered Dental Hygenist

Moni graduated from the University of Manitoba in 2001, moved to Calgary in 2002, and has enjoyed working as a dental hygienist since then.

She is passionate about oral health and believes prevention is the best medicine for overall health and your smile. She enjoys working with her patients to help them achieve their best oral and overall health and making new relationships.

Moni spends much of her free time with her husband, two sons, and dog, enjoying the outdoors, travel, and music.

Sommer, Front Desk Administrator/Hygiene Coordinator

Sommer has been a part of our team since 2016, serving as an Admin/Hygiene Coordinator. With a strong focus on patient care, she has developed a deep understanding of the importance of creating a welcoming and efficient environment for our patients. Currently on maternity leave to enjoy time with her first child, Sommer looks forward to returning and continuing to provide exceptional support to both our team and our patients.

Carol, Office Manager

Carol is a dedicated dental professional with over 38 years of experience in various aspects of dentistry. She has been with Health Frist Dental for over 23 years and is known for her exceptional people skills and commitment to patient care. Carol is highly knowledgeable in dental procedures, patient management, and team collaboration. She is passionate about building relationships with patients and colleagues alike.

Carol enjoys travelling with her husband and spending quality time with her grandchildren.

Dr. Jenna Kerbrat, Dentist

Dr. Kerbrat was born and raised in Calgary, Alberta where she began her dental career as a dental assistant. This invaluable experience allowed her to work closely with patients and dentists, providing her with a unique perspective on the importance of compassionate and comprehensive dental care.

Dr. Kerbrat’s journey in the field of dentistry lead her all the way to Melbourne, Australia. This is where she earned her Doctor of Dental Surgery (DDS) degree. Her time spent in Australia allowed her to gain a deep understanding of dental practices and patient care within a diverse and vibrant community. Dr. Kerbrat enjoys focusing on whole-body health and personalized treatment to enhance overall well-being.

Beyond dentistry, Dr. Kerbrat enjoys travelling, baking, and spending time with family and friends.

Dr. Sean Freiberg, Dentist

Dr. Sean Freiberg has been practicing health-centered dentistry for over 25 years with a robust academic background and a commitment to excellence in his field. He graduated Cum Laude from Brigham Young University in 1994, and furthered his education at Oregon Health Sciences University, where he earned his dental degree in 1999 with both clinical and academic high honors.

Dr. Freiberg took an interest in dental material during his academic training, which earned him the American Academy of Dental Materials Award. His research, published in the American Journal of Dentistry focused on the physical properties of resin based dental materials used as an alternate to ceramic. Additionally, Dr. Freiberg is a member of the International Academy of Oral Medicine and Toxicology (IAOMT)–a global network of dentists, health professionals, and scientists who research the biocompatibility of dental products, including the risks of mercury fillings, fluoride, and root canals. (Click here to learn more about IAOMT)

Outside of his professional life, Dr. Freiberg enjoys spending time with his wife, 3 children, and 2 grandchildren. Dr. Freiberg is an avid outdoorsman. His passions include hiking, backcountry skiing, and participating in triathlons, reflecting his commitment to both personal well-being and a balanced lifestyle.

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